When positioning a patient with lower limb extensor synergy, what is the best approach?

When addressing the positioning of a patient with lower limb extensor synergy, utilizing a pillow under the knees to encourage hip and knee flexion is particularly beneficial. This approach helps to counteract the involuntary pattern of extension often seen in patients with extensor synergy, which can lead to difficulties in movement and function. By promoting flexion, you enable better alignment and facilitate mobility, helping to reduce spasticity and improve comfort for the patient. This positioning also supports functional tasks that may require some degree of knee and hip flexion, promoting better overall therapeutic outcomes.

Other methods of positioning, such as using a pillow under the extremities to promote knee extension or keeping the limbs straight, may not adequately address the issues related to extensor synergy and could, in fact, exacerbate the difficulties experienced by the patient. Similarly, suggesting that no special positioning is needed overlooks the importance of tailored support for individuals with specific motor patterns that require intervention.