Pehr Henrik Ling
Encyclopedia
Per Henrik Ling was a Swedish
Sweden
Sweden , officially the Kingdom of Sweden , is a Nordic country on the Scandinavian Peninsula in Northern Europe. Sweden borders with Norway and Finland and is connected to Denmark by a bridge-tunnel across the Öresund....

 physical therapist, developer and teacher of medical-gymnastics.

Early life

Ling was born at Södra Ljunga
Ljungby Municipality
Ljungby Municipality is a municipality in Kronoberg County, southern Sweden, where the town Ljungby is seat.In 1971 the City of Ljungby was amalgamated with the rural municipalities surrounding it, thus creating the present municipality. In 1974 a minor adjustment of the boundaries took place...

, Småland
Småland
' is a historical province in southern Sweden.Småland borders Blekinge, Scania or Skåne, Halland, Västergötland, Östergötland and the island Öland in the Baltic Sea. The name Småland literally means Small Lands. . The latinized form Smolandia has been used in other languages...

 in 1776, the son of a minister, Lars Peter Ling, and the former Hedvig Maria (Hedda) Molin. Through his mother, he was a great-great grandson of the famous Swedish scientist Olof Rudbeck (1630–1702), discoverer of the human lymphatic system. After graduating from Växjö
Växjö
Växjö is a city and the seat of Växjö Municipality, Kronoberg County, Sweden with 64 200 inhabitants in 2010. It is the administrative, cultural and industrial centre of Kronoberg County. Furthermore it is the episcopal see of the Diocese of Växjö. It has a population of about 64 200, out of a...

 gymnasium
Gymnasium (school)
A gymnasium is a type of school providing secondary education in some parts of Europe, comparable to English grammar schools or sixth form colleges and U.S. college preparatory high schools. The word γυμνάσιον was used in Ancient Greece, meaning a locality for both physical and intellectual...

 in 1792, he studied theology at Lund University
Lund University
Lund University , located in the city of Lund in the province of Scania, Sweden, is one of northern Europe's most prestigious universities and one of Scandinavia's largest institutions for education and research, frequently ranked among the world's top 100 universities...

 from 1793, but went to Uppsala University
Uppsala University
Uppsala University is a research university in Uppsala, Sweden, and is the oldest university in Scandinavia, founded in 1477. It consistently ranks among the best universities in Northern Europe in international rankings and is generally considered one of the most prestigious institutions of...

 and completed his degree there in 1797.

Travels

Ling then went abroad during seven years. Ling studied at the University of Copenhagen
University of Copenhagen
The University of Copenhagen is the oldest and largest university and research institution in Denmark. Founded in 1479, it has more than 37,000 students, the majority of whom are female , and more than 7,000 employees. The university has several campuses located in and around Copenhagen, with the...

 and taught modern languages. His journey then took him to Germany, France and England. Financial difficulties, joint (overuse) injuries and rheumatism
Rheumatism
Rheumatism or rheumatic disorder is a non-specific term for medical problems affecting the joints and connective tissue. The study of, and therapeutic interventions in, such disorders is called rheumatology.-Terminology:...

 caused him to return.

Teaching

Having established himself as a teacher in these arts at Lund
Lund
-Main sights:During the 12th and 13th centuries, when the town was the seat of the archbishop, many churches and monasteries were built. At its peak, Lund had 27 churches, but most of them were demolished as result of the Reformation in 1536. Several medieval buildings remain, including Lund...

, Ling was appointed fencing-master to the Uppsala University (1805). He found that his daily exercises had completely restored his bodily health, and his thoughts now turned towards applying this experience for the benefit of others. He saw the potential for adapting these techniques to promote better health in many situations and thus attended classes on anatomy
Anatomy
Anatomy is a branch of biology and medicine that is the consideration of the structure of living things. It is a general term that includes human anatomy, animal anatomy , and plant anatomy...

 and physiology
Physiology
Physiology is the science of the function of living systems. This includes how organisms, organ systems, organs, cells, and bio-molecules carry out the chemical or physical functions that exist in a living system. The highest honor awarded in physiology is the Nobel Prize in Physiology or...

, and went through the entire curriculum for the training of a doctor. He then elaborated a system of gymnastics
Gymnastics
Gymnastics is a sport involving performance of exercises requiring physical strength, flexibility, agility, coordination, and balance. Internationally, all of the gymnastic sports are governed by the Fédération Internationale de Gymnastique with each country having its own national governing body...

, exercises and maneuvers, divided into four branches, (1) pedagogical, (2) medical, (3) military, (4) aesthetic, which carried out his theories and would demonstrate the required occidental scientific rigor to be integrated or approved by established medical practitioners.

