File:Rational therapy (1919) (14776191665).jpg

Identifier: rationaltherapy00lerc (find matches)
Title: Rational therapy
Year: 1919 (1910s)
Authors: Lerch, Otto
Subjects: Therapeutics, Physiological Therapeutics
Publisher: (Troy, N.Y.) The Southworth Company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
be obtained, a pureblood and a perfect circulation is fundamental. It is impossibleto discuss here every condition and disease in which general nias-sage is indicated. Every physician who understands the methodand its action and can make a diagnosis will readily know whenand how to employ it. As a general plan to give it, the followingoutline may serve: The patient is placed upon a mattress, not too soft, coveredwith a light blanket, or he lies in bed between blankets. Themassage is commenced with effleurage of feet, legs, and thighs,petrissage, friction and tapotement follow and the procedure isclosed with effleurage. He lies first on his back and when feet, legs and thighs arefinished he turns completely to receive the same treatment uponthis portion of the lower extremities. In a similar way the upperextremities are treated. The back follows—effleurage from thespine outward and upward, center, outward—^and over the lumbarregion, outward and downward. Petrissage and rubbing are
Text Appearing After Image:
Figure 10 MASSAGE AND EjXERCISE). 119 thoroughly done, first both sides along the spine, upward anddownward and a strong stroke upward or downward over thespinal processes. A thorough kneading outward and upward onboth sides and away from the spine, outward and downward inthe lumbar region. Then follows tapotement and finally vibrationalong the spine, especially over painful points. This slows pulsefrequency and has been called the digitalis of the masseur. Themassage is closed with effleurage. The treatment of the backof legs and thighs may follow or precede the massage of the back.The abdomen is then gently treated with circular strokes aroundthe navel from right to left and the chest from the sternum out-ward along the intercostal spaces. In some cases rubbing maybe added. After the massage is finished, passive exercises are usuallyadded. The joints are moved in every possible direction andpulling and stretching follow as indicated. During massage everymuscle must be completely rel

Note About Images