24 th -26 th September 1998. Discussion is welcomed before the event. Case J.S. is a 22 year old male, with asymmetrical spastic diplegia. He is an independent ambulator walking with a crouch gait, and complains of increasing amount of effort in walking.
Clinical examination shows deformities in almost every tested joint.
Tone and reflexes are very high. Duncan Ely, confusion test and ankle clonus are positive on both sides. Generally he has good strength, but standing balance is poor. The test reveals high RQ values. Steady state was not reached during the test.