By Berta Bobath
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Additional info for Adult Hemiplegia Evaluation and Treatment: Evaluation and Treatment 3rd Edition
FV. , .. ain Iv.. ~~t~nsio~:.? : walking. 9. What may be your final limitations ? Use of arm and hand. Profound sensory loss. Dorsiflexion of ankle. 34 ADULT HEMIPLEGIA: EVALUATION AND TREATMENT 10. What can you make the patient do with little help? Nothing with the arm yet. ......................... Take weight on left leg and extend knee . ...........................................................................
With internal rotation? ' ; With external rotation? c. Can he move the extended abducted arm from the horizontal plane t6 the side of his body and back again to the horizontal plane? With internal rotation? With external rotation? Grade 2 a. Can he lift his arm to touch the opposite shoulder? With palm of hand? With hack of hand? b. Can he bend his elbow with his arm in elevation to touch the top of his head? With pronation? With supination? c. Can he fold his hands behind his head with! both elbows in horizontal abduction?
We may obtain this control by first elevating the arm, or flexing the leg passively, then waiting until there is no spastic resistance to these positions and, finally, moving the limbs downward stage by stage, making the patient hold the limb at every stage and moving it up again if he is unable to hold it. In the end, if the leg can be nearly extended while it is still held and controlled by the patient, or if the arm is ;;tlmost by his side, the patient not having let it fall, he will be able to lift the leg or arm with ease.