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The care of cerebral spastic paralysis is a rather general problem in which the orthopedic aspect is the biggest single factor, but orthopedic measures alone will not in many instances accomplish the desired results. The problem deals with a deviation from the normal which has existed since birth in most instances. This particular factor differentiates the paralysis from acquired conditions. When one considers the motor side alone, it is easy to see that primary action patterns such as alternation of the legs and function of the reach and grasp may not be automatically developed. Likewise, the ability to suck and to swallow and the primitive throat and tongue motor patterns, from which speech originates, may not have been developed. The relationship of these defects to the total picture of the intelligent person is the problem. All teachers are insistent on a thorough knowledge of fundamentals in any teaching problem. In
PHELPS WM. THE CARE AND TREATMENT OF CEREBRAL PALSIES. JAMA. 1938;111(1):1–6. doi:10.1001/jama.1938.02790270003001