neuro27 synergies
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| Synergy Patterns | When the central nervous system is damaged as with a CVA, the higher centers of the brain are also damaged.
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| The higher centers are responsible | for both complex motor patterns and the inhibition of massive gross motor patterns.
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| Synergy patterns result when | the higher centers of the brain lose control and the uncontrolled or partially controlled stereotyped patterns of the middle and lower centers emerge.
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| Flexor Synergy Scapula: | Elevation and retraction
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| Flexor Synergy Shoulder: | Abduction and lateral rotation
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| Flexor Synergy Elbow: | Flexion
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| Flexor Synergy Forearm: | Supination
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| Flexor Synergy Wrist: | Flexion
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| Flexor Synergy Fingers: | Flexion with adduction
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| Flexor Synergy Thumb: | Flexion and adduction
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| Extensor Synergy Scapula: | Depression and protraction
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| Extensor Synergy Shoulder: | Medial rotation and adduction
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| Extensor Synergy Elbow: | Extension
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| Extensor Synergy Forearm: | Pronation
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| Extensor Synergy Wrist: | Extension
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| Extensor Synergy Fingers: | Flexion with adduction
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| Extensor Synergy Thumb: | Adduction and flexion
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| • The flexor synergy is seen when | the patient attempts to lift up their arm or reach for an object.
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| Flexor Synergy Hip: | Abduction and lateral rotation
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| Flexor Synergy Knee: | Flexion
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| Flexor Synergy Ankle: | Dorsiflexion with supination
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| Flexor Synergy Toes: | Extension
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| Extensor Synergy Hip: | Extension, medial rotation, and adduction
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| Extensor Synergy Knee: | Extension
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| Extensor Synergy Ankle: | Plantar flexion with inversion
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| Extensor Synergy Toes: | Flexion and adduction
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| • The flexor synergy is characterized by | great toe extension and flexion of the remaining toes secondary to spasticity.
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