By Moshe Feldenkrais
"Body know-how as therapeutic remedy: The Case of Nora" is Moshe Feldenkrais' vintage research of his paintings with Nora, a girl who has suffered a serious stroke and misplaced her neuromuscular coordination, together with the power to learn and write. Feldenkrais makes use of rational and intuitive methods to aid his scholar relearn simple motor abilities. possible notice right here the foundation of Feldenkrais' extraordinary...
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Additional info for Body Awareness as Healing Therapy: The Case of Nora
While motor testing of CN V is said to be important, motor function is rarely affected without sensory loss. 8 Trigeminal nerve (I). 9 Trigeminal nerve (CN V). sensation in the unconscious patient. It is not my chosen route, because if tested using cotton wool on the cornea, it is theoretically possible to leave a wisp of cotton wool on the cornea and thereby provoke a corneal ulcer. My chosen route, in unconscious patients, is to approach from the side with a rolled up tip of tissue and stimulate inside the nostril.
By definition a fibrillation is the spontaneous firing of a single muscle fibre (rather than a motor unit which produces fasciculations and reflects numerous muscle fibres spontaneously firing). The tongue is the only place in the body where single muscle fibres can be seen in the natural setting, and the presence of fibrillations is a most worrying sign suggestive of amyotrophic lateral sclerosis, a form of motor neurone disease. 1 Summary of cranial nerves Cranial nerve Features I Sensation of smell—need to test with ‘soft’ scents as astringents may stimulate CN V endings in the nose II Fields, fundi, acuity, pupils Ptosis is often first noted while testing CN II III, IV, VI Tests eye movement: • III palsy causes the eye to deviate down and out, incomplete adduction, dilated pupil and ptosis • IV palsy impairs looking down and in, so the head is often held tilted • VI palsy prevents complete abduction—think of false localisation V Facial sensation and facial muscle power.
The reason for holding the sides is to avoid additional position sense cues, as may be provided by pushing up and down with pressure on the top or bottom of the toe. A similar approach can be adopted with other joints if the patient cannot identify upward/downward movement of the joint, starting at the periphery, namely great toe or little finger. It is important to remember that spinothalamic sensation (pain, light touch and temperature) travels up two to three segments above where clinical examination suggests the level to be.