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
electrize each muscle daily with that current to which it responds,
and of a strength just sufficient to produce muscular contraction. If
the powerless muscles have preserved their Farado-contractility it
may be confidently predicted that they will rapidly recover; but it
will almost invariably be found that while Farado-contractility is
diminished or abolished, there is increased response to the interrupted
Voltaic current. They should be treated then with this current alone.
Hot spongings and shampooings should also be employed, and it is of
great importance that in the intervals of treatment the temperature
of the affected muscles should be maintained at as high a degree
as possible. If the leg is affected, a stocking of pure spun silk
should be constantly worn, day and night, in addition to the ordinary
clothing; if the arm, a silken sleeve.
[SN: Importance of active and passive movements in Paralysis.]
When in any form of paralysis ANY amount of voluntary power has been
restored by electricity, it is most important that the patient should
be encouraged to use the limb and practise various movements. Passive
movements are of equal importance, and the paralyzed muscles should be
frequently exercised by this mode to the fullest extent of their normal
movements. For example, if the extensors of the hand and fingers are
paralyzed, the hand and fingers should be passively flexed and extended
completely, at intervals of a few seconds, for some minutes, and so on
with all the paralyzed muscles in succession. [SN: Rule for Muscular
Electrization.] As soon as there is return of reaction to Faradization,
Faradization should be alone used, and the rule in all cases of
localized muscular electrization, muscular contraction being sought,
is to use that current to which the muscles respond, and _I do not
know of any exception to this rule_; but a successful result in severe
cases of atrophic--not alone infantile paralysis, but all varieties of
atrophic paralysis--is brought about by painstaking, daily, tedious,
uninteresting treatment, with no chance of brilliant or rapid results,
but which if thoroughly, faithfully, and patiently carried out, will
reward us by progressive improvement, and sometimes--even in cases
regarded not long ago as quite hopeless--complete recovery.
[SN: Rigid form of Infantile Paralysis.]
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