Spastic grades, recovery stages, and synergy patterns

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Author:
amills1
ID:
258943
Filename:
Spastic grades, recovery stages, and synergy patterns
Updated:
2014-01-28 20:51:50
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Spastic grades recovery stages synergy patterns PTA212 212
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Spastic grades, recovery stages, and synergy patterns
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  1. Spastic Grade 0
    no increase in tone
  2. Spastic Grade 1
    • slight increase
    • catch and release
    • min resist at end of ROM
  3. Spastic Grade 2
    • more increase tone through most ROM
    • still easily moved
  4. Spastic Grade 3
    • considerable increase in tone
    • passive movement difficult
  5. Spastic Grade 4
    rigid
  6. UE flexion synergy pattern
    • scap retraction or elevation
    • ER
    • 90 abd
    • elbow flexion
    • forearm supination
    • wrist and finger flex
  7. UE extension synergy pattern
    • protraction
    • IR
    • add
    • elbow extension
    • pronation
    • wrist extension
    • finger flexion
  8. LE flexion synergy pattern
    • Hip flexion
    • abd and ER
    • 90 knee flexion
    • DF
    • inversion
    • toe extension
  9. LE extension synergy pattern
    • hip extension
    • add and ir
    • knee extension
    • PF
    • inversion
    • toe flexion
  10. stage of recovery I
    • flaccid
    • no voluntary or reflex movement
  11. stage of recovery II
    • spasticity develops
    • synergy patterns begin to develop
  12. stage of recovery III
    • spasticity reaches peak
    • movement synergies can be performed voluntarily
  13. stage of recovery IV
    • spasticity begins decreasing
    • deviations from synergies
    • limited combinations of movement
  14. stage of recovery V
    • spasticity continues decreasing
    • less domination of synergies
    • more complex movement combinations possible
  15. stage of recovery VI
    • spasticity essentially absent
    • coordination difficult with rapid movements
  16. stage of recovery VII
    return to normal function

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