synergies and stages of motor recovery

abnormal synergies

occurs w attempts at an active movement causing other movements in stereotyped and obligatory mass patterns and inability to isolate a joint/muscle group

arm/UE

the flexor synergy is more dominant in the __

leg/LE

the extensor synergy is more dominant in the ___

CMSA

score sheet used to help assess the impairment of the arm hand leg and foot and their stage of motor recovery

stage 1

of the CSMA where flaccid paralysis is present and active movement cannot be elicited reflexively w a facilitative stimulus or volitionally

stage 2

of the CSMA where there is no or minimal voluntary movement present but a facilitative stimulus will elicit limb synergies reflexively through the typical flexor and extensor patterns

stage 3

of the CMSA where the synergistic movement can be elicited voluntarily but are obligatory seeing flexion pattern in the arm and extension in the leg

stage 4

of the CSMA where simple movements possible and the synergy patterns can be reversed if movement takes place in the weaker synergy pattern first

stage 5

of the CSMA where there is relative independence from basic synergy and synergy patterns can be reversed even if the movement takes place in the strongest synergy first

stage 6

of the CSMA where coordination and patterns of movement are near normal and abnormal patterns of movement w faulty timing emerge when rapid or complex actions are done

stage 7

of the CSMA where a normal variety of rapid age appropriate complex movement patterns are possible w normal timing, coordination strength and endurance

true

during motor recovery each stage of the CSMA is passed consecutively but a pt may start at different stages post stroke

t or f

false

during motor recovery each stage of the CSMA is passed consecutively and will always start at stage 1

t or f

retraction and elevation

upper extremity flexor synergy sees the shoulder girdle in

adduction and internal rotn

upper extremity extensor synergy sees the shoulder in

abduction, external rotn and hyperextension

upper extremity flexor synergy sees the shoulder in

flexion

upper extremity flexor synergy sees the elbow in

supination

upper extremity flexor synergy sees the forearm in

flexion

upper extremity flexor synergy sees the wrist in

extension

upper extremity extensor synergy sees the elbow in

pronation

upper extremity extensor synergy sees the forearm in

flexion or extension

upper extremity extensor synergy sees the wrist in

flexion and adduction

upper extremity extensor synergy sees the fingers and thumbs in

flexion and adduction

upper extremity flexor synergy sees the fingers and thumbs in

true

the strongest component to the upper extremity flexor synergy is elbow flexion

t or f

false

the strongest component to the upper extremity flexor synergy is shoulder abduction and ext rotn

t or f

true

the strongest component to the upper extremity extensor synergy is shoulder adduction and int rotn

t or f

false

the strongest component to the upper extremity extensor synergy is elbow extension

t or f

flexion, abduction, external rotn

in LE flexor synergy the hip sees

flexion

in LE flexor synergy the knee sees

dorsiflexion, inversion

in LE flexor synergy the ankle sees

extension

in LE flexor synergy the big toe sees

flexion

in LE flexor synergy the toes sees

extension, adduction, internal rotn

in LE extensor synergy the hip sees

extension

in LE extensor synergy the knee sees

plantarflexion, inversion

in LE extensor synergy the ankle sees

flexion or extension

in LE extensor synergy the toes sees

true

in LE flexor synergy the strongest component is hip flexion

t ro f

false

in LE flexor synergy the strongest component is knee flexion

t ro f

true

in LE extension synergy the strongest component is the knee extension

t or f

false

in LE extension synergy the strongest component is the hip extension

t or f

flaccid

at stage 1 of motor recovery spasticity is categorized as___

increased spasticity

at stage 2-3 of motor recovery spasticity is categorized as___

decreased spasticity

at stage 4-5 of motor recovery spasticity is categorized as___

true

during the CSMA the movement can be attempted 2x and can receive credit if they perform it correctly once

t or f

false

during the CSMA the movement can be attempted 2x and can receive credit if they perform it correctly twice

t or f

true

the CSMA has seperate scoring for the arm, leg hand and foot

t or f

false

the CSMA has one combined score sheet for the hand, foot, leg and arm

t or f

stage 4

when starting the CSMA test for the leg start in ___

stage 3

when starting the CSMA test for the arm start in ___

stage 3

when starting the CSMA test for the hand start in ___

stage 3

when starting the CSMA test for the foot start in ___

true

doing the CSMA the pt stage is the highest stage they can perform 2 out of the three tasks

t ro f

false

doing the CSMA the pt stage is the highest stage they can perform 1 out of the three tasks

t ro f

true

doing the CSMA to achieve stage 7 all 3 tasks must be performed in order and correctly

t ro f

false

doing the CSMA to achieve stage 7 all 3 tasks must be performed correctly but can be done out of order

t ro f

true

a pt doing stage 4 of the CSMA and passes 2 tasks, the next stage to test is stage 5

t or f

false

a pt doing stage 4 of the CSMA and passes 1 task, the next stage to test is stage 5

t or f

true

a pt doing stage 4 of the CSMA and passes 1 task, the next stage to test is stage 3

t or f

true

at stage 2 manual facilitation is allowed during the assessment

t or f

false

at stage 2 no type of facilitation is allowed during the assessment

t or f

true

at stage 3-7 no type of facilitation is allowed during the assessment

t or f

false

at stage 3-7 manual facilitation is allowed during the assessment

t or f

true

during the CSMA most stages can have the tasks done in any order but stage 2 and 3 must have the tasks done in order

t or f

false

during the CSMA all stages can have the tasks done in any order

t or f