Abstract
Classification of hemiplegia has not been accomplished though this disease is very frequent. The clinical picture of hemiplegia presents as uniform appearance from one standpoint but from the other stand point it has many variety of manifestation, in the degree of motor impairment, potentiality of improvement, degree of spasticity and their distribution pattern.This classification is provided by two fundamental principles, 1) Classify by the localization of lesion when it can be clarified. 2) If it is not clear, classify by the intensity, distribution pattern, and chronological sequence of spasticity.Thus following eight types are determined.(A) Type showing spastic posture from early stageA-1 Rigidity typeA-2 Immediate Wernicke-Mann type(B) Type showing flaccid posture in early stageB-1 Delayed Wernicke-Mann typeB-2 Hypotonic typeB-3 Prolonged atonic type(C) Syndromes that the lesion is clear.C-1 Ponto-bulbo-cerebellar syndromeC-2 Thalamo-basal-ganglia syndromeC-3 Circumscribed cortical syndrome(D) Unclassified groupThose groups have characteristics respectively, and they are useful for the estimation of prognosis, precaution against complication, and choice of therapeutic procedure.
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