. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. ilyand at any time of the day and in an increasingly wider three months of treatment the patient was practicallycured except for a slight and unimportant amount ofrestricted motion. The treatment was given at first in thelying position only, later also in the upright position andwith the use of a cane. To obtain the last 25 to 30 degrees of motion which oftenrequire a comparatively long time, the following cane exer-cises are recommended besides those described in ChapterIV, p


. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. ilyand at any time of the day and in an increasingly wider three months of treatment the patient was practicallycured except for a slight and unimportant amount ofrestricted motion. The treatment was given at first in thelying position only, later also in the upright position andwith the use of a cane. To obtain the last 25 to 30 degrees of motion which oftenrequire a comparatively long time, the following cane exer-cises are recommended besides those described in ChapterIV, pages 4G-48: 1. The operator stands behind the patient who holds thecane on his back with the arms straightened out. Then thepatient moves the cane backward as much as possible, theoperator giving resistance, and when the farthest limit isreached the patient moves it back again toward his body, the 224 SUBACROMIAL BURSITIS operator ao:ain giving resistance. At the same time thebeginning of the second half of this exercise is used for a vigor-ous stretching in the manner of an eccentric resistance exer-. FiG. 52.—Cane exercise for backward motion of arms. cise, the operator holding the cane with his right hand andwith his left hand steadying the scapula (Fig. 52). 2. The patient bends his elbows, thereby raising the canehorizontally as much as possible. Now the operator grasps SUBACROMIAL BURSITIS 225 the elbows and gives resistance, concentric and eccentric,while the patient moves his elbows forward and exercise may be done symmetrically or asymmetrically.(Fig. 53.) In order to apply greater force the operator pushes hisright arm under the patients arm (in an affection of the


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