The Mother's Manual of Children's DiseasesWest, Charles
Science
The Mother's Manual of Children's Diseases
West, Charles
Pediatrics -- Handbooks, manuals, etc.
The relative share which the parents and the doctor take in the
treatment of these cases depends to a great extent on their severity.
While attention to the state of the bowels, and a generally tonic
treatment are almost always needed, gymnastics and drill are often of
very great service in the slighter cases; and a very distinguished Paris
physician was accustomed to send children thus affected to march round
the Place Vendome, keeping step while the band was playing. The utility
of gymnastics turns very much on the degree in which the child is able
by attention to control his movements, and when either as in young
children fixed attention cannot be roused, or as in severe cases the
effort only adds to the child's nervousness, and in consequence
increases the movements, they must be given up. All drill and gymnastics
are best carried out in class with other children, and regulated not
simply by word of mouth, but by a tune or chant. When recovery is in
progress gymnastics will then in almost all instances find their place.
Even when drill and gymnastics cannot be practised, regulated movements
of the limbs carried out twice a day for ten minutes at a time are of
very real service. Another's will here takes the place of that of the
patient, and the limbs are thus taught, though far more imperfectly, to
act in concert.
Two or three more cautions may still be of service. Do not keep a child
out of bed, and force it to try to exert itself when the movements are
very severe; continued movement, voluntary or involuntary, fatigues. Let
the child lie in bed; it rests there, and the movements, which always
cease during sleep, become at once greatly lessened. So important indeed
is it to avoid the exhaustion caused by incessant violent movement, that
in bad cases it is sometimes necessary to swathe the limbs in flannel
bandages, and so to confine them to splints in order to restrain them.
Next, do not become over-anxious because the child grows stupid and
ceases to talk; intelligence and the power of speech will certainly come
back again. And, lastly, do not be impatient and think your medical
adviser incompetent because the disorder lasts so long. An average
duration of seventy days implies that while sometimes it ceases sooner,
in others it lasts much longer than the two weary months of watching and
waiting with which in any case you must lay your account.
Public-domain text, read in full here on John Shaqi.
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