Eye Training

OR – apply a cast (toes free to metatarsal heads) with a heel wedge. Knee magically bends going into swing? = 2B , if still stiff, it is 2A 2B is actually type 1 in disguise. So we ask this question when we see a stiff knee in swing phase: “2B or not 2B? THAT is the question.”

A badly pitched AFO will also have you quoting Shakespeare. Regardless of the prescription wording “Well done is better than well said.”

Type 3

Dense hemiplegia. This is closer to adult type and so has similar needs and perils. It is a mix of generalized mass action & sensory impairment. The worst cases can be made to get around quite well unless you fix everything, then they are busted! The bad side becomes simply a crutch. The stiffer it is the more RELIABLE it is.