Neugebauer H
Z Orthop Ihre Grenzgeb. 1977 Jun;115(3):391-6.
On the basis of new insights in sport-medicine active exercises in the Milwaukee brace have been developed which enable the patient to straighten out his spine "on command". The first exercises serves the straightening. A skin-stimulus (spearing) makes the patient straighten his spine actively. First the doctor, later the parents, stimulate with a prick near the thoracic bulge. The patients learn to withdraw the gibbus from it. To re-inforce muscular power, an isometric resistance is exerted after correction. The second exercise corresponds to the well-known active extension with the extension-bandage of Krämer, but this effect is achieved with a modification of the brace. The pelvic girdle contains two shallow holes into which grips can be inserted. The lenght of these grips is so arranged that the power of the arms can be used to best effect. This exercise, too, will later be carried out against the resistance of a sandbag weighing 2-4 kg which is put on the patient's head. Both exercises have the great advantage that they seem to make sense to the patient and will be gladly and regularly carried out. They also encourage the young girls to wear the brace with more hope for success.
基于运动医学的新见解,密尔沃基支具中已开发出主动锻炼方法,使患者能够“按指令”挺直脊柱。第一个练习用于挺直脊柱。一种皮肤刺激(针刺)使患者主动挺直脊柱。首先是医生,之后是父母,在胸段隆起附近进行针刺刺激。患者学会从中收回驼背。为增强肌肉力量,在矫正后施加等长阻力。第二个练习与用克莱默伸展绷带进行的著名主动伸展相对应,但通过对支具的改进实现了这种效果。骨盆带包含两个浅孔,可以插入把手。这些把手的长度经过精心设计,以便能最佳地利用手臂的力量。这个练习之后也会在患者头部放置一个2至4公斤重的沙袋作为阻力的情况下进行。这两个练习都有很大的优点,即它们对患者来说似乎有意义,患者会乐意且定期进行。它们还鼓励年轻女孩更有信心地佩戴支具。