Lead poisoning and lead absorption : $b The symptoms, pathology and prevention, with special reference to their industrial origin, and an account of the principal processes involving riskLegge, Thomas Morison, Sir
Science
Lead poisoning and lead absorption : $b The symptoms, pathology and prevention, with special reference to their industrial origin, and an account of the principal processes involving risk
Legge, Thomas Morison, Sir
Lead poisoning
The intensity of the minimum current required to produce a contraction
for each point should be noted, and compared with the effect of a
similar current on the opposite side of the body.
The reaction of degeneration of the faradic current consists in no
contraction at all being elicited, even when a very strong current
is employed. If there be unilateral wrist-drop in the left hand,
consisting of loss of power of the extensor communis digitorum on that
side, no movement of the muscle is produced at all when the electrode
is placed across the motor points of the muscle. These are situated to
the outer side of the arm when the dorsum of the hand is uppermost,
about 1¹⁄₂ to 2 inches below the olecranon. The same quantity of
current, when applied to the unaffected muscle on the opposite side,
produces a brisk reaction.
Having observed the effect with the faradic current, and the results
having been recorded, the continuous current is used, and the
electrodes made use of in an exactly similar fashion. When a small
electrode is used, the superficial nerves and muscles are more
stimulated than those lying deeply. It is necessary, therefore,
to begin with a small current and gradually increase it until the
individual muscle responds.
The strength of the current employed is registered by means of a
milliampèremeter.
With the continuous current quantitative as well as qualitative
alterations may be determined, and with the quantitative change of the
galvanic current the muscular excitability is increased, contraction
following the application of a weaker current than is necessary to
produce it in health or in the sound muscle on the other side of the
body.
With the qualitative change, the contraction is no longer sharp, but
sluggish. The anodal closing contraction is elicited with a weaker
current than kathodal closing contraction, so that ACC>KCC.
The quantitative change depends partly on the nutrition of the muscle;
the qualitative change depends on the fact that the nerve no longer
regulates the character of the contraction, and also to a small extent
is the result of changes in the muscle itself.
In a complete reaction of degeneration in an affected muscle, reaction
to the faradic current is absent, contraction to the galvanic current
is sluggish, and is produced with a smaller current in the anode than
the kathode.[A]
[A] The kathode, or negative electrode, is attached to the zinc rod;
the anode, or positive electrode, to the copper or carbon.
As the nerve lesion passes away, the voluntary contraction generally
begins to return before the nerves show any reaction to electrical
stimulus.
The following three cases in which the electrical reactions of the
muscles were determined, give examples of typical cases of lead
paresis. In No. 3, owing to the fact that the case was treated
immediately the paralysis occurred, complete recovery had taken place,
and, as will be seen, the electrical reactions have again become normal.
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