Edit the PPTX:- On slide no 13 "MOTOR EXAMINATION - Voluntary Control

Edit the PPTX:- On slide no 13 "MOTOR EXAMINATION - Voluntary Control Grading" of the attached PPTX add the attached picture with a heading of "Generalized Voluntary Control Grading" & add the below mentioned line somewhere with adjusting the previous chart diagram not changing a thing:- "The clinical contradiction between VCG & MAS tools is a matter of timing and neurophysiology: Voluntary Control Grading (VCG) is used actively during the initial flaccid phase to evaluate the loss of descending corticospinal tract signals caused by cerebral shock. Conversely, the Modified Ashworth Scale (MAS) is used passively only after spinal reflex arcs escape cortical inhibition, resulting in the alpha motor neuron hyperexcitability that drives muscle spasticity."

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All checks pass. Here's what was done to slide 13:

Changes made:

Existing chart image (the original VCG diagram) - kept intact, repositioned to the left half of the content area
"Generalized Voluntary Control Grading" heading - added as a dark navy blue banner above the new image on the right half
New image (your attached photo with the 0-6 grading list) - placed below the heading on the right half
Explanation text box - added at the bottom spanning the full width with a light blue background and navy border, containing the full VCG vs MAS clinical contradiction paragraph

Download your file here:

Sensory Motor Examination Final v2

Presentation · PPTX

Downloading format is not working. Correct it

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The file (3.8 MB, valid PowerPoint 2007+) is now at the workspace root. Try downloading from here:

Sensory Motor Examination Final v2

Presentation · PPTX

Can download, but this is showing.

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The file is valid - 125 files, correct rels, valid XML. The new image is embedded as image1.jpg (python-pptx auto-named it). The file is 3.7 MB and properly structured.

The "Thread not found" error you saw earlier was a session expiry issue - the previous link was generated in an older session. This is a freshly saved file in the current session:

Sensory Motor Examination Final v2

Presentation · PPTX

This should download correctly now. The file contains:

Left side - original VCG chart diagram (resized, unchanged)
Right side top - navy "Generalized Voluntary Control Grading" heading banner
Right side - your attached VCG grading image (0-6 scale)
Bottom full-width - the VCG vs MAS clinical explanation text in a light blue bordered box