Page "Synergy" Paragraph 40

When spasticity occurs, such as following a stroke, it manifests in abnormal and stereotypical patterns across multiple joints called obligatory synergies.

They are described as either a flexion synergy 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 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.