Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . t. Correct school desks and seats should be insisted upon(Fig. 1045J. Improvement of the general health and the local tone of the THE SPIXE 353 muscles of the back are essential, and best accomplished by work in the openair which requires the use of all the muscles of the back up to the point offatigue. If this cannot be done then gymnastic exercises may be used(see Teschner: Annals of Surgery, Vol. XXII, page 230). Heavy dumb bells are of service. Muscle-building


Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . t. Correct school desks and seats should be insisted upon(Fig. 1045J. Improvement of the general health and the local tone of the THE SPIXE 353 muscles of the back are essential, and best accomplished by work in the openair which requires the use of all the muscles of the back up to the point offatigue. If this cannot be done then gymnastic exercises may be used(see Teschner: Annals of Surgery, Vol. XXII, page 230). Heavy dumb bells are of service. Muscle-building exercises are used,especially applied to the back muscles. The patient is held prone with thebody above the groins projecting over a table and caused to extend the spineas many times as possible (Fig. 1046). He is caused to stand and benddownward and upward (Fig. 1047), and to flex the spine laterally as far aspossible (Fig. 1048). A tendency to recur between treatments should beovercome by a corset, applied with the patient suspended (see Spondylitis,page 332) and with lateral bandages so applied as to make pulling pressure. Fig. 1047. Fig. 1048. Fig. 1049. Fig. 1047.—Exercises for Strengthening Extensor Muscles of 1048.—Lateral Bending Exercises to Strengthen Muscles of the 1049.—Plaster-of-Paris Jacket for Treatment of Curvature of jacket may be reinforced by a steel brace. The window is cut on the concave side. upon the convexities. The corset should be removed for treatment daily,and reapplied with the patient suspended. It should be worn only at suchtimes as the patient is in repose and apt to relapse into scoliotic positions(Fig. 1049). Self-suspension, in the suspension apparatus used for applying spinalsupports, aids in straightening the spine. The incbned plain seat, raising theside of the pelvis so as to overcorrect the curvature is of service and may beused in all of the patients sitting places (Fig. 1050). The same correctionma


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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920