Gymnastics in heart diseases / by Claës J. Enebuske.

  • Enebuske, Claës Julius
Date:
1896
Catalogue details

Licence: Public Domain Mark

Credit: Gymnastics in heart diseases / by Claës J. Enebuske. Source: Wellcome Collection.

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    Particularly effective are the circumduction of the •/ shoulder- and hip-joints, as by them a strong aspira¬ tion is produced in large veins. An additional ex¬ planation is offered with reference to these joints. The femoral vein, having received the greater number of the veins of the lower extremity as tributaries, in passing over Scarpa’s triangle on its way to the exter¬ nal iliac is, as known from auatomv, enclosed, together with the femoral artery, in a strong fibrous sheath, derived in part from a process of fascia lata; the an¬ terior part of the wall of the vein is thereby in this region attached to the fascia and follows the move¬ ments of the fascia. In the successive alternation of contraction and relaxation of the muscles surrounding Scarpa’s triangle, the fascia is elevated and depressed alternately and the vein dilated and compressed. Ex¬ periments by Loven and Ludwig are quoted in sup¬ port of these explanations. Similar reasoning may be made regarding the circumduction of the shoulder- joint. Although it is admitted, that the theoretical explanation may be open to criticism, the effect of the movements upon the circulation, for which they are administered, is actually obtained. Circumduction of the head is similarly related to the veins of the neck and head. Given with due pre¬ cautions, according to the rules of the art, it is credited with a certain effect against congestion of the head. Circumduction of trunk and circular twisting of the trunk act chiefly upon the vena cava inferior. They are credited with an effect to relieve venous stasis of the abdominal vessels. (4) Respiratory Exercises, consisting essentially of deep inspirations, administered as passive movements. Two objects are in view: (1) more complete oxygena¬ tion of the blood, (2) aspiration of the blood to the auricles. Their employment for the latter purpose is based upon the physiological fact, that the negative pressure within the thorax increases with deep inspira-
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