BRUNNSTROM`S APPROACH (1950-1970`S):-
-Empharised the synergy pattern of movement that develop during recovery from hemiplegia.She encouraged flexor & extensor syneries during recovery ,hoping that synergistic activation of muscle would .with training ,transition into voluntary activation.
-Patient are taught to use & voluntarily control the motor pattern aviliable to them at a particular point during their recovery process.
-Enchances specific synergies through use of cutaneous/proprioceptive stimuli ,& cebtral facilitation.
-Focus on reflexes which provide the component or normal movement.
-Propriceptive (resistive) & exteroceptive (tactile) stimulation are used to elicit reflexes in recoverying adult hemiplegic.
-Patients are encouraged to think about the movement & to gain control.
-Brunnstrom also uses associated reaction & synergies.
-BRUNNSTROM`S 6 STAGES OF RECOVERY:-
1)-Flaccidity-no voluntary movement.
2)-Synergies or minimal voluntary movement.
3)-Synergies performed voluntary (spasticity gratest).
4)-Some deviation from synergy.
5)-Independant or isolated movement.
6)-Individual joint movement nearly normal with minimal spasticity.
BRUNNSTROM`S APPROACH and BRUNNSTROM 6 STAGES OF RECOVERY
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