File:Nervous and mental diseases (1911) (14591516529).jpg

English:
The hemiplegic gait. 1 and 2, advancing the hemiplegic leg in a circle from the hip; 3, bearing weight on the paretic leg and cane while advancing sound limb.

Identifier: nervousmentald00chur (find matches)
Title: Nervous and mental diseases
Year: 1911 (1910s)
Authors: Church, Archibald, b. 1861 Peterson, Frederick, 1859-1938, joint author
Subjects: Nervous system
Publisher: Philadelphia and London, W. B. Saunders company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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Text Appearing Before Image:
Fig. 86.—Contractu red positions in heniiplegic hand. In the lower 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
Text Appearing After Image:
Fig. 87. -The hemiplegia gait. 1 and 2, Advancing the hemiplegic leg in a circle from the hip; 3, bear-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 side.Then upon the paralyzed limb, often trembling with clonic action, asupon a stilt, the next step is taken by the sound side, aided usually bya cane or crutch. When in the dorsal decubitus, the patient cannot lift CEREBRAL HEMORRHAGE AND THE HEMIPLEGIC STATE. 215 the extended sound leg from the bed, though he may be able to lift theheel on the paralyzed side. This is due to the inability to fix the pelvisand t

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