This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1864 Excerpt: ...in quality of movements in the two sides. Muscular contraction follows immediately upon the effort, so that the settling down of the left side in walking, before so marked, is scarcely perceptible. The principle of distinguishing between the different qualities of force, and the peculiar kinds of functional ...
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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1864 Excerpt: ...in quality of movements in the two sides. Muscular contraction follows immediately upon the effort, so that the settling down of the left side in walking, before so marked, is scarcely perceptible. The principle of distinguishing between the different qualities of force, and the peculiar kinds of functional manifestation to be employed in order to secure the desired quality, has been applied in many other cases with uniformly favorable results. Another important matter in the treatment of paralysis is to secure a good circulation of blood in the affected parts before attempting much voluntary motion in them. Innervation as well as muscular contraction takes place only in the presence of arterial blood. Before the patient essays to move a paralyzed limb, especially at the beginning of treatment, the muscles should be stretched (passively) or made to act through position or reflex action (as standing on a paralyzed leg, for instance, while held in position by assistants), when one is often surprised to notice how readily the previously rigid muscles will move in obedience to a volition. A few cases will better illustrate the treatment. John Erskine, a lad fourteen years old, was brought to me on the 27th day of April, Six months before, he met with an accident, causing a backward dislocation at the right elbow-joint. It appeared to have been properly re-set, and though there had been adhesions, they had been broken down, and at that time there was perfect motion of the forearm, both of flexion and rotation. But from the first there had been nearly complete paralysis of the whole arm, but much more complete below the elbow. This state continued with scarcely any improvement up to the time I saw him, six months after the accident. At that time there was great e...
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