. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. of lateral curvaturebecome more or less stretched out in suspension this positionhas for a long time been considered as especially valuable. Itcannot be denied that suspension produces a very markedmobilizing effect upon the contracted spine, but the ques-tion is: Is this form of mobilization of value? Webelieve that it is often not, because the muscles are notstrengthened in proportion to the speed of mobilization. Butunless this is done no good effect can be expected from themobilizatio


. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. of lateral curvaturebecome more or less stretched out in suspension this positionhas for a long time been considered as especially valuable. Itcannot be denied that suspension produces a very markedmobilizing effect upon the contracted spine, but the ques-tion is: Is this form of mobilization of value? Webelieve that it is often not, because the muscles are notstrengthened in proportion to the speed of mobilization. Butunless this is done no good effect can be expected from themobilization. We have seen girls in orthopedic clinics whoseheight could be increased four or five inches by being released from the headsling they collapsed likean accordion. For many years we have given up the suspen-sion with the head alone and use it only in selected cases in EXERCISE TREATMENT OF LATERAL CURVATURE 289 combination with hand suspension for rather short periods(Fig. 70).^ We entirely agree with Menciere when he says thatscohotic spines which can be materially corrected by sus-. FiG. 70.—Suspension by hands and head. The patient is shown hangingon one of Zanders apparatus; by pulling one or both handles down the seatis raised on one side. pension are not suitable for exercise treatment in suspensionor in weight-bearing, but only such cases which show abilityto strengthen and correct the spine by muscle 290 LATERAL CURVATURE Of great value, however, is the hand suspension on theSwedish ladder or on rings or a trapeze in combination withactive exercises of the arms, legs, and trunk. Such exercisesmay be done in various ways, subject to modifications ac-cording to the character of the deformities (Figs. 71 and 72).


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