MRCP UK EXAMINATIONS

NEUROLOGY

HEMIPARESIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Synergy Pattern:  Hip extension / adduction / IR  Knee extension  Ankle PF, inversion  Toe PF
A
UE Flexion
B
UE Extension
C
LE Flexion
D
LE Extension
Explanation: 

Detailed explanation-1: -In clinical practice, the typical flexion synergy of the upper limb post-stroke includes scapula lifting and internal rotation, glenohumeral joint abduction and external rotation, elbow flexion, forearm supination or pronation, and wrist and finger flexion.

Detailed explanation-2: -The extension synergy for the lower extremity includes hip extension, adduction and internal rotation, knee extension, ankle plantar flexion and inversion, and toe plantar flexion.

Detailed explanation-3: -3. Flexor Synergy of L.L: It consists of Hip: flexion, abduction, external rotation, Knee: flexion to about 90°, Ankle: dorsiflexion and inversion, Toes: dorsiflexion. Strongest component: hip flexion.

Detailed explanation-4: -Basic Limb Synergies: ● Normal synergistic movements are purposeful movements with maximum precision and minimum waste of energy. ● Basic limb synergy (BLS) do not permit different combination of muscles. ● BLS are considered as primitive, automatic and reflexive due to loss of inhibitory control from higher centers.

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