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54

(1890) [MARC] Author: Arvid Kellgren
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54 PASSIVE MOVEMENTS:
" 2. Diminution of pain (as seen in facial neuralgia, sciatica,
migraine, and similar disorders).
" 3. Contraction of the smaller blood-vessels. (Heaviness of the
head is quickly relieved by stimulation of the sensory nerves of
the scalp. Frictions over the sensory branches of the cervical
and brachial plexuses in the neck produce in nearly every
person a chilly feeling passing down over the body, often accom-
panied by cutis anserina.)
" 4. Stimulation of the muscles to contraction. (In several
persons in a weak condition, and some whose nervous system was
highly irritable, I have seen this well marked ; frictions over the
K musculo-spiralis being followed by corresponding flexion and
extension of the wrist, and also of the fingers.)"
I may mention that in a lady patient, whom I have seen
during the last weeks of my stay at Pola, and who sufifered from
spastic (reflex) paraplegia, whose inferior extremities had remained
stiffly extended for nearly five years, after a diflicult child-bed,
contraction of the muscles and flexion of the legs instantly
followed stimulation of the nerves of the leg and those under the
foot. They returned to their extended position when the stimu-
lation ceased ;
but, after treatment for a few times, the feet could
be separated for a distance of about 20 cm., and the stiffness
of the knee and ankle was not so absolute as before. I can
add
" 5. Increased secretion of the glands. (Frictions over the
facial nerve, or in the situation where the submaxillary ganglion
lies, are instantly followed by increase of the secretion of
saliva.)
" 6. Diminished excretion from the skin. I have often noticed
while treating patients with frictions over the cervical nerves
that the perspiration which at first has been perceptible all over
the body has quickly disappeared under the influence of these
movements, and that free perspiration in the palms of the hands
has passed away on frictions being applied to the median
nerve.

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