Medical and surgical therapy . Figs. 3 and 4.—Long-standing sciatica of three months duration (rightside). Left: patient before treatment. Right: after treatment. LIMITED PARALYSES AND CONTRACTURES 745 Lordosis from Contracture of the Dorsal Muscles.—Backward bending of the trunk is as rare as theforward bending is common. The reason mustbe sought for in the general law of contractures,according to which deformity is usually produced inconformity with the most powerful of the musclesacting on the part; possibly also in the fact thatto avoid injury from falling objects the instinctiveprotective
Medical and surgical therapy . Figs. 3 and 4.—Long-standing sciatica of three months duration (rightside). Left: patient before treatment. Right: after treatment. LIMITED PARALYSES AND CONTRACTURES 745 Lordosis from Contracture of the Dorsal Muscles.—Backward bending of the trunk is as rare as theforward bending is common. The reason mustbe sought for in the general law of contractures,according to which deformity is usually produced inconformity with the most powerful of the musclesacting on the part; possibly also in the fact thatto avoid injury from falling objects the instinctiveprotective movement is one of bending forward ;lastly, in the fact that hysteria usually copies suchattitudes as are the easiest to reproduce or to main-tain voluntarily. The patients trunk is bent backwards, the headis flexed and the expression is fixed. Walking isperformed with ease, but during progression the trunkis immobile and fixed. Correction, forward flexionof the trunk, is almost impossible in the standingposture, but is q
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1918
