Eye Training
Mostly we need to do repair in types 1 & 2.
Making a pivot foot for type 3 is about it. Avoid 99% of the stuff that seeks returning or improving motion. Another trap. There may be a wee bit of hemiplegia-like reaction in spastic diplegia and it isn't seen when awash in spastic cross reflexes. You do the right things and see the expected gait improvement – but – hmm it looks like a mild type 2 hemiplegia? Knee not bending into swing. Not ground reaction. ??? When the thigh is fully extended at the end of stance, the rectus femoris gets a tug from the attachment to the anterior inferior spine on the pelvic brim. That tug can trigger a reflex contraction of the rectus femoris (and recruit the quadriceps by reflex spread) just as
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