Lateral curvature of the spine and round shoulders . ent chafing. Theaddition of 5 per cent. Portland cementto the plaster with which the jacket ismade gives greater strength and dura-bility. This jacket is to be worn by thepatient night and day and to be removedonly for the exercise period, whichshould consist of one hour or moredaily, the exercises being of the typementioned above. When the jacket isapplied, it is sprung open and slippedon the patient, who then lies on theback, and the arms and legs are pulledon to extend the spine. It is thenbuckled tightly in place before thepatient stands
Lateral curvature of the spine and round shoulders . ent chafing. Theaddition of 5 per cent. Portland cementto the plaster with which the jacket ismade gives greater strength and dura-bility. This jacket is to be worn by thepatient night and day and to be removedonly for the exercise period, whichshould consist of one hour or moredaily, the exercises being of the typementioned above. When the jacket isapplied, it is sprung open and slippedon the patient, who then lies on theback, and the arms and legs are pulledon to extend the spine. It is thenbuckled tightly in place before thepatient stands up. Such jackets maybe made more effective by padding in-side of the jacket over the convexityof the curve with a large window cuton the side of the concavity. The Cook Strap.—The use of a broad webbing strap passingaround the convexity of the spine and coming out of a large windowon the opposite side of the jacket has been advocated by Cook^and possesses certain advantages over padding in removable jackets Am. Journ. of Orth. Surg., July, Fig. 143.—Fenestrated Jack-et Applied to Patient withLower Dorsal Curve Strap inPlace.—(Ansel G. Cook.) 174 TREATMENT and even in permanent forcible jackets. It is easily adjustable, givesa well-distributed pressure and can be varied by the position ofthe strap to attack either the rotation or side deviation. In con-nection with a large window on the concave side of the curve itfurnishes a powerful means of constant correction. Cook appliesthe strap to a jacket with large windows on both sides but the writerhas found the best use of the strap as a substitute for paddingin jackets not in any way modified from the usual pattern.
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Keywords: ., bookauthorlovettrobertwrobertwi, bookcentury1900, bookdecade1910
