. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. perationof agonists with the antagonists. Similar exercises may bedone with the foot and leg. Next would come simultaneous exercises with the arm andleg; here again symmetrical and alternating, simple, com-bined and more complicated exercises should be done. Oneof the difficult problems in hemiplegia is the exact coopera-tion of the right arm with the left leg and vice versa in walk-ing. Another group of exercises are the alternating motions,e. g., the left arm swings backward, the right
. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. perationof agonists with the antagonists. Similar exercises may bedone with the foot and leg. Next would come simultaneous exercises with the arm andleg; here again symmetrical and alternating, simple, com-bined and more complicated exercises should be done. Oneof the difficult problems in hemiplegia is the exact coopera-tion of the right arm with the left leg and vice versa in walk-ing. Another group of exercises are the alternating motions,e. g., the left arm swings backward, the right arm forward;or the left wrist is palmar flexed, the right wrist dorsiflexed. Figs. 86, 87, 88, and 89 illustrate a few simple exercisesw^hich have been worked out by Dr. H. C. Low on a case ofLittles disease. These exercises may be further developed 350 SPASTIC PARALYSIS and modified in almost infinite varieties. Easy games andfight sports may be employed, but the main principle shouldnever be overlooked, namely, that each exercise must bedone correctly and with sufficient ease before a more difficult. Fig. 86.—Patient with a moderate Littles disease assumes the position withhis left foot similar to that in which the right foot is held passively. one is tried; that the general physical and mental conditionof the patient must be carefully watched; and that thelimitations for any form of treatment are considered and nottoo much expected or promised. TABES 351 Tabes.—^The so-called compensatory exercise therapy intabes dorsalis and other disturbances of the coordinationhas been developed to a real system by E. Frenkel. Hepublished his first report of 3 cases successfully treated in1890, and has since issued a number of valuable papers andbooks on the same subject. His method is now almost
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