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however, can be cleverly used to increase function relative to the movement available to the individual. Careful thought should, therefore, be considered in deciding which muscle groups to stretch at specific times during recovery. Obligatory synergy patterns are observed when a patient tries to make a minimal voluntary movement, or as a result of stimulated reflexes.
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or an extension synergy and affect both the upper and lower extremity (see below). When these patterns occur in a patient, he or she is unable to move a limb segment in isolation of the pattern. This interferes with normal activities of daily living. Some aspects of the obligatory synergy patterns
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O'Sullivan, S.B. (2007). Stroke: Motor
Function. In S. B. O’Sullivan, & T. J. Schmitz (Eds.), Physical Rehabilitation (pp. 720). Philadelphia: F.A. Davis Company
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130:. It manifests in abnormal and stereotypical patterns across multiple joints called obligatory synergies. They are described as either a
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The extension synergy for the lower extremity includes hip extension, adduction and internal rotation, knee extension, ankle
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The flexion synergy for the lower extremity includes hip flexion, abduction and external rotation, knee flexion, ankle
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Note that some muscles are not usually involved in these synergy patterns and include the
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Medical term for a type of involuntary movement of skeletal muscles
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The extension synergy for the upper extremity includes scapular
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The flexion synergy for the upper extremity includes
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193:flexion and inversion, and toe plantar flexion.
171:and internal rotation, elbow extension, forearm
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51:introducing citations to additional sources
208:, finger extensors, and ankle evertors.
41:Relevant discussion may be found on the
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34:relies largely or entirely on a
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126:appears, such as following a
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260:Complications of stroke
186:and toe dorsiflexion.
62:"Obligatory synergies"
120:obligatory synergies
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206:serratus anterior
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202:teres major
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152:, shoulder
122:occur when
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212:References
158:supination
146:retraction
124:spasticity
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184:inversion
173:pronation
169:adduction
154:abduction
150:elevation
43:talk page
254:Category
143:scapular
116:medicine
191:plantar
135:synergy
132:flexion
87:scholar
128:stroke
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