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Brunnstrom's Stages
of Motor Recovery
Term | Definition | |
---|---|---|
Stage 2 | Reflex Responses | Movements are limited to generalized or localized motor responses to specific sensory stimuli |
Stage 3 | Associated Reactions | Abnormal increases in muscle tone in the involved extremities occur when activity requires intensive effort of the unaffected limb. |
Stage 4 | Mass Response | Voluntary motion is limited to total limb movements in flexion/extension. Pt. is unable to isolate individual joint motion/deviate from the stereotypical movement pattern. |
Stage 5 | Deviation from Pattern | Voluntary motor control deviates from the synergy through movement and is patterned predominantly when functional tasks are attempted |
Stage 6 | Wrist Stability | OT asks the patient to make a fist and observes for stability of the wrist joint in extension |
Stage 7 | Individual Finger Movement | OT asks the pt. to touch the tip of each finger with the tip of the thumb or to perform a tapping motion with the fingers against the table or leg. |
Stage 8 | Selective Pattern with Overlay | Joint movement in the affected limb may be isolated with voluntary control, and motion may occur in a variety of planes and directions. |
Stage 9 | Selective Movement | Ability to control movements at each individual joint. |
Stage 1 | No motion |