Compiled by http://gomilitary.in

THE

TREATMENT

OF

BY

The fathers

human had

was for

to

is of equal

perform

which of

muscles

on

interossei,

and

too

inner

border

posterior,

prevent

for

importance cure

the

to

transverse

lowering

often be unnecessary. two types of gymnastics

the

of

muscles

of which

the may

the

mechanical The the

purlifting

arch,-tibialis

digitorum

longus,

functioned

arch,

in-

exercise

of

flexor

feet

and

cases.

portion foot

the

flat-foot,

than,

longus,

If the

painful

of

strengthening

hallucis

longus.

cramp

longer

painful

individual

systematic

and

which

treatment

fore-

of us no

becomes

sold

Our

most

shoes

often

the

EXERCISE

gripping.

which

of more

flexor

the

foot In

if not is

organ of

the

OF

GERMANY

climbing

wearing

generally

peroneus

would There are

the

MEANS

LEIPZIG,

an and

function.

exercises

the

would

to

with,

are

tibialis

anterior,

they

its

medical

originally

pavements,

importance

supports pose

hard

M.D.,

walking

due

on

adequate

support

foot

Nowadays, walking

BY

BETTMANN,

a capacity

possess. and

ERNST

FLAT-FOOT

and

properly,

mechanical

be employed

to correct

flat-foot: 1.

A series of foot exercises which can the nurse, or the family doctor. Exercises by means of special apparatus,

mother, 2.

of the

exercise

strengthening

to

be

of the

increased weak

as

much

be

supervised which

by

permit

as is necessary

for

the

wise

the

amount

the

gradual

muscles. EXERCISES

Concerning foot

exercises

the which

first

type,

may

already

the

author

FIG. Exercise

suggests

be known:

with

the

1-A medicine

ball.

the

following

simple

Compiled by http://gomilitary.in

ERNST

BETTMANN

1.

Walking

coarse

and

stubbles,

and

2.

:“

the

foot. 3.

ball

“ (a wooden

sole

and

worn

4.

“ Towel

a pine

cones

the

with or

the

medicine

chestnuts.

(See

musculature

experience,

of

ball

the

entire

it is possible

and

leg.

to develop

this

With

the

which

and

the in

help

treatments the

and

exercises

games,-foot

throwing

of pine

games of

im-

adduction.

children,

Both

innumerable

on a straw

a sandal).

to make

gripping

1-B.)

of

“Spitzy

sewed

employed

and

improves

strengthens the arch

exercises”,

for

the

1-A

Figures

as

order be

on

(grass,

so-called

ball

flexion

attractive

cone.

rope;

of the

both

may gymnastics

Use

In

1-B

with

feet

pebbles).

and breathing, muscles, and raises

prove FIG.

bare ground

Jumping

posture the calf

Exercise

with

uneven

strengthen

imagination

combinations

and

of exercises.

APPARATUS

The

following

carpenter

in

and

mechanic,

have

1.

Fixation

of the

Pressure

of a stable

foot 3. All

lower

The

Potter’s It

with

consists

of a slanting rubber.

height

(See

for

maintained

by

The

two

joint,

can

forty

against

the

a good

weakest

position. knee bent

the

point.

at

right

in diameter,

disk

revolves

of a screw right

and

and

Both

The

disk.

The

means

of

straps.

centimeters

2.)

in position.

Fool-Correction

heel

by

principles:

angles

the

plate. the

talonavicular

amount of the

twenty

centimeters

disk

means

clamp

can

wheels

fixed

hub

in supination. of a screw,

have

joint.

of flexion

Movement

foot by

of the

covered four

On the

left

loosened

wings

on

adjustable

The

fixation

be varied

by raising

difficult

by means

is made

is

weight.

A wooden

height

pointed-toe out with

disk, by

redressment

the

lowering

a round

cushion

plate for the can be tightened

heel the

of a braking

The

made

joint;

Figure

is adjustable

to fix the

cushions

be

corrective

perpendicular.

there is an adjustable A heel clamp, which helps

these

supination;

correction

adduction and must be carried

leg

can

bases

Disk

rough its

in

which

their

talonavicular

Regulated exercises

the

as

heel

arch,-the

and

and

of apparatus,

2.

the

and

types

rests

Ball ball, which

about makes

on a support.

he regulated

possible

(See

; by screw

its

Figure b, the THE

in diameter, adjustment

3.) degree JOURNAL

in

By

is mounted every

means

of screw

of supination OF

BONE

on

direction.

