Identifier: buffalomedicaljo4119unse
Title: Buffalo medical journal
Year: 1902 (1900s)
Subjects: Medicine
Publisher: Buffalo, N.Y. : [s.n.]
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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mobility ofthe different sections of thespine is next in order. Byplacing: successively one ortwo thin books under onefoot as the patient standswith extended knees, we tiltone side of the pelvis up-ward and produce a com-pensatory curve in the lum-bar reg:ion. If lumbar cur-vature is present with con-vexity to the left, raising:the pelvis by a book underthe left foot will diminishthe curve, but a book underthe rig^ht foot will increase it. If a lumbar curve canFig. III., Case i.—Same patient showing correc-tion obtained in the pressure machine. be corrected Or Overcor- rected by this means it is a flexible curve. To test the motions of the dorsal spine the patient must claspthe hands high above the head and bend forward, backward,and to the rig-ht and left sides while the pelvis is steadied by theexaminer. The patient should try to make the bend as hig:h upas possible, not in the lower lumbar reg-ion. Inspection of theback during: these movements g^ives information as to the charac-

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LE BRETON : ROTARY LATERAL CURVATURE OF THE SPINE. 807 ter of the curvature. If stiffness and slig^ht changes only incontour follow these efforts, it is positive that changes in thebones, ligaments and muscles have occurred, a condition calling-for special treatment. A normal child can clasp the hands highabove the head without increase of the normal lumbar lordosis;a round-shouldered child cannot. Another means of testingmobility is to draw the patient up in a Sayres suspensionapparatus, or in lieu of this to have an assistant place the palmsof his hands under chin and occiput and draw the patient upfrom a sitting posture. The spine will then straighten as muchas its conformation will permit. Hanging by the hands is aninferior test, because of the attachments of the scapular musclesto the spinous processes of the vertebrae. A final test ofmobility is to place the patient in the pressure machine (see fig.HI.), to discover to what degree direct force will overcome thedeformity. Experim

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Tagged: , bookid:buffalomedicaljo4119unse , bookyear:1902 , bookdecade:1900 , bookcentury:1900 , booksubject:Medicine , bookpublisher:Buffalo__N_Y_____s_n__ , bookcontributor:The_College_of_Physicians_of_Philadelphia_Historical_Medical_Library , booksponsor:The_College_of_Physicians_of_Philadelphia_and_the_National_Endowment_for_the_Humanities , bookleafnumber:817 , bookcollection:medicalheritagelibrary , bookcollection:collegeofphysiciansofphiladelphia , bookcollection:americana