Nervous and mental diseases . Fig. 86.—Contractured positions in hemiplegic hand. In the hirer extremity extension prevails. The knee is held quite rigidlyextended and there is a tendency to equinovarus, so that the foot rollsover on its outer border. These are the usual contractures, and give tothe patient an attitude and a gait that are distinctive. It will be re-called that the distal portions of the extremities are most affected, and. Fig. 87.—The hemiplegic gait. 1 and 2, Advancing the hemiplegic leg in a circle from the hip; 3, hear-ing weight on paretic leg and cane while advancing soun
Nervous and mental diseases . Fig. 86.—Contractured positions in hemiplegic hand. In the hirer extremity extension prevails. The knee is held quite rigidlyextended and there is a tendency to equinovarus, so that the foot rollsover on its outer border. These are the usual contractures, and give tothe patient an attitude and a gait that are distinctive. It will be re-called that the distal portions of the extremities are most affected, and. Fig. 87.—The hemiplegic gait. 1 and 2, Advancing the hemiplegic leg in a circle from the hip; 3, hear-ing weight on paretic leg and cane while advancing sound limb. now, rigidly fixed by the contractures, they are moved en masse by themuscles of the pelvic and shoulder girdles. In walking the rigid lowerextremity is used somewhat as a peg-leg. The body-weight is carried onthe sound limb, over which the trunk inclines outwardly, and by body andpelvic movements the paretic lower limb is swung forward, the drag-ging toe describing an arc-like course around the heel of the sound upon the paralyzed limb, often trembling with clonic action, as CEREBRAL HEMORRHAGE AND THE HEMIPLEGIC STATE. 211 upon a stilt, the next step is taken by the sound side, aided usually bya cane or crutch. A marked minority of cases show a type of extension in the upperextremity, which is most pronounced at the elbow. The limb is heldrigidly by the side of the body. The wrist and fingers may, thoughvery
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Keywords: ., booka, bookcentury1900, bookdecade1900, bookidnervousmentald00chu
