On the cure of club-foot without cutting tendons : and on certain new methods of treating other deformities . looj^edinward and backward, the outer side of the ball of thelittle toe touching the floor. The ordinances to which the child was submittedwere designed with a two-fold object: the first to preventdegeneration of muscle, the second to recall power. Tofulfil the first he was ordered tonics, cold bathing,followed by rapid frictions, galvanism ; and the nurse, as well as Madame von H , were shown the various passive movements most desirable, and the proper methodof shampooing. In order to
On the cure of club-foot without cutting tendons : and on certain new methods of treating other deformities . looj^edinward and backward, the outer side of the ball of thelittle toe touching the floor. The ordinances to which the child was submittedwere designed with a two-fold object: the first to preventdegeneration of muscle, the second to recall power. Tofulfil the first he was ordered tonics, cold bathing,followed by rapid frictions, galvanism ; and the nurse, as well as Madame von H , were shown the various passive movements most desirable, and the proper methodof shampooing. In order to fulfil the second object, it was first of allnecessary to provide some form of support, and, aboveall, necessary to render that support such as would onlyaid—not override and supersede—the action of muscles. 80 ON THE CUEE OF CLUB-FOOT. An iron affixed to tlie waist and the shoe performs thislatter act to perfection, and renders all mnscnlar effort tosupport the body superfluous. The instrument whichI have devised, and used also in other cases, is de-picted ; I will now explain its object. FIG. A SPLINT FOR A PARALYZED THIGH ANU LEG. a, Waistband ; &, upright rods; c, hinge at hip; d, hinge at kneec, small cord representing perineal band; /, india-rubber springs ; g, steelspring acting on nut h, and pressing lowest rod forward; i, portion forinner side of thigh. ox INFANTILE PAEALYSIS. 81 Wlien tlie weight of the body falls upon a limb in thestate above described, every one of the joints yield; thehip gives sometimes inwards, sometimes outwards, andnearly always forwards (the psoas prevents the over-ex-tension of the joint). The knee bends, and the foot turnsinwards. The instrument consists of a strap which goesround the pelvis, one-third of its circumference beingmade of steel covered with leather, to which is sewn astrap attaching a round, soft perineal band. The steelbelt bears a short rod of the same metal, and of suchlength that its lower end lies over the great
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Keywords: ., bookcentury1800, bookdecade1860, bookpublisherlondo, bookyear1865