. Lateral curvature of the spine and round shoulders . part of the spine may be securedby this method is demonstrated by the .v-rays shown in the illustra-tions. The patient was a girl of seventeen, with a severe rightdorsal curve, which was extremely rigid and had never been first x-ray was taken with the patient lying on the back. A correc-tive jacket was applied in the Adams apparatus, the front and back of ^Ziegler; Pathology, English ed., 1S96, ii, 146. FORCIBLE CORRECTION. l6l the jacket were cut away to permit another .r-ray, and the improvementin position is evident. It see
. Lateral curvature of the spine and round shoulders . part of the spine may be securedby this method is demonstrated by the .v-rays shown in the illustra-tions. The patient was a girl of seventeen, with a severe rightdorsal curve, which was extremely rigid and had never been first x-ray was taken with the patient lying on the back. A correc-tive jacket was applied in the Adams apparatus, the front and back of ^Ziegler; Pathology, English ed., 1S96, ii, 146. FORCIBLE CORRECTION. l6l the jacket were cut away to permit another .r-ray, and the improvementin position is evident. It seems reasonable to hope that the mainte-nance of such an improved position may be expected in time to producea change in the shape of the vertebrae. It is obvious that such a cor-rected position must be maintained over a period of many months tosecure permanent results. As a rule, the first corrective jacket doesnot secure the maximum correction, and a second or even third correc-tive jacket should be applied if there is reason to suppose that there is. 133.—Patient Seventeen Years Old, Never Previously Treated, BeforeTreatment.—{Jour. Am. Med. Assti.) further gain to be obtained. An interval of one or two weeks betweenthe jackets is sufficient (Figs. 130-132). When this final jacket has been applied, there are two methods ofprocedure, (i) The final jacket may be removed, and one holdingan equally good positicn may be applied after a month or more from theforcible correction (see Braces and Corsets). This jacket is worn nightand day, and is to be removed only during the exercise periods, gym-nastic treatment having been commenced when the final jacket is re- l62 TREATMENT. moved, (2) In the second method of procedure the final correctivejacket is worn for a year or more without being split, with a view toconforming the childs figure to the shape of the jacket, just as a club-foot is made to grow straight in a corrective plaster splint and as theChinese girls foot is shaped by
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