Spinal disease and spinal curvature : their treatment by suspension and the use of the plaster of Paris bandage . e irregu-larities of the surface of the entire trunk. This indication isfulfilled, as I believe, to a very considerable extent by self-suspension and the plaster of Paris jacket. Self-suspension.^—To a hook at the upper portion of an irontripod about ten feet in height, is suspended, by means of com- ^ The late Prof. Mitchel, of Philadelphia, used to treat cases of late-ral curvature by suspending them under the arms, and causing themto suspend themselves by the hands. But Dr. Benj
Spinal disease and spinal curvature : their treatment by suspension and the use of the plaster of Paris bandage . e irregu-larities of the surface of the entire trunk. This indication isfulfilled, as I believe, to a very considerable extent by self-suspension and the plaster of Paris jacket. Self-suspension.^—To a hook at the upper portion of an irontripod about ten feet in height, is suspended, by means of com- ^ The late Prof. Mitchel, of Philadelphia, used to treat cases of late-ral curvature by suspending them under the arms, and causing themto suspend themselves by the hands. But Dr. Benjamin Lee, of Phila-delphia, was the first person who caused his patients to practise self-susjjension, by climbing up a rope which passed over a pulley and wasattached to the patients head by straps, passing under the chin andocciput. SELF-SUSPENSION. 97 pound i3ulleys and tackle, the iron crossbeam devised by To this the patient is attached by the head and chincollar only, and not by axillary straps (fig. 54). The patientshould be taught to suspend himself by means of this apparatus, Fig. and be requested to take several deep and full inspirations duringsuspension. Great care should be taken that the hands he keptabove the head ; so long as this is the case, the great thoracicmuscles, as the pectoralis major, latissimus doisi, serratusmagnus, &c., are brought into play, and the ligaments of the 98 EOTARY-LATEKAL CUEVATURE OF THE SPINE. neck are relieved of the greater part of the strain. If the handsbe allowed to descend below the level of the head while thepatient is self suspended, there will be a risk of too much strainbeing thrown upon the ligaments of the neck, and of consequentserious damage. During the self-suspension some one should beat hand, especially if the suspended patient be a child, to guardagainst accident from the twisting of the rope, and to see thatthe operation is properly conducted. When the patient haselevated the body to the highest
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