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It does not say to do a Brunnstrum screen, it says to do a motor screen of the UE/LE and I guess I should have italicized brunnstrum- I wrote that word to help you remember you have to clear it.</div>
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We never talked about a Brunnstrum screen- only a motor screen. Like you learned in MSK a basic ROM/Motor screen. </div>
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BUT... we added one element- <b><i><u>you can't do that screen unless you know they are isolated,</u></i></b> so clear isolated movement first </div>
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<i>Remembe</i>r:you should expect they are isolated or you wouldn't be using a screen!!!!! If you expected they had spasticity and were in a synergy pattern- you wouldn't choose a screen, you would fully assess the limb and go through all the brunnstrum
stages to assign it a stage- we went through this in detail on the limb algorithm forms!</div>
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Isolated means they can move outside of the synergy pattern</div>
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UE: shld flexion, to 90, supinate and isolated finger touches</div>
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LE: toe taps, then hip and knee flexion without evidence of trunk compensation or hip </div>
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abduction</div>
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These are evidence of isolation - then continue with your basic ROM/MMT screen from MSK (can you do this, hold, this, hold, don't let me push you, don't let me pull, blah, blah, blah- you already know this)</div>
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Hope that helps.</div>
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Again- we have never discussed doing a Brunnstrum screen, we have talked about a motor screen, but you can't use those dandy little MMT scores unless you know they are isolated - add that in and you've got a screen.</div>
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<span id="🙂">🙂</span></div>
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