The patient has unilateral weakness and spasticity with the upper extremity held in flexion and the lower extremity in extension. The foot is in extension so the leg is too long therefore, the patient will have to circumduct or swing the leg around to step forward. This type of gait is seen with a UMN lesion. NeuroLogic Exam has been supported by a grant from the Slice of Life Development Fund at the University of Utah, the Department of Pediatrics and the Office of Education at the University of Nebraska Medical Center. Viewing the video requires installation of the free QuickTime Plug-in.