. Annals of surgery. or an improvedattitude in order to sustain the equilibrium. (By an improved atti-tude, I mean the greatest amount of correction of the deviationof the spine that the fixation of a deformity will allow of)Hence, the greater the weight, the more forcible the actions ofthe muscles become, and the greater the temporary reduction of 244 JACOB TESCHNER. a deformity. It is by means of frequent and forcible temporaryreductions of deformities, by voluntary muscular action, that wecan hope to improve and do improve those cases which areamenable to any form of active treatment. When
. Annals of surgery. or an improvedattitude in order to sustain the equilibrium. (By an improved atti-tude, I mean the greatest amount of correction of the deviationof the spine that the fixation of a deformity will allow of)Hence, the greater the weight, the more forcible the actions ofthe muscles become, and the greater the temporary reduction of 244 JACOB TESCHNER. a deformity. It is by means of frequent and forcible temporaryreductions of deformities, by voluntary muscular action, that wecan hope to improve and do improve those cases which areamenable to any form of active treatment. When a patient, lying supine upon the floor, raises a heavybar above the head so that the arms are perpendicular to thefloor, the weight of the bar, the position and weight of the body,and the action of the muscles tend to broaden the entire backand shoulders, and a slow downward movement tends to widenthe entire chest, and most markedly at the shoulders. The fre-quent repetition of the upward and downward movement plays. FiG. 27.—Tracing of back of Case III at point ofgreatest deformity. Solid line tracing taken No-vember, 1894, after plaster-of-Paris jacket had beenworn. Broken line tracing taken by Dr. NewtonM. Shaffer, at the meeting of the Orthopaedic Sec-tion of the New York Academy of Medicine, May17, 1895. an important part in the rapid development of the chest and the bells above the head, swinging them with eachhand separately and with both hands together, raising a bar abovethe head, standing and lying down, and the exercises beforeenumerated, constitute one days work. As the amount of work performed by a patient dependsupon the last previous record of that patient, that record mustbe improved upon at each succeeding visit, unless there be a goodand sufficient reason to the contrary. Most patients can wellstand three treatments a week. In mild, habitual cases improve-ment in deportment is noticed by the patients relatives and TREATMENT OF DEFORMITIES OF THE
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