Reclaiming the maimed; a handbook of physical therapy . Fig. 43. — Hacking with ths ulnar border of the hands. Always plan beforehand the choice and sequence of theseprocedures in a treatment, and do not continue one manipula-tion more than four or five minutes over one region. Itshould then be interrupted and replaced by another pro-cedure, but a definite sequence thought out and your conversation with the patient to the giving ofdirections and dont let the treatment degenerate into asocial visit accompanied by the aimless rubbing, pulling, andtwisting of a limb, which too of
Reclaiming the maimed; a handbook of physical therapy . Fig. 43. — Hacking with ths ulnar border of the hands. Always plan beforehand the choice and sequence of theseprocedures in a treatment, and do not continue one manipula-tion more than four or five minutes over one region. Itshould then be interrupted and replaced by another pro-cedure, but a definite sequence thought out and your conversation with the patient to the giving ofdirections and dont let the treatment degenerate into asocial visit accompanied by the aimless rubbing, pulling, andtwisting of a limb, which too often goes by the name ofmassage. 58 RECLAIMING THE MAIMED The surface to be treated should be scrupulously clean, andshould not be greased or oiled, except occasionally about atough and irritable scar. The part may be dusted with. Fig. 44. — The vibrator in use. talcum powder, and a very hairy surface may even be pro-tected from irritation by manipulation through a silk orcotton undergarment. A stiffened joint or painful scar should be prepared formassage by heat in the form of baths of running water atabout no degrees for thirty minutes, or by exposure toradiant heat until it is thoroughly reddened. Where theseare not available, it may be packed in hot sand or salt, —anything that will flush the part with blood greatly assists RECLAIMING THE MAIMED 59 in making possible massage and manipulation that wouldotherwise be too painful. In sprains, or after breaking down adhesions, which is thesame thing, massage should be given at once, beginning withefifleurage and continued by kneading, alternating these twoprocedures until the whole region has been covered, and sup-porting the ankle or elbow between treatments by a bandageover cotton wool to exert elastic pressure. In certain frac-tures the splint may be remo
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Keywords: ., bo, bookcentury1900, bookdecade1910, booksubjectwoundsandinjuries
