Paralysis

From Uncommon Problems

PARALYSIS CLOCKWISE — down the inside, up the outside

One pattern for both limbs, and a lift at the end of each

The hands of paralysis patients stay bent inward, and they walk dragging the leg; to open them out, this is the proper treatment.

The therapist is to gather the fingers together and rotate them round and round clockwise — that is, in the direction of the hands of a clock — on the muscles of the hand and of the leg.

One pattern governs both limbs: inner side downward, outer side upward. Learn it as a single sentence and you have the whole treatment. Down the inside, up the outside — and each half is covered in two named segments, so that nobody sweeps the whole limb in one pass. Arm: shoulder→elbow, elbow→wrist; then wrist→elbow, elbow→shoulder. Leg: thigh→knee, knee→heel; then heel→outer knee, knee→side of thigh. (Figure 24.6)

And each limb ends with a lift that is not part of the line. In the arm, lift the muscles behind the shoulder upward. In the leg, lift the muscles behind and above the waist upward. Both of those are past the end of the limb — the shoulder blade for one, the buttock and low back for the other — and both are easy to leave out because the hand has by then arrived where it thought it was going.

"Clockwise" is defined for you and is the same action as in Giriraj: the bunched finger pads take the muscle with them as they turn, rolling the tissue rather than stroking the skin, and each turn carries it along the named direction before the hand lifts and moves on.

Why down the inside and up the outside? Because that is where the limb has gone. The material's own first sentence describes the posture exactly: the hand stays bent inward, the leg is dragged. The inner surfaces are the ones that have shortened; the outer surfaces are the ones that have been overpowered. The directions run along the shortened tissue in the direction of its lengthening, and along the slack tissue in the direction of its work.

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