STROKE-BRUNNSTROM STAGES OF MOTOR RECOVERY

SUMMARY

1. Flaccid paralysis (immediately after onset). No reflexes.

2. Spasticity appears.No voluntary movement. Basic synergy patterns appear.

3. Patient gains voluntary control over synergies. Spasticity is marked.

4. Some movement patterns out of synergy are mastered. Spasticity decreases.

5. More complex movement combinations are learned as the basic synergies lose their dominance over motor acts. Spasticity wanes.

6. Disappearance of spasticity.

7. Normal function is restored.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].