Brunnstrom Movement Therapy

What is the central concept of Brunnstrom's approach?

• Uses synergy patterns during early recovery

• Synergies initially considered a necessary step toward recovery

• Patient eventually progresses out of synergy patterns

• Organized into 7 stages of recovery

⭐ Unlike NDT, Brunnstrom initially encourages synergies.

What is an associated reaction?

• Involuntary/automatic movement

• Occurs in one body part because of intentional or resisted movement elsewhere

What is homolateral synkinesis?

• Flexion of involved UE

• Facilitates flexion of involved LE on the same side

What is Raimiste's phenomenon?

Resistance to the uninvolved LE produces the same movement in the involved LE.

Example:

• Resist abduction of good leg → involved leg abducts

What is Souques' phenomenon?

• Raise involved UE above 100°

• With elbow extended

• Produces extension + abduction of fingers

What is a limb synergy?

• Predictable group of muscles moving together

• Produces stereotypical:

  • Flexion pattern OR

  • Extension pattern