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By John Russell Silver

Injury of the spinal twine has been recognized when you consider that antiquity. there is not any healing for the harm and till sleek occasions sufferers died quickly from a mix of strain sores and urinary tract an infection. therapy contains combating issues until eventually the backbone has stabilised and the sufferer could be rehabilitated to an self sustaining lifestyles. History of the therapy of Spinal Injuries explores how this therapy built within the old global, the center a while, in Europe, nice Britain and latterly within the usa. It describes how those ideas of remedy have been recognized and explores the connection and competition of the strong personalities of the medical professionals who built this therapy opposed to the social historical past at various times.

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This had to wait until the MRC publication in 1924. The United Kingdom 13. 43 REHABILITATION At the time of the First World War physiotherapy was not a recognised speciality as it is today. Nevertheless different forms of treatment, such as electricity, hydrotherapy, massage and manipulation, were used to treat the patients. Massage had a murky history, being associated with quackery and immorality but, by the time the First World War broke out, a Society of Trained Masseurs had been formed. 1 Exercise, massage and manipulation The evolution of systematic exercise as a form of treatment was accredited to Pehr Ling (1776-1839) who was a Swedish practical physiologist.

When he died in 1839, there was a permanent organisation and a devoted band of pupils to carry on his work of remedial gymnastic exercises. This was called the Swedish drill. Swedish gymnastics were introduced into British schools when the local school boards, following the extension of schooling through the Education Act of 1870, were faced with sickly and undersized children. Physical education colleges emerged across the country to train the women teachers and most took up the Ling system of educational gymnastics although some authorities preferred the exercises for the re-education of ataxic muscles devised by Professor Ernst von Leyden (1832-1910) and Dr Heinrich Frenkel (1860-1931).

In 1918 Riddoch had 40 cases of spinal cord transection at the Empire Hospital. Cushing wrote: " ... dinner with several neurologists and neurosurgeons, among whom there was little agreement about heads, spines and peripheral nerves ... " (Cushing, 1936) Other than this reference to the Empire Hospital, Cushing does not specify where spinal cases were treated. He could have been referring to shell shock patients or patients with other types of neurological injuries. Arrangements were made for patients to be segregated under specific disabilities but there is no mention at all of spinal patients.

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