His pains have entirely disappeared, and he is daily on horseback
for many hours.
In spastic paralysis, whether in the slowly-developing forms in which it
is seen in adults, due sometimes to multiple sclerosis, sometimes to
brain tumor, sometimes following upon a transverse myelitis, or in the
central paraplegia or diplegia of "birth-palsies," some very fortunate
results have followed the careful application of the principles of
treatment already described. Absolute confinement to bed is seldom
required or in adults desirable, though exercise should be carefully
limited to an amount which can be taken without fatigue, and some hours'
rest lying down is usually advantageous.
Assuming that the necessary treatment for the disease originating the
paralysis is to be carried on in the ordinary way, I will only describe
the special forms and methods of exercise I have found serviceable.
Whatever the cause, this will be much the same, though in birth-palsies
the teaching may have to include groups of muscles and instruction in
the co-ordination of actions which are not affected in adult subjects.
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