Lippincott's Magazine of Popular Literature and Science, Vol. 26, November, 1880Various
History
Lippincott's Magazine of Popular Literature and Science, Vol. 26, November, 1880
Various
Literature, Modern -- 19th century -- Periodicals; Science -- Periodicals
The loss of the sense of touch in the skin is not, however, the sole
or even chief reason that the ataxic man cannot walk. I once saw a
patient who could march very well by night or by day, although the
skin of his legs was so dead that a live coal would scarcely awaken it.
The sense that is wanting in locomotor ataxia is that form of general
sensibility which is known as the _muscular sense_; that is, that sense
or feeling which tells the lower brain exactly how much a muscle is
contracted, and when to urge it more, when to let it relax. This is
evidently a guiding sense, of whose action we are barely conscious,
but of whose existence there is no doubt. We do not feel a muscle
contract ordinarily, but we do so when attention is directed to a
muscle at work. Thus we judge of the weight of a body by the amount of
force which our muscles must put forth to lift it. Any one can satisfy
himself by a very simple experiment that the judgment of weight is not
founded upon pressure on the skin. Lay the hand upon the table, place
the heavy body upon it and try to judge of the weight. Again, whenever
we endeavor to estimate accurately how heavy a body is, we raise it
again and again into the air, evidently that we may feel the muscles
contract again and again, and by repeated efforts judge how much of
force they put forth.
The phenomena of ataxia are of great importance as corroborating the
experimental proofs spoken of a few pages back, which show that walking
is automatic and not simply performed by a conscious power of the will.
Thus the ataxic may be able to walk with his eyes open, when he cannot
even balance himself erect with his eyes shut. If the conscious will
really did by a direct effort produce walking, it should be able to
control the movements by itself, and the ataxic man should be able to
walk although impulses from the exterior of the body no longer reached
his lower brain. The man who turns a cog-wheel himself is independent
of external power, but the man who directs a clockwork moved by a
spring can only push back the stop and release the spring: if the
spring be broken he is powerless. The impulses from the exterior are
the springs of locomotion, and all the will can do is to withdraw the
checks and call the machinery of walking into action. When the external
impulses are no longer transmitted to the lower brain walking becomes
impossible.
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