A client recovering from a left CVA demonstrates increased flexor tone in the dominant right upper extremity. What is the most accurate documentation for the therapist regarding this observation?

The observation of increased flexor tone in the dominant right upper extremity of a client recovering from a left cerebrovascular accident (CVA) suggests a phenomenon known as an associated reaction. This occurs when a client displays involuntary movements or changes in tone in one part of the body due to the movement or tone of another body part, particularly in response to voluntary movement efforts or conditions of postural adjustment. In this case, it is reasonable to document the increased flexor tone as an associated reaction, as it reflects how the neurological change post-CVA impacts motor control.

In terms of documentation, specificity is critical, and noting that the observed tone is an associated reaction accurately captures the complexity of the client's neurological status. It acknowledges the interplay between the left hemisphere's injury and the right side’s response, as the right upper extremity is likely reflexively reacting to the attempts or positioning of the unaffected side.

While spasticity can also be present following a stroke, characterizing tone specifically as an associated reaction provides a more nuanced understanding of the client's motor control challenges and their functional implications during therapy. Compensatory movement and voluntary movement do not accurately describe the increased tone witnessed in this scenario, as they focus more on intentional or adapted motions rather than invol