By Berta Bobath
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Additional info for Adult Hemiplegia Evaluation and Treatment: Evaluation and Treatment 3rd Edition
VYe can see signs of spasticity only by its effect on posture and movement. However, we can see and assess movements and their quality. Therefore, we test tonus and movement patterns simultaneously. We do this by jeeling jor changes oj tonus, while at the same time, observing the patient's movements. The hemiplegic patient has lost his normal automatic postural reactions against gravity. When he leans forward in sitting, his trunk flexors contract instead of his erectores spinae and he tends to fall forward and down.
5. 6. it? 9) ...................................................................................... EVALUATION OF MOTOR PATTERNS FOR ASSESSMENT Fig. 7 Fig. 48 Fig. 49 47 48 ADULT HEMIPLEGIA: EVALUATION AND TREATMENT Tests for Balance Reactions~contd. Yes? No? d. His sound arm and affected leg are lifted. Does he keep affected arm extended? (Fig. 4~ 10) e. His affected arm and his sound leg are lifted. Does he remain on affected flexed leg? 11) ................. f. His sound arm and leg are lifted.
T .... Does she really need a tripod? an elbow crutch? a stick? a brace? a sling? No. Perhaps a stick when walking outdoors for balance but not for weightbearing . , .... Could she learn to walk with or even without an ordinary walking stick? Yes With or without a brace? Without brace. Is there potential on the affected side? Arm? Hand? Leg? Foot? Yes, arm and leg and foot. Is she still within the period of spontaneous recovery? Yes How is her balance in: Sitting: Good, but no arm support left.
Adult Hemiplegia Evaluation and Treatment: Evaluation and Treatment 3rd Edition by Berta Bobath