Cerebral Palsy maybe/maybe not
may be lacking in projection of and be void of nuance intonation.
Receptively, sensory side, words may be understood only by dictionary meaning missing the meaning gleaned from intonation and context - right brain talents. Yeah.. right ! Something very vexing in hemiplegia from head trauma - especially and peculiarly from head trauma - is disease denial. It runs this way: If I use a cane that means I have weakness. Therefore, if I refuse the cane - I won't have that weakness. This ill-logic is maddening to a family wearing themselves out trying to go through logic lists in the hopes of getting correct conclusions and therefore cooperation from the patient. Sensory disorder, in hemiplegia, often goes unnoticed even though it is what most limits function. In fact, sensory abnormalities limit use regardless of posture or ability to perform requested movements. Most importantly - from a reconstructive point of view - no matter how well movement is established and posture improved, function will not follow if sensory deficits do not allow a perception of change. Stated in another way: There is far more to be gained by sensory recovery than from motor recovery. Recovery has two main forms. 1: In acute trauma, larger areas of brain are "dazed" rather than destroyed. As these areas reacquire function we see "recovery". The most central area of damage may well persist but key functions might nevertheless return. 2: In babies, whose brains are not complete at birth, function might become reassigned to other parts of the brain well away from the damage. These brain areas are not at all those we would normally associate with that function.
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