The lessons differ only in detail from those given in the list
under tabes. Improvement is slower than in ataxia.
In birth-palsy cases not much can be accomplished in the way of
education, beyond the attempt by such means as ordinary gymnastics and
lessons in drill and walking offer, until the child shall have reached
an age when he is able to comprehend what is being attempted. For the
imbecile, idiotic, or backward a training-school is the proper place,
where mental and bodily functions may both receive attention and where
constant intelligent supervision is available.
Many children the subjects of cerebral diplegia are credited with less
intelligence than they really possess, partly because they are
necessarily backward, and partly because of their difficulty in
expressing themselves, the speech-muscles sharing in the disease. These
muscles need to be carefully educated, and this might almost be made the
subject of a treatise by itself. Each case will require study as to the
special difficulties in the way of speech. Some experience most trouble
with the vowel sounds, more find the consonants the worst obstacles.
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