. Hysteria and certain allied conditions, their nature and treatment, with special reference to the application of the rest cure, massage, electrotherapy, hypnotism, etc. e arm being usuallyflexed and the leg- left side is more often af-fected than the right. Usually,both extremities are involvedsimultaneously, though the con-tracture may attack first oneand then the other. As thisform of contracture not infre-quently follows hysterical par-alysis, it is necessary to dis-tinguish between hysterical andorganic contraction. This is, asa rule, not difficult, since thecontraction of s
. Hysteria and certain allied conditions, their nature and treatment, with special reference to the application of the rest cure, massage, electrotherapy, hypnotism, etc. e arm being usuallyflexed and the leg- left side is more often af-fected than the right. Usually,both extremities are involvedsimultaneously, though the con-tracture may attack first oneand then the other. As thisform of contracture not infre-quently follows hysterical par-alysis, it is necessary to dis-tinguish between hysterical andorganic contraction. This is, asa rule, not difficult, since thecontraction of secondary de-generation is very gradual inits onset. Other points of dif-ference will be noted in thechapter on Differential Diag-nosis. In the paraplegic form of hys- FlG- .—Contracture ofi A ,11 the Lower Extremity. tencal contracture the legs are —(AfterRicher)both extended and adducted. It appears after a convulsive attack, or follows paralysisof the lower extremities. Rare cases are reported ofcontracture of all four extremities, but this is generallya transient condition, in which first one then the otherside is involved. The periarticular form of con- IO. io6 HYSTERIA: ITS NATURE AND TREATMENT. tracture may simulate very closely some of the vari-eties of talipes, especially equinovarus, and, as hasbeen pointed out elsewhere, contracture of the mus-cles about the hip-joint has not infrequently beenmistaken for coxalgia. Besides the varieties of con-
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Keywords: ., bookauthorp, bookcentury1800, bookdecade1890, booksubjecthysteria
