Reclaiming the maimed; a handbook of physical therapy . Fig. I. — Bullet wound of the arm followed by ulnar paralysiswith wasting. muscles, and the resultant permanent contraction of those thatare unimpaired, galvanic, and afterward faradic, stimulationto the affected muscles, massage to keep up or improve theirnutrition, passive movement to prevent contraction and limi-tation of the normal range of the joint, progressive activemovement, joint by joint, to bring back and strengthen volun-tary power; ending with gymnastic and vocational trainingfor skill to fit the patient to take his place in
Reclaiming the maimed; a handbook of physical therapy . Fig. I. — Bullet wound of the arm followed by ulnar paralysiswith wasting. muscles, and the resultant permanent contraction of those thatare unimpaired, galvanic, and afterward faradic, stimulationto the affected muscles, massage to keep up or improve theirnutrition, passive movement to prevent contraction and limi-tation of the normal range of the joint, progressive activemovement, joint by joint, to bring back and strengthen volun-tary power; ending with gymnastic and vocational trainingfor skill to fit the patient to take his place in civil life again. RECLAIMING THE MAIMED. 2. Scar tissue, either in preparation for, or after bullet may leave a small entrance scar, but its coursethrough the tissuesmay leave greatareas in which mus-cle, fascia, tendon,nerve, periosteum,and skin are mattedtogether in oneconfused, distortedmass, leaving thelimb blue, clammy,moist with con-tinual perspiration,and so painful thatthe patient winces atthe slightest touch— even after ampu-tations the sensi-tive nerve endingscaught in the scar of the operation are among the most troublesome conditions ofwar surgery. Such wounds aretreated by the warmthof the whirlpool bath,which in twenty minuteschanges the cold purpleof the painful hand intoa warm crimson, andenables the masseur tostroke, knead, and movea joint in a way that noamount of persuasion would have made tolerable with-out it. Fig. 2. — Bullet wound of the back. Entrance atfirst dorsal level; exit at seventh dorsal.
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Keywords: ., bo, bookcentury1900, bookdecade1910, booksubjectwoundsandinjuries
