Brunnstrom stages of recovery
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| LEG-Flaccidity any movements ARM-Flaccidity; inability to perform HAND-No hand function any movements | BRUNNSTROM Recovery Stage 1
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| LEG-Spasticity develops; minimal voluntary movements ARM-Beginning dev of spasticity; limb synergies begin to appear as associated reactions HAND-Gross grasp beginning; minimal finger flexion possible | BRUNNSTROM Recovery Stage 2
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| LEG-Spasticity peaks; flexion & extension synergy present; hip-knee-ankle flexion in sitting and standing ARM-Spasticity increasing; synergy patterns or some of their components perf voluntarily HAND-Gross grasp, hook grasp possible; no release | BRUNNSTROM Recovery Stage 3
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| LEG-Knee flex past 90 in sit, w/foot sliding < on floor; dorsiflex w/heel on floor&knee flexed to 90 ARM-Spasticty+; synergy patterns or some of their components perf voluntarily HAND-Gross grasp present; lat prehen dev; small amnt finger ext&thumb mvmn | BRUNNSTROM Recovery Stage 4
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| LEG-Knee flexion w/hip extended in standing; ankle dorsiflex w/hip & knee extended ARM-Synergies no longer dominate; more mvmnt combo deviating from synergies performed with great ease HAND-Palmar prehension, spherical & cylindrical grasp & release poss | BRUNNSTROM Recovery Stage 5
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| LEG-Hip ABD in sit or stand; reciprocal int & ext rot of hip comb w/in & e version of ankle ARM-Spasticity absent except when perf rapid mvmnts; iso joints mvmnts perf w/ease HAND-All types of prehension, ind finger motion, full range of vol ext poss | BRUNNSTROM Recovery Stage 6
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