After several attempts to interest the Swedish government, Ling at last obtained government co-operation in 1813, when the Royal Gymnastic Central Institute for the training of gymnastic instructors was opened in Stockholm
Stockholm
Stockholm is the capital and the largest city of Sweden and constitutes the most populated urban area in Scandinavia. Stockholm is the most populous city in Sweden, with a population of 851,155 in the municipality , 1.37 million in the urban area , and around 2.1 million in the metropolitan area...

, with Ling appointed as principal. The orthodox medical practitioners were naturally opposed to the larger claims made by Ling and his disciples concerning cures of diseases, so far at least as anything more than the occasional benefit of some form of skillfully applied massage and maneuvers was concerned; But the fact that in 1831 Ling was elected a member of the Swedish General Medical Association (Svenska läkaresällskapet) shows that in his own country at all events his methods were regarded as consistent with professional recognition. He was elected a member of the Swedish Academy
Swedish Academy
The Swedish Academy , founded in 1786 by King Gustav III, is one of the Royal Academies of Sweden.-History:The Swedish Academy was founded in 1786 by King Gustav III. Modelled after the Académie française, it has 18 members. The motto of the Academy is "Talent and Taste"...

 in 1835 and became a titular professor
Professor
A professor is a scholarly teacher; the precise meaning of the term varies by country. Literally, professor derives from Latin as a "person who professes" being usually an expert in arts or sciences; a teacher of high rank...

 the same year.

Legacy

Ling died in 1839, having previously named as the repositories of his teaching his pupils Lars Gabriel Branting (1799–1881), who succeeded him as principal of the Institute, and August Georgii, who became sub-director; his son, Hjalmar Ling (1820–1886), being for many years associated with them. All these, together with major Thure Brandt, who from about 1861 specialized in the treatment of women (gynecological gymnastics), are regarded as the pioneers of Swedish medical gymnastics.

Ling and his earlier assistants left no proper written account of their treatment, and most of the literature on the subject is repudiated by one set or other of the gymnastics practitioners. The origins and greatest influences of Dr Ling's work was certainly those of his Chinese friend "Ming" who had introduced him to Tuina and martial arts. The loss of filiation with these oriental influences were uncovered inadvertently by Johan Georg Mezger (1838–1909) who coined a reduced set of maneuvers and techniques of Dr. Ling's system as the "Swedish massage" system. These techniques were effleurage
Effleurage
Effleurage, a French word meaning "to skim" or "to touch lightly on", is a series of massage strokes used in Swedish massage to warm up the muscle before deep tissue work using petrissage....

(long, gliding strokes), petrissage
Petrissage
Petrissage are massage movements with applied pressure which are deep and compress the underlying muscles. Kneading, wringing, skin rolling and pick-up-and-squeeze are the petrissage movements...

(lifting and kneading the muscles), friction (firm, deep, circular rubbing movements), tapotement
Tapotement
Tapotement is a specific technique used in Swedish massage. It is a rhythmic percussion, most frequently administered with the edge of the hand, a cupped hand or the tips of the fingers...

(brisk tapping or percussive movements), and vibration (rapidly shaking or vibrating specific muscles). These are also basic techniques of tui na and Chinese massage.

Ling's system of medical gymnastics also influenced later institutions and systems. The Gymnastic Orthopedic Institute was founded in Stockholm in 1822 by Nils Åkerman, which after 1827 received a government grant. Around 1857, Gustaf Zander elaborated a medico-mechanical system of gymnastics, known by his name, and started his Zander Institute at Stockholm in 1865. At the Stockholm Gymnastic Central Institute, qualified medical men have supervised the medical department since 1864. The course is three years; one year for qualified doctors.

Broadly speaking, there have been two streams of development in the Swedish gymnastics founded on Ling's beginnings, either in a conservative direction, making certain forms of gymnastic exercises subsidiary to the prescriptions of orthodox medical science, or else in an extremely progressive direction, making these exercises a substitute for any other treatment, and claiming them as a cure for disease by themselves. A representative of the latter, more extreme, section was Henrik Kellgren (1837–1916), who had a special school and following.

Other variants and accounts of Dr Ling's practice and philosophies were published: a Handbook of Medical Gymnastics (English edition, 1899) by Anders Wide of Stockholm represents the more conservative practice. Henrik Kellgren's system, which, though based on Ling's, admittedly goes beyond it, is described in The Elements of Kellgren's Manual Treatment (1903) by Edgar F. Cyriax, who, before taking the MD degree at Edinburgh, had passed out of the Stockholm Institute as a gymnastic director. See also the encyclopedic work Sweden: its people and its industry: historical and statistical handbook (1904), p. 348, edited by Gustav Sundbärg for the Swedish government.
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