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 . Figs. 50, 61, 52, 53.—Attitudes Assumed in Pseudo-Hvpertrophic Par.\lysisDuring Attempts to Rise. (Gowers.) curvature entirely disappears, however, when the patient is in the sittingposture. The feet are placed wide apart so as to increase the base ofsui)port. The heels are usually drawn upward by a contraction of thetendo-Achillis. In the effort to preserve the balance the arms are held atthe side with tlie liauds extended, a
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 . Figs. 50, 61, 52, 53.—Attitudes Assumed in Pseudo-Hvpertrophic Par.\lysisDuring Attempts to Rise. (Gowers.) curvature entirely disappears, however, when the patient is in the sittingposture. The feet are placed wide apart so as to increase the base ofsui)port. The heels are usually drawn upward by a contraction of thetendo-Achillis. In the effort to preserve the balance the arms are held atthe side with tlie liauds extended, and the slightest touch may cause thepatient to fall. Another remarkable feature of the disease is the ditli-culty whicli is experienced in rising from the recumbent, or even thesitting posture. The sufferer uses surrounding ol)jects as a means ofrising, drawing the body upward by the hands. When unable to reachsuch assistance, the steps which are taken to rise are thus described byGowers: If laid, for example, on iiis l)aek upon the floor and told to 168 LEfTrPiES 0\ NERVOUS DISEASES. rise, he would livsl with i^i^^it (lilhculty turn on liis fac(; he would next
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