On the exercise treatment of paralyses / by C.H. Bucholz.

  • Bucholz, C. Hermann (Carl Hermann), 1874-
Date:
1912?]
Catalogue details

Licence: Public Domain Mark

Credit: On the exercise treatment of paralyses / by C.H. Bucholz. Source: Wellcome Collection.

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    ment with most competent authors, that the exercise treatment furnishes the largest possibilities for an actual improvement. Although the orthopedic surgeon is not equally interested in all forms of paralysis, I wish to give a report of a variety of cases, because the main principles of their treatment are equally appli- cable to all forms. Since this paper is of a general practical interest we have omitted exhaustive outlining of the theories which are offered by neuropathologists for the explanation of the action of this form of treatment. We shall only state the various reasons and indications for the treatment, (1) we shall deal with the technic, (2) and give a report of our cases, (3) especially those which have been under treatment a sufficiently long time to enable us to arrive at some definite conclusions. Analyzing the various indications, we have to consider the effect of the treatment on 1. The primarily affected neurons, 2. Those neurons a. which are in a functional connection with the former and b. those which furnish possibilities of substitution for the destroyed parts, . The musculature, (pease, bhnesoints, b. The bones, . The internal organs and general health, and . The mind of the patient. Ww OV Ur Te INDICATIONS. 1. The first question, that of the influence of the treatment on the primarily affected neuron, is the most difficult one to explain. It is quite certain that a completely destroyed neuron will never regenerate, but in practice it is frequently very difficult to decide to what extent the neurons are affected. This is especially true soon after the onset, as is so well illustrated by the course of infantile spinal paralysis. While in many cases no further re-
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