Motor Recovery

• Stage one --> no voluntary or reflexive activity present in the involved extremity
• Stage two --> movement only elicited by reflex or associated reaction
• Stage three --> spasticity peaks, begin to see voluntary movement
• UE flexion synergy patterns include elbow flexion, forearm supination, and wrist and finger flexion.
• UE extension synergy patterns include shoulder adduction, shoulder internal rotation, and forearm pronation.
• LE flexion synergy pattern includes hip flexion and external rotation, knee flexion, and ankle DF
• LE extension synergy pattern includes hip adduction, knee extension, and ankle PF
• Stage four --> begins to deviate from synergy patterns, specific movements are possible
• Stage five --> speed and direction of movement improves
• Stage six --> movement coordination near normal
• Stage seven --> complete restoration of function
• The most common medications for spasticity are baclofen and tizanidine.