Remedial gymnastics for heart affections used at Bad-Nauheim : being a translation of "Die Gymnastik der Herzleidenden" / von Julius Hofmann und Ludwig Pöhlman ; [translated] by John George Garson.

  • Hofmann, Julius.
Date:
1909
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Licence: In copyright

Credit: Remedial gymnastics for heart affections used at Bad-Nauheim : being a translation of "Die Gymnastik der Herzleidenden" / von Julius Hofmann und Ludwig Pöhlman ; [translated] by John George Garson. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    Indications for and against the use of Remedial Gymnastics and Baths in Heart Affections. have now to consider the fundamental principles in- V V volved in the answer to the question, Who should avoid gymnastics and who should use them? This question has been answered by Romberg-/ of Tubingen, in a short and concise paper in the following manner :— Turning now to the indications and contra-indications, it follows from what has just been said that both methods of strengthening the heart [baths and gymnastics] are only suitable in the initial stage of the disease. It is only then that the heart possesses a certain definite store of reserve strength with the help of which it will be able to respond to increased demands cautiously made upon it. If the stage of severe disturbance of the circulation has already begun, if the heart is already during rest no longer in a position to maintain an approximately normal circulation, if there be continuous and severe dyspnoea during rest, if persistent oedema and effusion into the body cavities be present, then baths and gymnastics are no longer suitable for the patient. After the heart has materially improved they may perhaps be considered desirable. Equally unsuitable are patients suffering from pronounced angina pectoris and attacks of cardiac asthma, as experience shows that dangerous attacks may be brought on by any increased demand on the heart. Similarly unsuitable also are cases in which fresh dis- turbances have occurred after manifest over-exertion or after an infectious disease. These are benefited only in their later stages by the treatment. ' Uber die physikalische und diatetische Behandlungf der Herzkrankhcit, Prof, von Romberg-, Tiibingen. Mcdizimsches Korrcspondeiisbla/t des 7i<iir/- iembergischcn arstlichcn Laiidesverin, Bd. 77, Nr. 26, vom 29 Juni 1907.