Brunstrom

Question 1

stage 7

Answer 1

no spasticity
restoration of normal mvmt and function

note: can do resisted motion

Question 2

stage 6

Answer 2

slight remnants of spasticity

isolated mms action with variety of mvmt patterns

slow speed/coordination

Question 3

stage 5

Answer 3

spasticity continues to decrease

basic synergies losing their dominance over mvmt

can perform some mvmt combos OUTSIDE of synergies

Question 4

stage 4

Answer 4

spasticity start to decrease

can voluntarily perform min mvmts OUTSIDE of synergies

ex: perform poor elbow extension

Question 5

stage 3

Answer 5

can perform basic mvmt synergies voluntarily (MULTIPLE JOINTS IN SYNERGY)

may not able to complete within full PROM

spasticity increases to max/peak levels

ex: cant do elbow extension b/c outside of synergies

Question 6

stage 2

Answer 6

spasticity is developing

DTRs present

min voluntary mvmt all within synergy (ISOLATED IN SYNERGY)

partial limb synergies elicited reflexively

ex:

Question 7

stage 1

Answer 7

flaccidity

no voluntary or reflexive activity is present

no associated reaction elicited

no DTRs