This is done after the Swedish plan, by making
very slowly passive and extreme extensions and flexions of the limbs for
a few days, then assisted movements, next active unassisted movements,
and last active movements gently resisted by nurse or masseuse. When the
patient is able to sit and stand, it is well to keep up and extend the
number of these gentle gymnastic acts and to encourage the patient to
make them habitual, or at least to keep them up for many months after
the conclusion of treatment.[18]
At the seventh week massage is used on alternate days, and is commonly
laid aside when the patient gets up and begins to move about.
In 1877, several of the members of the staff of the Infirmary for
Nervous Disease, and especially my colleague, Dr. Wharton Sinkler,
obliged me by studying with care the influence of massage on
temperature, and some very interesting results were obtained. In
general, when a highly hysterical person is rubbed, the legs are apt to
grow cold under the stimulation, and if this continues to be complained
of it is no very good omen of the ultimate success of the treatment.
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