This is another disease for which the rest cure is beneficial ; the patient is kept in bed, and regularly fed, and has massage twice daily from fifteen to thirty minutes. The massage is gentle, effleurage in all its varieties ; circular effleurage soothes these patients in a marked manner. It is well to begin the séance with circular effleurage on the spine, from neck to sacrum. When the muscles are somewhat under control, active exercises are commenced, the patient being got to concentrate her will on the regularity and evenness of the movements. Later on, as improvement takes place, resistive movements and pétrissage are added.

Tapotement is not advisable, as it tends to excite the patient and increase the nervous movements.

It is difficult to do perfectly even movements with a patient continually moving about.

If the massage is commenced by soothing movements on the spine, it is possible to quiet the child, so that the rest of the work can be done with little movement on her part.