Reclaiming the maimed; a handbook of physical therapy . ding 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
Reclaiming the maimed; a handbook of physical therapy . ding 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 effect is 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
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