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Synergies/ Positions
Synergy Patterns and Positioning
| Question | Answer |
|---|---|
| UE Extensor Synergy | Scap: Protracted Shoulder: Adducted, Internal Rotated Elbow: Extended Forearm: Pronated Wrist/Fingers: Flexed PRO/ADIR/Ext/Pro/Flex |
| UE Flexor Synergy | Scap: Retracted, Elevated Shoulder: Abducted, External Rotated Elbow: Flexed Forearm: Supinated Wrist/Fingers: Flexed RET/ABER/Flex/Sup/Flex |
| LE Extensor Synergy | Hip: Extended, Adducted, Internal Rotated Knee: Extended Ankle: Plantar Flexed, Inverted |
| LE Flexor Synergy | Hip: Flexed, Abducted, External Rotated Knee: Flexed Ankle: Dorsiflexed, Inverted |
| Specificity looks at True_________ | Negatives (Limits Type 1 Error which is incorrect rejection of null hypothesis) |
| Sensitivity looks at True ___________ | Positives (Limits Type 2 error, which is false negative) |
| Tinetti POMA Scores | 0-28 range. 19-24 = mod fall risk. below 19 = high fall risk |
| Brodmann Area: Primary Motor | 4 |
| Brodmann Area: Primary Sensory | 1-3 |
| Brodmann Area: Wernicke's | 22 |
| Brodmann Area: Broca's | 44,45 |
| Brodmann Area: Vision | 17,18 |
| Brodmann Area: Auditory | 41,42 |
| Anticipated Deformities s/p Burns: Neck | Flexion |
| Anticipated Deformities s/p Burns: Anterior chest/ axilla | Shoulder adducted, Extended, Internal Rotated |
| Anticipated Deformities s/p Burns: Elbow | Flexed, pronated |
| Anticipated Deformities s/p Burns: Hand/wrist | MCP Extended, IP flexion, thumb AD, wrist flexed |
| Anticipated Deformities s/p Burns: Hip | Flexion, adduction |
| Anticipated Deformities s/p Burns: Knee | Flex |
| Anticipated Deformities s/p Burns: Ankle | Plantar Flexion |
| Sidelying on hemiplegic side s/p stroke: positioning | Affected UE: Scap protracted, shoulder forward, arm in AB/ER, elbow extended, forearm supinated, wrist neutral Affected LE: hips extended, knees flexed |
| Supine positioning s/p stroke | Head/neck neutral, on pillow. Trunk in mindline. Affected UE: Scap protracted, shoulder forward, arm supported on pillow, elbow extended, wrist neutral, fingers extended, thumb AD Affected LE: hip forward, knee on towel roll to prevent hyperext, ankle n |
| Sidelying on unaffected side s/p stroke: positioning | Pillow under ribcase to elongate hemiplegic side Affected UE: scap protracted, shld forward, arm supported, elbow ext, neutral wrist, fingers ext, thumb AD Affected LE: hip/knee flexed, supported |
| PNF Chop | D1 Extension |
| PNF Reverse Chop | D1 Flexion |
| PNF Lift | D2 Flexion |
| PNF Reverse Lift | D2 Extension |