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A patient is demonstrating an upper extremity flexion synergy following a CVA. Which of the following is MOST likely associated with this type of synergy?

A. Scapular retraction
B. Elbow extension
C. Wrist extension
D. Forearm pronation

User Rayshawn
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Final answer:

In the context of an upper extremity flexion synergy following a stroke, scapular retraction is the movement most commonly associated with this pattern. Forearm pronation is also a component of upper extremity flexion synergy, but scapular retraction is more characteristic of the synergy.

Step-by-step explanation:

A patient who is demonstrating an upper extremity flexion synergy following a cerebrovascular accident (CVA), also known as a stroke, is most likely to exhibit associated movements that are part of this flexion synergy pattern. Given the options, scapular retraction is the movement most commonly associated with an upper extremity flexion synergy. This pattern involves a combination of shoulder girdle retraction and elevation, shoulder abduction and external rotation, elbow flexion, forearm pronation, and wrist and finger flexion.

Option B, elbow extension, is unlikely because elbow flexion is typically observed in a flexion synergy pattern. Option C, wrist extension, is also inconsistent with this pattern, as wrist flexion is more commonly associated. Lastly, option D, forearm pronation, is indeed a part of the upper extremity flexion synergy, but it is less characteristic than scapular retraction in the context of the synergy movement.

User Xabre
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