If the disease has advanced so far that the child has no control whatever over the limbs, place him on a couch or bed, one operator standing at the head, holding the arms, another standing at the feet, grasping the lower extremities. Begin with gentle stroking with the palm of the hand over the extremities and the chest, gradually increasing the strength; then turn the patient over on his face, and continue the firm stroking over the back and neck. The full treatment should last an hour, and be repeated daily four or five times. (Blache.) As soon as improvement is visible, begin with certain passive movements, such as flexion and extension of the extremities, separating and closing of the knees, bending of the head, depression and elevation of the arms.

The patient is soon able to take duplicated active movements, and is finally instructed in general active movements or calisthenics, the operator keeping exact time.

Strong, persistent treatment every day, with special attention to the duplicated active movements, will yield good results.