Home
Radiology Guides Anatomy Physio & Path Medicine Physics Contact
STROKE-TWITCHELL (1951) STAGES OF MOTOR RECOVERY

Neurology

STROKE-TWITCHELL (1951) STAGES OF MOTOR RECOVERY

1. Immediately following stroke: flaccid paralysis & areflexia. Arm worse than leg.

2. Within 48hrs: increased deep tendon reflexes on the involved side.

3. Spasticity: in the flexors & adductors of UL, extensors & adductors of LL on the involved side.

4. As spasticity increases 1-38 days post-stroke: ankle clonus appears.

5. 6-33 days post-stroke: intentional movement (shoulder flexion) appears.

6. Recovery of movement: flexor synergy pattern (shoulder, elbow, wrist, finger flexion) first, followed by extensor synergy pattern.

7. Most recovery occurs in 3 months with motor recovery in the leg occurring earlier being more complete than the arm.


Avatar
REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

+ Home