Nervous and mental diseases . thigh ofits own side ; the shoulders and head are pushed upward, the jielvis tiltsforward, the sway-back suddenly appears, and the patient attains theerect attitude by a process of climbing up his own legs (Figs. 168 to173). In late stages standing and walking may be impossible. It is needless to say that in the cases in which the legs and pelvicmuscles escape or are only slightly affected, the attitude, gait, and man-ner of rising are not disturbed. The SAvay-back may also disappearwhen the patient is sitting, or may then give place to a rounding of theback, the
Nervous and mental diseases . thigh ofits own side ; the shoulders and head are pushed upward, the jielvis tiltsforward, the sway-back suddenly appears, and the patient attains theerect attitude by a process of climbing up his own legs (Figs. 168 to173). In late stages standing and walking may be impossible. It is needless to say that in the cases in which the legs and pelvicmuscles escape or are only slightly affected, the attitude, gait, and man-ner of rising are not disturbed. The SAvay-back may also disappearwhen the patient is sitting, or may then give place to a rounding of theback, the patient resting his elbows on his jvuees or otherAvise gaininga fictitious support for the upper part of the trunk. The upper extremity is most affected by the impairment of the mus- 422 DISEASES OF THE CORD PROPER. cles of the shoulder-girdle. Next in frequency the brachial group isaffected, while the muscles of the forearm and hand are usually the lower extremity wasting rarely avoids the gluteal and psoas groups. Figs. 168, 169, and 170.—Method of rising from the ground in cases of myopathy.
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Keywords: ., bookcentury1900, booksubjectmentalillness, booksubjectnervoussys
