Joint sensation. Sit blindfolded on a chair, and have a caregiver move your arm to several different positions.The following are a few helpful sensory exercises you can try at home: This lets the brain choose which muscles it needs to activate in order to move.Īfter a stroke, sensation can be diminished. Sensory exercises help you restore your senses and thus improve your movement. It’s what allows your muscles to know how and where to move.įor example, the receptors in the muscles that send proprioceptive information help the brain determine where your joints are in space. Sensory stimulus plays a crucial role in synergistic movements. During passive exercises, the therapist moves your muscles for you.Įven though you technically aren’t moving it yourself, having someone else do the motion is enough to stimulate the brain and rekindle the neural networks that help you move. Passive range-of-motion exercises can help you maintain range of motion and may assist in regaining control of your muscles. Here are some examples of exercises you can do to overcome flexion synergy patterns: 1. That’s why your best option is to work with a physical therapist to find the ideal approach.Īs you continue with your exercises, you should eventually achieve normal movement and function - to get as close as possible. Of course, this can be hard to do, especially when movements are unnatural. The more you move your affected muscles, the more your brain can create new neural pathways that will reestablish communication with muscle groups. This helps activate neuroplasticity and rewire the brain, which can encourage and promote recovery after a stroke. The best way to overcome flexion synergy patterns after stroke is through repetitive and meaningful practice during stroke rehabilitation exercises. Treating Flexion Synergy Patterns After Stroke This process is slow, but it is possible to help it along. 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.įlexion synergy patterns are your brain’s way of relearning how to control your muscles again. In the first Brunnstrom stage, the muscles are in a state of flaccidity. The Brunnstrom Stages of Stroke Recovery and Flexion Synergy Patternsįlexion synergy patterns appear in stages 2 and 3 of the Brunnstrom stages of stroke recovery. While these movements can be irritating, they are also a sign that you are making progress in your stroke recovery. This can also happen even if you don’t initiate movement, like when you cough or sneeze. In other words, whenever you try to move your affected arm, your shoulder will raise, your elbow will contract, and your wrist will turn until your palm faces up. What Flexion Synergy Patterns After Stroke Mean for Recoveryįlexion synergy patterns after stroke involve three movements: As a result, these synergies become mixed up and strange patterns can occur. This allows you to extend your arm with ease.Īfter a stroke, however, your brain cannot send the correct signals to the muscle groups. The brain, therefore, will send signals to your bicep, telling it to relax. Otherwise, your elbow would bend at the wrong time and potentially drop the fork. It does this by sending inhibitory or excitatory signals to the right muscle groups.įor example, to pick up a fork, the triceps must activate in order to extend your arm, which means your bicep muscle cannot fire while this is happening. It makes sure the muscle groups do not accidentally conflict with each other. The brain is in charge of coordinating these movements.
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