How to Use a Galvanic Battery in Medicine and Surgery: A Discourse Delivered Before the Hunterian Society, Third EditionTibbits, Herbert
Science
How to Use a Galvanic Battery in Medicine and Surgery: A Discourse Delivered Before the Hunterian Society, Third Edition
Tibbits, Herbert
Electrotherapeutics
There are very few, I think I may almost say not one, of the many
disorders classed under the heading of paralysis, in which at some time
or other of their progress some form of electrization is not essential
to their most successful treatment. Where powerless to cure it will
not unfrequently relieve the most distressing symptoms. Cases of
functional paralysis from slight pressure are not uncommon, when power
may usually be restored by a few Faradizations; but in paralysis from
severe central or peripheral lesion progress must of necessity be slow.
Such cases, regarded electrically, may be most conveniently considered
under the two divisions of atrophic and non-atrophic paralysis. [SN:
Atrophic Paralysis.] In the great majority of atrophic cases there will
be found abolition or modification of the normal electrical reaction of
nerve and muscle, but whether this is so or not, in all cases of loss
of power, in which any muscular wasting is visible, the localization
of electricity in the wasting muscles is _imperative_, and in some
varieties it is the only treatment which will arrest the disease. It
is in these latter cases that its early administration is called for,
before the degeneration and disappearance of the muscular tissue, and
its early and judicious use will not seldom save the sufferer from
being left for life with a powerless, or withered and deformed, limb.
[SN: Infantile Paralysis.] As an illustration, let us review the
progress of a case of essential infantile paralysis, the most common
of the paralyses of children; that form in which premonitory symptoms
are often absent, or but slight, and where there is no rigidity. Very
shortly after its onset, usually within a few days, the limb is found
to be colder than its fellow, and its muscles to be rapidly wasting;
the final result, if untreated, being the entire disappearance of some
of them and the production of deformity. In fact, the larger number
of cases of club-foot and analogous distortions are brought about by
neglected infantile paralysis, and there is no doubt that by judicious
treatment, of which early electrization is the foundation, the majority
of them might have been prevented. The leading orthopædic surgeons are
fully alive to this fact, but they are powerless, as they are rarely
consulted until all the mischief has resulted. [SN: Importance of early
Electrical Treatment.] The early recognition and appropriate treatment
of these cases must continue in the hands of the family practitioner,
and he must decide whether or not they are to continue, as at present
is unfortunately too commonly the case, without any serious attempts
at restorative treatment until commencing deformity compels attention
to them. As soon as the medical attendant is summoned--and this is
frequently only because the parents have noticed that the child is
lame--he should carefully examine the muscles electrically, and unless
there are head symptoms present, and this is very seldom, he should
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