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Brunnstrom's Stages

of Motor Recovery

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
Created by: P2roszko