Brunnstrom Motor Recovery Stages

Brunnstrom stages describe sequential motor recovery of post-CVA pt's specially those with hemiplegia:

Stage 1: initial flaccidity - no voluntary movement
Stage 2: emergence of spasticity, hyper-reflexia, synergies (mass patterns of movement)
Stage 3: voluntary movements possible, but only in synergies, spasticity strong
Stage 4: voluntary control in isolated joint movements emerging, corresponding decline of spasticity and synergies
Stage 5: increasing voluntary control out-of-synergy; coordination deficits present
Stage 6: control and coordination near normal