a, the

is controlled; AND

JOINT

SURGERY

Compiled by http://gomilitary.in

TREATMENT

by screw foot,

C, fixation

ball

or

vertical

order

in

the

the just

This

angle

is

The

foot

which

is laid

and

passed

over

Another

front

is attached strap

a pulley lever

of

flexion.

permits

of the lever pull on the

at

laid

NO.

of the

adduction

can

to be

ball adduct

regulated

led

in axis

with the

the

extreme of

a bar,

the

d,

manipulation

so that heel and The 3. JULY

over

of the of the

when

is

d..

around

and

The

is possible. XIX,

lever

made

foot

is connected

VOL.

of

to the is

be

the

lever

foot

heel

other end attachment

plantar

which

axis is obliged

the

the

to must

front

of

foot

to the

by moving

A

around

foot

the The

a

a.

of the

at c.

straps

be regulated

the

correction

parallel

in on

stirrup,

cuff,

the

shown rests

ankle

b.

and

the

Stiffened

strap

foot,

amount

d, the

screw

If the

foot,

with

described.

Limbering

cushioned

the

The

can

support.

the

by

is horizontal

which

heel

with

ball.

apparatus 4.

fixed

ball

3

exercise ball.

Adults

in

Figure

; and

of the

of the

a right

to move

for

is guaranteed

axis

is afforded,

elevation

manner

Feet

heel

If the

at

Apparatus

Grasping foot-correction

exercise”

by

and

in

Flat

disk.

of the

a “grasping

the

FIG.

potter’s

is adjusted.

cushion

823

FLAT-FOOT

2

FIG.

The

OF

1937

a corrective front of the toes

rest

on

FIG. Apparatus in adults.

for

limbering

4 stiffened

flat

feet

is

Compiled by http://gomilitary.in

824

ERNST

BETTMANN

5

FIG.

The

turbine

wheel:

a: grasping b: adduction

an

adjustable

can

apply

The

plate, which fixes and the treatment himself. results obtained by the use

of the Achilles tendon arch in the talonavicular metatarsal from

part toe

to

of the

heel

of this apparatus, period of from preparing many The

Turbine To

bine ferent

and

pointing joint;

foot

together

which twenty stiffened

into

exercises exercises.

mobilizes of this

so

apparatus

; and

mobilization

(4) of

can be used from to thirty minutes, and painful feet

the

that

the

are : (1)

of the calcaneum (3) conversion of

pronation

with

them,

patient

stretching

; (2) raising the position

shortening

of the of the

of the

With

toes.

front

the

help

two to three times daily the author has succeeded for the wearing of arches.

for

a in

Wheel

make

wheel”

foot has

calisthenics been

adjustments

muscles,

and

parallel

wooden

can disks,

for

constructed.

it permits it

attractive

be

used covered

(See

the

corrective

for

both with

children,

Figure

the

THE

5.)

exercise right

rubber, JOURNAL

the

so-called

By

means

of practically and

about

the

left

twenty OF

BONE

“turof

all foot.

diffoot Two

centimeters AND

JOINT

in SURGERY

Compiled by http://gomilitary.in

TREATMENT

diameter, wooden

and spokes.

supplied only.

with

about thirty centimeters The resulting turbine an adjustable

On the

same

bar to support fixed in the rest talonavicular that the child permits spokes can on

brake

plate

which

the adjustable by a bandage

to

the

plate

also moves done.

the

animal

and

the

movement turbine

heel rest. The strap and a rubber

the

can

wheel

on

by means of an axle and

in one there

direction is a metal

heel of the foot remains correction cushion at the

end of the bar there is a hand grip, In this form (Fig. 5, a), the apparatus child continues the turbine.

In order to the turbine which

are connected is mounted

to guarantee

joint. At the upper can support himself.

practise adduction. wheels is attached

FLAT-FOOT

apart, wheel

carries

a flexion exercise,-the with the toes and propels

horizontal

OF

foot

rest

to grasp When the

is lowered

to encourage the and, by turning be

weighted

(Fig.

the connecting wheel is placed 5, b),

the

child

child, a small animal the turbine, the child

so as to increase

the

work

so

Flat-foot-removal-exercises-gomilitary.in.pdf

Exercises by means of special apparatus, which permit the amount. of the exercise to be increased as much as is necessary for the gradual. strengthening of the ...

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