Eye Training
lands. So, there is a wee bit of lack of trust in transfer expectation to the left side. This will become much more obvious on uneven ground where ankle/foot control contouring must time to the forward progression. You have seen enough. What was his main complaint? [ Difficulty shifting gears on his motorcycle – a left ankle foot job] ^ Copy between brackets and paste to text notepad to see the answer - or at very end. BEYOND SKEPTICISM Another trick to eye training is to NOT BELIEVE the diagnosis that comes with the subject. Further, do NOT BELIEVE that that diagnosis – if correct – is what the books or experts tell you it is. See only and all of what is there. Our greatest ever repeating example is 'hemiplegia'. If you see a patient who has the diagnosis of 'left hemiplegia', there is a slight chance all the bodily abnormality is on the left side. It could happen, but it is rare. Childhood hemiplegia causes are quite unlike adult and so effects differ in quality and distribution and of low likelihood to be totally on one side. In fact, many have one sided spastic diplegia. Now spastic diplegia has the typical lower limb crouch spasticity. But that pathology in more severe isn't just more spastic the periventricular distribution widens. That tickles the large nearby nuclei that add a bit of mild dystonic quality to the hands. In adult stroke – middle cerebral artery typically – the worst hit is hand and arm and the knee & foot less so as they go into the anterior cerebral artery zone. Arm worse than leg. Serious sensory loss is most likely. More severe that sensory loss extends to the leg. In children we often see mild hemiplegia with spastic diplegia. No, NOT TRIPLEGIA. Not 3 of a thing. There is hemiplegia quality and
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