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 . 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 heldstiffly when walking, and the vertebra prominens stands out in boldrelief. Fig. 48 illustrates this point very well. Gait OK Psel do-Hypkrtrophic Paralysis.—These subjects are alwayschildren. Tiu- innnense calf muscles are strangely in contrast with theirparalytic synii)tonis
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 . 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 heldstiffly when walking, and the vertebra prominens stands out in boldrelief. Fig. 48 illustrates this point very well. Gait OK Psel do-Hypkrtrophic Paralysis.—These subjects are alwayschildren. Tiu- innnense calf muscles are strangely in contrast with theirparalytic synii)tonis. When they attempt to walk the gait has been aptlycompared to the waddling of a duck. The back is excessively curved. TiG. 40.—Attitude of Pseudo-Hypertrophic Paralysis. (Duchenne.) in the erect posture, so that a line dropped from the shoulders falls behindthe hips. The peculiarities of attitude of these patients will be consid-ered later. Gait of Locomotor Ataxia or Tabks Dorsalis.—These subjectsstraddle as they walk. The legs are flung about in an uncertain and ap-parently aimless manner, although the steps are taken with marked de-liberation. The feet are brought down with the heel projecting, thuscreating a stamping and flopping gait. These patients keep theirej-es steadily upon the ground w-hen walking. The} have no motor paral- ATTITUDES ASSUMED IN NERVOUS DISEASES. 165 ysis, as is shown by testing the various muscles separately; the abnormalgait being due purely to an inability to properly coordinate the variousgroups of muscles. These patients are frequently subjected to severeand unexpected falls after marked incoordination of movement is de-veloped, and generally resort to the use of s
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