6 S. E. Henschen, 



The patient can perform all movements in the hip joints without 

 restriction and she can even hold np both legs from the bed. 



Contractions. 



Both arms are kept lightly bent in the elbow-joints and cannot 

 be quite outstretched. The fingers stretched in the metacarpo-phalangeal- 

 joints are kept more or less bent in the phàlangeal-joints and cannot 

 there be quite outstretched. The knee-joints can neither be fully out- 

 stretched, on attempting to do so the flexors are strained and the patient 

 experiences pain in and above the joint. 



Tonus of the muscles. 



The muscles of the arms, particularly the fore-arms and hands are 

 feeble and slack; the strength of the muscles is greatl}»^ impaired so that 

 bending of the elbow-joints can easely be prevented if one resists with 

 a finger. It is the same with the legs, especially the lower-legs; if one 

 lifts up the lower-leg the foot slips here and there and the patient con- 

 sequently cannot stand. Movements in the hip-joint are slowly effected 

 and without much strength; only the flexors of the thighs are felt to be 

 hard and strained. 



Mechanical irritability of the muscles is in the arms considerably 

 lessened especially in the fore-arms, where it is almost absent. The thigh 

 muscles can still respond to irritation although inconsiderably but in the 

 lower-leg and foot irritability is quite null. 



Electrical irritability of the muscles (only examined by faradic cur- 

 rent) is quite absent in the leg. From the examination it seems that 

 irritability is less in the fore than upper-arm especially on the right 

 side, and that the thigh muscles, particularly the right are less irritable 

 than the fore-arms. 



Electrical Irritability of the nerces. 



Examined by galvanic current does not show any reaction of de- 

 generation in n.n. accessorii and ulnares; n.n. ulnares seem to have a 

 quantitatively somewhat diminished irritability; n.n. peronei could not 

 be irritated even by the strongest current. 



Fibrillary muscle contractions are observable in the upper arms as 

 well as more particularly in the fore; whilst on the contrary such could 

 not be noticed in the legs. 



Cramp in special muscles is not present. 



