. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. Fig. oO.—All artive-passive exercise dexised by Codiiiaii. The patientleans forward and has his arm drop passively. This movement is oftenpossible in subacromial bursitis where an active motion at the same angleis not possible. do more harm than good. When the acute stage has passedgentle exercise may be done. For such cases the pendulumand other Zander apparatus are of decided value, thoughnot necessary. 220 SUBACROMIAL BURSITIS 2. In the subacute or adherent type the treatment out-lined
. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. Fig. oO.—All artive-passive exercise dexised by Codiiiaii. The patientleans forward and has his arm drop passively. This movement is oftenpossible in subacromial bursitis where an active motion at the same angleis not possible. do more harm than good. When the acute stage has passedgentle exercise may be done. For such cases the pendulumand other Zander apparatus are of decided value, thoughnot necessary. 220 SUBACROMIAL BURSITIS 2. In the subacute or adherent type the treatment out-lined under No. 1 will suffice as long as the adhesions areplastic. Even then the limitation may be of a chiefly spasticnature. But here a somewhat more active course is indi-cated. These are the cases where much benefit can bederived from a rational treatment which is given under full. Fig. 51.—Position for active and passive exercises of the shoulder; theforefinger of the left hand rests over the tuberosity; the middle finger overthe acromion, while the other fingers steady the scapula. The right handelevates the arm or gives resistance against drawing it downward, etc. consideration of the peculiar anatomical conditions (Fig. 51),whereas a neglect of these conditions will almost certainlydo much harm. As these cases are quite frequent I shallgive a detailed description of the treatment in the threefollowing cases which may be considered as typical. Case I.—A woman of middle age, who complained oftrouble in her right shoulder since June, 1915, from an SUBACROMIAL BURSITIS 221 unknown cause. She has not had any real injury but admitsthat she has strained her arm a great deal. In trying tokeep on using the arm conditions became worse until inOctober the arm bothered her a great deal and the shoulderbecame entirely stiff. No treatment but rest had beengiven. The p
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