Reclaiming the maimed; a handbook of physical therapy . Fig. 41. — EiSeurage of the arm. the deeper structures and wake up the sluggish circulation inand about the seat of trouble. In petrissage or kneading, the skin moves with the handlike a glove. It is done with the thumb opposed to the hand,the fingers opposed to the palm, or the two hands opposed toone another. The muscles are rolled under the hand andskin, and intermittently pressed against the underlying is slow and deep, usually following the course of the venouscirculation. This manipulation should be firm, but not too 56 RECL
Reclaiming the maimed; a handbook of physical therapy . Fig. 41. — EiSeurage of the arm. the deeper structures and wake up the sluggish circulation inand about the seat of trouble. In petrissage or kneading, the skin moves with the handlike a glove. It is done with the thumb opposed to the hand,the fingers opposed to the palm, or the two hands opposed toone another. The muscles are rolled under the hand andskin, and intermittently pressed against the underlying is slow and deep, usually following the course of the venouscirculation. This manipulation should be firm, but not too 56 RECLAIMING THE MAIMED painful, — persistent pain following treatment means eithera clumsy operator or a condition that should not be is most useful for stretching adherent scars, for removingthe products of fatigue or effusions, and for improving theblood supply. It is the main manipulation used in general. Fig. 42. — Kneading the calf muscles. treatment for rheumatism, fibrositis, or lowered circulationfrom any cause. Tapotement or striking is a surface and also a deep manipu-lation. It consists of slapping with the open hand, hackingwith the ulnar border of the hand, using the tips of the fingerslike a flail, or beating with the fiat of the clenched blows should be sharp and quick, short and snappy, donefrom a loose wrist, but not heavy enough to bruise. Themain action is stimulation of the superficial nerves. Thevessels dilate and the part becomes reddened. If repeatedlong enough and strongly enough, sensation is dulled. RECLAIMING THE MAIMED 57 Vibration is a rapid form of tapotement, in which the rateof the strokes runs from 500 to 5000 to the minute, and isbest performed by a machine for the purpose, with thevarious forms of applicators for the different regions. Vi-bration is followed by a feeling of numbness, then tingling,and then warmth, so that its general effec
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Keywords: ., bo, bookcentury1900, bookdecade1910, booksubjectwoundsandinjuries
