Lectures on nervous diseases from the standpoint of cerebral and spinal localization, and the later methods employed in the diagnosis and treatment of these affections . is extremely slow, because the length of the step (if it may be so called)is very short. The heel of one foot rarely passes the limit of the toeof its fellow, if the paraplegia is well developed. This gait differs fromthat of spastic paraplegia chiefly in the absence of the stitthess of the legsand the interlocking of the knees, which are both present in the so-called hopping gait is not developed as in the other for
Lectures on nervous diseases from the standpoint of cerebral and spinal localization, and the later methods employed in the diagnosis and treatment of these affections . is extremely slow, because the length of the step (if it may be so called)is very short. The heel of one foot rarely passes the limit of the toeof its fellow, if the paraplegia is well developed. This gait differs fromthat of spastic paraplegia chiefly in the absence of the stitthess of the legsand the interlocking of the knees, which are both present in the so-called hopping gait is not developed as in the other form. Theback is not arched. GAIT AND ATTITUDE AS A FACTOR IN DIAGNOSIS. 163 Gait of Spastic or Tetanoid Paraplegia.—In the eiirly stages ofthis disease a combination of paresis, muscular rigidity, and occasionaltremor exists. Tlie feet are turned inward and appear to be tirmly glue:Ito tlie ground during attempts at walking, and are scraped along with acharacteristic noise. Thej^ often cross each other in walking, and theknees are liable to become locked together. These subjects are particu-larly prone to fall in spite of the use of canes or crutches, because the. Fig. 48 —Paralysis Agitan;?, or Shaking Palsy. (Charcot.) slightest irregularity- in the pavement may catch their shoe as it is slidalong the ground. These patients sometimes exhibit a hoi)ping gaitwhen the muscles of the calf become affected with spasm. The back isstrongly arched and the chest is thrown forward. The patient throwshis weight first on one cane and then on the other, in order to lift hisbod} so as to move his feet. Gait of Paralysis Agitans.—The tottering and trembling gait ofthese subjects, with a tendency to trot rather than walk when under full 164 LECTURES ON NEKVOUS DISEASES. lniuhvav, is clianicteristic. The sliakiiig hands are nsiiall} held out infront of the body, which is bent forward as they run. These subjects aretienerally well advanced in age. The head is projected forward and heldstiff
Size: 1167px × 2142px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1880, bookidlecturesonne, bookyear1888
