A treatise on orthopedic surgery . by X-ray pic-tures that the internal viscera may be lifted from three to sixinches by muscular effort in the erect posture, it is apparent thatserious and permanent displacement of these organs may resultfrom habitual deformity. The treatment is similar to that of lateral curvature. Theassumption of the military attitude, with the head erect, the 228 OETHOPEDIC SVBGEEY. cliin depressed, the shoulders thrown back, the chest expanded,and the abdomen retracted, should be encouraged. And thoseexercises that expand the chest and that strengthen the musclesof the u
A treatise on orthopedic surgery . by X-ray pic-tures that the internal viscera may be lifted from three to sixinches by muscular effort in the erect posture, it is apparent thatserious and permanent displacement of these organs may resultfrom habitual deformity. The treatment is similar to that of lateral curvature. Theassumption of the military attitude, with the head erect, the 228 OETHOPEDIC SVBGEEY. cliin depressed, the shoulders thrown back, the chest expanded,and the abdomen retracted, should be encouraged. And thoseexercises that expand the chest and that strengthen the musclesof the upper jiart of the spine are especiallv important. (Suchexercises are illustrated by Figs. 112, 113, 119, 120, 131, 132,133, 134, 136, 139, 150, and 151.) If the range of verticalextension of the arms is limited, this restriction must be over-come before the deformity of the spine can be permanentlyimproved. In well-marked cases the patient should be encour-aged to read or study in the prone posture. In this attitude, in Fig. A brace for round shoulders. (Goldthwait. which the trunk must be supported upon the elbows and the headheld backward, there is necessarily an involuntary correctionof the deformity. In certain instances a light spinal brace orcorset may be employed during the hours when the passive atti-tude must be assumed (Fig. ITl). Shoulder braces, so-called,are useless, because the lumbar lordosis is increased when theshoulders are drawn backward. Clothing should not restrictthe movements of the arms or trunk, and as little weight aspossible should be suspended from the shoulders. In the moreextreme cases a Calot jacket should be applied as described inthe chapter on Potts disease. If the kyphosis is of long dura-tion and rigid, as in adolescent cases, forcible manipulation DEFORMITIES OF THE SPINE. 229 under ansesthesia may be of service before applying the treatment by manipulation, exercise and posture iscontinued as in cases of the ordinary
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
