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hand on the body of the patient and clasps one leg at the
ankle with the other hand. She then lifts the leg or supports
it, while lifted by the patient, until it is at an obtuse angle
to the body. Then lower the leg, still with support. Practise
alternately left and right.
This support enables one to modify the exertion required,
from nil to full activity.
(20) Lifting and Lowering of both Closed Legs (Fig. 35).
Recumbent posture as before. Instructress places one
hand on patient's body and clasps both ankles with the other.
The legs are then raised—gradually and being supported the
while—till they form an obtuse angle with the patient's body.
Then they are lowered and still supported by the hand of the
instructress : they should be lowered slowly, with a deliberate
tension of the muscles and not rest with their full weight on
the supporting hand. After each performance of Exercise 20
the patient should breathe quietly and deeply three or four
times. Repeat the exercise, then breathe deeply again, and
so forth alternately. This exercise may be repeated four
or five times alternating with deep breathing, but the
instructress must stand firm against undue exertion or too
frequent repetition, however much the patient may wish
them.
Note.—The above directions refer to the exercise in its
more active forms, entailing a certain degree of support by
the instructress. If Exercise 20 is kept passive it is, of course,
less exhausting to the patient, but also less effective.
(21) Leg Rotation with Thighs Apart (Fig. 36).
Recumbent posture. The instructress clasps both ankles
(or the soles of the feet as is most convenient; much depends
on the height of the table or couch from the floor), and raises
them both together, slowly, till they form an obtuse angle
with the patient's body, or supports them as the patient
herself performs the exercise. Then each leg separately
makes a circular movement outwards and back again. The
patient, meanwhile, breathes quietly and regularly and, if
the exercise is active rather than passive, it should not be
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