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lifts her arms—which must be fully stretched not bent at
all at the elbow joint—to slightly over the level of her
shoulders. As she lifts her arms, she should breath inwards,
and as she exhales, she should let her arms sink down again
parallel to her thorax. Repeat this exercise three or four
times. The patient ought gradually to be able to lift her
arms against constantly increasing pressure. After this
exercise, the arms should be swung to and fro, or shaken
loosely, like the legs after Exercise 28 and the " Scissors," etc.
(b) As in (a) till the patient has lifted her arms level with
her shoulders, breathing inwards and with her palms down-
wards. The instructress clasps the inner surface of the
patient's arms above the elbow with each hand and presses
backwards, while the patient breathes out on a hissing note
between her teeth, and brings her arms forward and together
till her palms touch, keeping them level with the shoulder
line. Then breathe in again and move the arms backward
without counter-pressure and repeat the exercise.
(c) As in (b) with this one difference : the thumbs should
be uppermost and the palms towards each other, i.e.,
forwards.
(30) Arm Flexion against Imaginary Pressure.
(a) This exercise can also be performed in the seated
posture. Hold the left arm stretched out sideways level
with the shoulder and palm upwards. Then draw down the
arm from the elbow joint downwards slowly and resisting a
very strong imaginary pressure till the hand meets the
shoulder; as this is done the wrist will form a right angle
to the outer surface of the lower arm. This wrist flexion is
gradually decreased until the hand rests on the shoulder.
Then the lower arm is completely relaxed. Stretch the arm
sideways again and repeat the exercise, keeping the arm
level with the shoulder—it must not hang down limply and
obliquely. Practise alternately left and right.
(b) Instead of stretching the arms sideways, they can be
stretched forwards.
(c) Instead of moving each arm alternately, practise them
together simultaneously,