Nervous and mental diseases (1919) (14594906359)

Identifier: nervousmentaldis00chu (find matches)
Title: Nervous and mental diseases
Year: 1919 (1910s)
Authors: Church, Archibald, b. 1861 Peterson, Frederick, 1859-1938, joint author
Subjects: Nervous system Mental illness
Publisher: Philadelphia, London, W.B. Saunders company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress



Text Appearing Before Image:
Fig. 86.—Contractu red positions in hemiplegic hand. In the lower extremity extension prevails. extended and there is a tendency to equinovarusover on its outer border. The knee is held quite rigidly so that the foot rolls These are the usual contractures, and give to
Text Appearing After Image:
Fig. 87.—The hemiplegic gait. 1 and 2, Advancing the hemiplegic leg in a circle from the hip; 3, bear-lug weight on paretic leg and cane while advancing sound limb. the 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 CEREBRAL HEMORRHAGE AND THE HEMIPLEGIC STATE. 215 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 bodv 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 liftthe