. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. For the raising (Fig. 65)—kyphosis—the resisting right hand rests on the spine andthe assisting left hand on the lower thorax. For the lowering(Fig. 66)—lordosis—the teacher embraces the body of thepatient, having his right arm rest on the sacrum and the leftarm press gently against the lower ribs. 17. Sitting: The most convenient way is to have thepatient sit near the edge of the table, with the knees flexedand the legs hanging down. The patient sits in an erect FAULTY POSTURE—KYPHOSIS 2


. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. For the raising (Fig. 65)—kyphosis—the resisting right hand rests on the spine andthe assisting left hand on the lower thorax. For the lowering(Fig. 66)—lordosis—the teacher embraces the body of thepatient, having his right arm rest on the sacrum and the leftarm press gently against the lower ribs. 17. Sitting: The most convenient way is to have thepatient sit near the edge of the table, with the knees flexedand the legs hanging down. The patient sits in an erect FAULTY POSTURE—KYPHOSIS 271 position; the assistant places the right arm over the upperpart of the sternum and the left hand over the upper partof the lumbar spine, and advises the patient to curve the spinepressing against both hands (Fig. 67). This exercise is notto be done as the usual forward bending with simultaneousaction of the hip flexors, but only as a curving of the , it should not be done to the extreme possibleflexion, but only enough to obtain a good contraction of theforward Fig. 66.—Knee-elbow position: Lowering against resistance. 18. After this is done the spine has to be erected again,for which the operator may give a corrective assistance(Fig. 68). The hand which works on the back may beplaced higher up or lower down, thus changing in a waythe localization of the resistance or assistance movement. 19. This exercise is similar to No. 18. The patient bendsthe spine way forward and brings it into an erect positionagainst the resistance of the operator which is to be appliedhigher up or lower down as the individual indications re-quire. To do this exercise with sufficient strength it isnecessary to fix the patients pelvis. This may be done by 272 FAULTY POSTURE—KYPHOSIS a second assistant or by a strap. A simple and very effectiveway, especially in working on adults where much strength isneeded, has been the following: A sufficiently long strapis


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