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    Brunnstorm Stage

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    This document contains an assessment form for evaluating upper and lower extremity function in hemiplegic patients. It assesses several stages of recovery from flaccidity to relative independence of basic synergy patterns. The form contains lists of motions to evaluate for each extremity in each stage, including shoulder, elbow, wrist and finger motions for the upper extremity and hip, knee and ankle motions for the lower extremity. A grading scale from 0 to 4 is provided to rate the range of motion achieved for each activity.

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    Brunnstorm Stage

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    This document contains an assessment form for evaluating upper and lower extremity function in hemiplegic patients. It assesses several stages of recovery from flaccidity to relative independence of basic synergy patterns. The form contains lists of motions to evaluate for each extremity in each stage, including shoulder, elbow, wrist and finger motions for the upper extremity and hip, knee and ankle motions for the lower extremity. A grading scale from 0 to 4 is provided to rate the range of motion achieved for each activity.

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    This document contains an assessment form for evaluating upper and lower extremity function in hemiplegic patients. It assesses several stages of recovery from flaccidity to relative independence of basic synergy patterns. The form contains lists of motions to evaluate for each extremity in each stage, including shoulder, elbow, wrist and finger motions for the upper extremity and hip, knee and ankle motions for the lower extremity. A grading scale from 0 to 4 is provided to rate the range of motion achieved for each activity.

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    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    363 views3 pages

    Brunnstorm Stage

    Uploaded by

    N A
    This document contains an assessment form for evaluating upper and lower extremity function in hemiplegic patients. It assesses several stages of recovery from flaccidity to relative independence of basic synergy patterns. The form contains lists of motions to evaluate for each extremity in each stage, including shoulder, elbow, wrist and finger motions for the upper extremity and hip, knee and ankle motions for the lower extremity. A grading scale from 0 to 4 is provided to rate the range of motion achieved for each activity.

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    偏癱患者評估表(上肢)

    A. Presynergy stage: Present Absent Present Absent


    a.癱軟 (Flaccid)

    B. Spasticity: Present Absent Present Absent


    a.痙攣(Spasticity)
    b.協同反應(Associated reaction)

    C. Synergy stage:
    1. Extension component:
    a.肩部前滑、內收、內轉(Shoulder protract, add, IR.)
    b.手肘伸直(Elbow extension)
    c.前臂旋前(Forearm pronation)

    2. Flexion component:
    a.肩部上抬 (Shoulder girdle elev.)
    b.肩部後縮(Shoulder girdle retract)
    c.肩關節過度伸直(Shoulder hyperextension)
    d.肩關節外展(Shoulder abd.)
    e.肩關節外轉(Shoulder ER)
    f.手肘彎曲(Elbow flexion)
    g.前臂旋後(Forearm supination)

    D. Movement deviating from basic synergy:


    a.手碰薦骨(Hand to sacrum)
    b.手臂伸直向前平舉(Raise arm forwd. to horiz.)
    c.手肘彎曲時作旋前(Pronation with elbow flexed)
    d.手肘彎曲時作旋後(Supination with elbow flexed)

    E. Relative independence of basic synergy:


    a.手臂伸直向側面平舉(Raise arm to side-horiz.)
    b.手臂伸直做旋後(Supination with elbowextended)
    c.手臂平舉向前伸(Forward reach from horiz.)
    d.手臂高舉過頭(Raise arm over head)
    偏癱患者評估表(手部)
    A. Presynergy stage: Present Absent Present Absent
    a. 軟癱 (Flaccid)

    B. Spasticity: Present Absent Present Absent


    a. 手指彎曲(little active finger flexion)

    C. Synergy stage:
    a.手指可彎曲但無法放開 (mass grasp)
    b. 勾狀抓握但無法鬆開(hook grasp without release)
    c. 反射性手指張開(reflex finger extension)

    D. Wrist and finger motions:


    a.手指頭可稍微張開(semivoluntary finger extension,
    small range)
    b.側捏及放開(Lateral prehension & release by thumb
    movement)
    c.手腕彎曲(Wrist flexion)(N)
    d.手腕伸直(Wrist extension)(P)

    E. Prehension(N):
    a. 自主手指伸直動作可張開但無法達到最大程度
    (voluntary finger extension, variable range)
    b.指掌側捏與放開(Palmar prehension & release)
    c.環狀抓握與放開(Cylindrical grasp & release)
    d.對捏與放開(Opposition & release)

    F. Advanced hand activities:


    a.自主手指伸直動作可完全張開(voluntary finger
    extension, full range)
    b.手腕的橈側偏移(Wrist radial deviation)
    c.手腕的繞圈動作(Wrist circumduction)
    d.手腕的尺側偏移(Wrist ulnar deviation)
    e.手指的外展與內收(Finger abd. & add)
    f. 姆指的繞圈運動(Thumb circumduction)
    偏癱患者評估表(下肢)
    A. Presynergy stage: Present Absent Present Absent
    a.軟癱(Flaccid)

    B. Spasticity: Present Absent Present Absent


    a.協同反應(Associated reaction)
    b.Raimiste’s abd.
    c.Raimiste’s add.

    C. Synergy stage:
    1. Flexion component(lying):
    a.髖關節彎曲(Hip flexion)
    b.髖關節外展、外轉(Hip abd., ER.)
    c.膝關節彎曲(Knee flexion)
    d.踝關節背屈曲(Ankle dorsiflexion)

    2. Extension component(side-lying):
    a.髖關節伸直(Hip extension)
    b.髖關節內收、內轉(Hip add., IR.)
    c.膝關節伸直(Knee extension)
    d.踝關節蹠屈曲(Ankle plantarflex.)

    D.Movement deviating from basic synergy(sitting):


    a.髖關節單側外展(Hip unilat. abd.)(平躺)
    b.髖關節彎曲至銳角(Hip flex. Acute angle)
    c.膝關節彎曲至銳角(Knee flex. Acute angle)
    d.踝關節背屈曲至銳角(Ankle flex. Acute angle)
    f.膝關節伸直(Knee extension)

    E. Relative independence of basic synergy (sitting):


    a.踝關節的背屈曲與蹠屈曲(Ankle dorsi-plantarflex.)
    b.踝關節的外翻與內翻(Ankle Ever.-Inver.)
    c.單獨的膝關節彎曲(Isolated knee flex.)(standing)

    活動分級法定義
    0=無法做出主動動作
    1=可做出起始 1/4 的動作角度 治療師與評估時間：
    2=可做出 1/2 的動作角度
    3=可做出 3/4 的動作角度 第一次評估：___________________
    4=可做出完全的動作角度 第二次評估：___________________
    NT=沒有測試

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