. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. Fig. 10.—Pushing cane upward; extension of shoulder and elbow. EXERCISES WITH ROPES AND PULLEYS. Another cheap and simple apparatus is that made of arope and a few pulleys. Figs. 11 to 16 will serve as examples,though the varieties which are possible with this arrangementare numerous. In most houses or apartments the screwsfor the pulleys can be applied without any damage to thewalls and doors. EXERCISES WITH ROPES AND PULLEYS 49 A weak and lame shoulder may again serve as an s
. A manual of therapeutic exercise and massage, designed for the use of physicians, students and masseurs. Fig. 10.—Pushing cane upward; extension of shoulder and elbow. EXERCISES WITH ROPES AND PULLEYS. Another cheap and simple apparatus is that made of arope and a few pulleys. Figs. 11 to 16 will serve as examples,though the varieties which are possible with this arrangementare numerous. In most houses or apartments the screwsfor the pulleys can be applied without any damage to thewalls and doors. EXERCISES WITH ROPES AND PULLEYS 49 A weak and lame shoulder may again serve as an such eases if motion is at all possible the elevators of thearm are frequently too weak to lift it with sufficient ease andcomfort. The deltoid, which often atrophies very quickly inaffections of the shoulder must be assisted, because danger existsthat most of the elevation is done by the anterior serratus, with. Fig. 11.—Abduction of arm. scapula and humerus held in muscular fixation; instead of amovement of the humerus in the humeroscapular joint thescapula is abducted alone, and thus the deltoid exposed totension which is decidedly unfavorable for a weak danger is still greater when the deltoid is paralytic orparetic, or when the tendon of the supraspinatus muscle or4 50 APPARATUS, SPORTS AND GAMES its insertion has been injured. In such cases the sand-bagwill assist the deltoid and supraspinatus; it will allow move-ment in the humeroscapular joint and thus an exercise maybe done which otherwise would require the help of anassistant. It cannot be denied that technically perfect apparatus willserve somewhat or perhaps much better, but what is chieflyneeded is to bring such means within the reach of everybodywhich enable the physician to advise his patient as to simpleand inexpensive constructions.
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