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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    neous nerves upon the inhibitory nerve of the heart. It has been suggested, that the physiological experi¬ ment by Goltz, in which, by slapping the surface of the abdomen of a frog, cardiac inhibitory effects are exhibited, may be regarded as a possible analogous phenomenon. However defective the physiological interpretation of these manipulations may be, among those who have most experience in the matter there is a general agreement about the effect of the manipu¬ lation. I have had occasion to ascertain in cases of mitral regurgitation with symptoms of insufficiency in milder degree, that I was able to reduce the rate of the pulse with from five to twelve beats by this manipulation continued during five to seven minutes. Tbe effect is most marked, when the pulse-rate is high, 110 or more. (7) Certain Active Movements are administered in the progression of the treatment. The experience is, that violent, vigorous, rapid, long-continued and frequently repeated exercises, particularly of the upper extremities involving the muscles of the thorax, have a deleterious influence upon the heart. On the other hand, experience has also taught, that milder, active movements of the lower extremity, carried out in slow rhythm, also respiratory exercises, have a calming influence upon the heart. In the after-treatment of heart diseases several milder active movements are given in reclining or sit¬ ting posture, such as Flexion and extension of the hands. Flexion and extension of the feet. Flexion and extension of the knee. Flexion and extension of the elbow. Flexion and extension of the hip. Rotation of the hip. Abduction and adduction of the hip. Pronation and supination of the forearm. They are given with a view of obtaining a livelier operation of the auxiliary forces of circulation, with-
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