Eye Training

We saw a woman in consultation because she had lost walking skill after having a total knee replacement. Why the replacement? She had a quite stiff knee. Seriously. No. Really.

And she was telling this from one side of her mouth. The request? Should the knee replacement be revised? Seriously.

But about that stick. If it were a hocky stick you certainly would use it upside down. Otherwise, the stick would pitch back on every ground contact. Same with the foot. Get THAT out of plantar flexion to allow but held stiffly in an AFO such that it plants without a back thrust and not so planted that it can't be tilted forward by progression. Watch facial cues. Does it feel OK? Yes. Does it hurt? Yes. Does it sing Amazing Grace? Yes. Meanwhile the face is gesturing different more appropriate responses and even waving off the vocalized answers. Beware of verbal answers in hemiplegia. Which side is answering?