patient should rest for an hour, lying flat on
the back. During the exercises the breathing should be carefully
regulated, and at the end of each movement one or two deep breaths
should be taken. Each movement should be carried out slowly, the
number of times it is repeated varying from four to twelve or more,
according to the nature of the exercise and the strength of the
patient. The exercises should be stopped if the patient feels
fatigued. Hot-air baths and massage are useful adjuvants to all forms
of exercise.
#Special Exercises for Thoracic Curvature with convexity to
right.#--1. _Stand_ with arms by side; palms directed forward;
shoulders braced back. This is referred to as the "_best standing
position_" or _original position_. 2. Slowly raise arms from sides
until level with shoulders, with palms directed forward; carry left
arm straight upward--"_the keynote position_." Then slowly lower left
arm to level of shoulder; lower both arms into original position. 3.
_Assume keynote position_: slowly bend body forwards at hips until
stooping position is reached, with legs kept quite straight, head bent
slightly backwards, and eyes directed forward. Gradually return to
keynote and original positions. 4. _Keynote position_: slowly bend
whole spine to right; resume keynote and original positions. 5.
_Keynote position_: turn body forward sideways. 6. _Keynote position_:
rise on to balls of toes. 7. _Keynote position_: rise on to balls of
toes; bend knees; back to original position in reverse order. 8.
_Patient suspended from bar or rings, the left end of the bar or left
ring being three inches higher than the right._ (_a_) Draw right knee
upwards and forwards against resistance. (_b_) Draw legs apart against
resistance. (_c_) Draw legs together against resistance. 9. _Patient
lying on back._ (_a_) Bend right knee- and hip-joints against
resistance. (_b_) Extend right knee and hip against resistance. (_c_)
Rotate right hip against resistance. 10. _Patient lying on face with
pillow under chest_; slowly raise arms to keynote position. While
limbs are firmly held by a nurse, raise the body backwards and to the
right. 11. _Same position_: make swimming movements. 12. _Patient
astride a narrow table or chair, without a back._ (_a_) Repeat
exercises 3, 4, 5, and 11. (_b_) Bend body forwards, backwards; and
rotate to right and left against slight resistance made by nurse
grasping patient's shoulders.
_Klapp's "four-footed"
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