. Hysteria and certain allied conditions, their nature and treatment, with special reference to the application of the rest cure, massage, electrotherapy, hypnotism, etc. facial mus-cles, and also involuntary muscles. In the mono-plegic form the leg is the most frequent seat of theaffection, according to the French school. Gowers -fthinks that the arm is affected oftener than theleg. In contracture of the upper extremity thefingers are strongly flexed on the palm. They maybe flexed at the metacarpophalangeal joints andextended at the phalangeal. The wrist is usuallystrongly flexed, and the for
. Hysteria and certain allied conditions, their nature and treatment, with special reference to the application of the rest cure, massage, electrotherapy, hypnotism, etc. facial mus-cles, and also involuntary muscles. In the mono-plegic form the leg is the most frequent seat of theaffection, according to the French school. Gowers -fthinks that the arm is affected oftener than theleg. In contracture of the upper extremity thefingers are strongly flexed on the palm. They maybe flexed at the metacarpophalangeal joints andextended at the phalangeal. The wrist is usuallystrongly flexed, and the forearm is flexed upon thearm, and either pronated or supinated. Sometimesthe hand alone is involved, or even one following case illustrates the monoplegic typein the upper extremity : An intelligent sailor had a * Traite des Nevroses. f • Diseases of the Nervous System. DISTURBANCES OF MOTION: CONTRACTURE. 103 fall on board ship, and shortly after came under mycare at the City Hospital. A most careful examina-tion failed to reveal any injury whatever about theshoulder or arm. Immediately after the fall thearm was contractured, and when admitted into the. Fig. 8. Fig. 9. Fig. 10. Forms of Contracture of Hand and Wrist.—[After Richer.) hospital he was entirely unable to use it. Hisfingers were strongly flexed, at both metacarpo-phalangeal and phalangeal articulations ; the wristwas flexed on the forearm and the latter strongly 104 HYSTERIA: ITS NATURE AND TREATMENT. flexed on the arm. If great force were used, thecontracture would change its form, but could not beovercome. The usual position of the arm wasflexion of the forearm on the arm, pronation of theforearm, and adduction of the arm. When a forci-ble attempt was made to overcome the contracturethe position of the parts changed; the forearm sud-denly became strongly supinated, the wrist ex-tended, and the arm abducted. In contracture of the lower extremity the leg isforcibly extended. Charcot,* in describing a t
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Keywords: ., bookauthorp, bookcentury1800, bookdecade1890, booksubjecthysteria
