Please enable JavaScript.
Coggle requires JavaScript to display documents.
Brunnstrom Approach (MOTOR TEST: Shoulder and Elbow (RS3: Pectoralis major…
Brunnstrom Approach
MOTOR TEST: Shoulder and Elbow
RS3: Pectoralis major, FA pronators, wrist & finger flexors are likely to exhibit more spasticity than their antagonist
RS4: Placing hand behind body, elevation of arm to a forward-horizontal position, pronation & supination of FA at 90*
RS2: Basic limb synergies now make their appearance either as weak reactions or voluntary attempts to move
RS5: Arms raising to a side-horizontal position, Arms raising forward & overhead, Pronation and supination of extended elbow
RS1: No voluntary movement in affected limb can be initiated
RS6: Isolated joint movements
MOTOR TEST: Hand
S3: Mass grasps
S4: Lateral Prehension
S2: Little or no active flexion
S5: Palmar Prehension
S1: Flaccidity
S6: All prehensile types under control
Wrist stabilization for grasp
Wrist flexion & extension, fist closed
Wrist circumduction
Prehension
Lateral prehension
Palmar prehension
Hook grasp
Cylindrical grasp
Spherical grasp
Individual finger & thumb movements
MOTOR TEST: Trunk and Lower Limb
S3: Hip-knee-ankle-flexion in sitting and standing
S4: Sitting, knee flexed beyond 90* with foot sliding backward on the floor, voluntary DF without lifting feet of the floor
S2: Minimal voluntary mvmt. of lower limb
S5: Standing- isolated NWB knee flexion, hip extended
S1: Flaccidity
S6: Standing, hip abduction beyond range obtained from elevation of pelvis
Principles for evaluating progress in hemiplegia
Should be brief and easy to administer
Should avoid complicated equipment
Should follow recovery stages
Should be standardixed
Gross testing for sensory loss
Passive motion sense, shoulder, elbow, FA, wrist
Passive motion sense, digits
Fingertip recognition
Passive motion sense, lower limb
Position sense
Sole Sensation
Speed test
Lap to chin
Lap to opposite knee