![]() This means that messages from the brain are not connecting to your muscles, leaving them temporarily paralyzed.Īs you enter stages 2 and 3, however, the brain has begun to re-establish a connection to the muscles, and the muscles start to finally “wake up.” That is when synergy patterns can emerge. In the first Brunnstrom stage, the muscles are in a state of flaccidity. The Brunnstrom framework involves seven main stages in the stroke recovery process, with flexion synergy patterns appearing in stages 2 and 3. The Brunnstrom Stages of Stroke Recovery and Flexor Synergy Patterns Although each survivor experiences a unique recovery journey, these stages can provide a guide for what you may expect during stroke rehabilitation. The different stages and transition periods after a stroke are described in the Brunnstrom stages of stroke recovery. Transitioning from a state of minimal muscle tone to the presence of synergy patterns after stroke indicates an increase in neural firing and recovery. Following a stroke, many individuals experience hemiparesis or hemiplegia, which refers to weakness or paralysis of one side of the body. While flexor synergy movements can be irritating, they may represent a sign that you are making progress in your stroke recovery. This can negatively affect activities like walking, dressing, and getting in and out of bed. ![]() For example, the flexor synergy pattern for the lower extremity generally involves hip flexion and external rotation, knee flexion, and ankle dorsiflexion. In addition to the upper extremity, the legs can also be affected by synergistic movement after stroke. This can also occur as a reaction to sudden, unplanned movements like when you cough or sneeze. In other words, whenever you try to move your affected arm, your shoulder will raise, your elbow will bend, and your wrist may turn until your palm faces up while your fingers curl into a fist.
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