CHAPTER 7

DESCRIPTION OF SUPPORTS

Limitations in measurement are suggested for certain supports because these supports are most effective when kept within the ranges specified.   If a client's figure does not come within the limitations listed for any particular support, it is best to recommend a different Spencer Support.

Supports that are designed in two parts, such as the Abdominal Supporting Belt, the Abdominal Supporting Corset, the Sacroiliac Corset or Support and the Lumbosacral Corset or Support can only be ordered as a complete support.   The abdominal supporting section or the pelvic binder cannot be ordered separately from the corset and the corset cannot be ordered separately from the abdominal supporting section or pelvic binder.   This is because these supports must be designed as one complete support to give satisfactory results.

Illustrations in this chapter are designed to show the general appearance of supports. Some details, including lacer loops, are omitted, but directions for lacing, given in Chapter 16 (page 225), should always be followed.

All Individually Designed Spencers Have These Benefits and Features

  1. Each individually designed for the one person who is to wear it.
  2. Figure description and measurements are taken and used as basis for designing each support.
  3. Scientific abdominal support from below, upward and backward ; never downward compression.
  4. Abdominal organs supported without crowding.
  5. Pull of abdominal support placed on pelvis—not on spine at or above lumbar region (the region of the five lumbar vertebrae—see Fig. 142, page 170).
  6. Use of non-elastic fabric provides positive, constant, and comfortable support.
  7. Posture improvement plus abdominal and back support aid and protect health by providing :
    (a)   Relief from muscle and ligament strain, thus permitting recovery of muscle tone, and protection against excessive fatigue, acute strains or injuries.
    (b)   Protection against, or relief from, pressures on nerves and discs between the vertebrae which may cause pain or serious conditions. (The improvement in posture induced by a Spencer Support relieves uneven pressure between the vertebrae and often increases the height of the wearer from ¼ inch to 1 1/8 inches, because abnormal curves of the spine have been reduced).
    (c)   Aid to breathing, circulation, digestion and elimination by permitting all organs to function more naturally.
  8. Permit freedom of muscular motion.
  9. Comfortable enough to sleep in when day and night support is needed.
  10. Individual designing insures complete comfort, perfect fit.
  11. Will not ride up, chafe, or dig in.
  12. Styled up to the minute, because each Spencer Support is designed after the order is taken.
  13. Posture improvement improves the figure, making clothes look better.
  14. Supports with lacers have patented recessed eyelets.   The lacers lie smoothly and outlines do not show through outer clothing.
  15. Moderate initial cost.
  16. Economical because of long wear.
  17. Spencer Supports are made of the highest quality materials.   They are easily laundered.
  18. Bones, slides and clasps are specially treated against rusting.
  19. Every Spencer Support will keep its shape until worn out.

It should be understood that a woman can receive all these benefits only if she wears a Spencer Breast Support with her body support.

Note:   The benefits and features especially associated with each support are listed following the description of the support.

Spencer Posture Corset

The Spencer Posture Corset (see Fig. 92) is designed to create lovely figure lines as well as to help improve posture, support relaxed abdominal muscles, and help relieve fatigue, headache and backache.   It is an excellent support for wear following the use of an Abdominal Supporting Corset or a Sacroiliac Corset, where the acute condition has been relieved and good general support is required.


Fig. 92

For clients with scant hips and thighs, who do not need thigh control or a height at back of more than 6 inches, but who do need definite back support, the Spencer Posture Support made with Slide Fastening and Curve Out Over Groin is recommended.   When designed in this way the Posture Corset provides all the benefits mentioned above, and is comfortable for figures with prominent and sensitive hipbones because there are no slides or boning throughout the prominent hipbone area.   Made in this way, it is especially adapted to the use of the Abdominal Spring Pad for clients with ptosis or postural hypotension (see page 185).

Types of Fastening : There is a choice of seven types of fastening (see Chapter 15):

Front Lace

Front Lace With Zipper (extra charge—see price list).   Figure 92 shows this feature

Front Lace with Hooks and Eyes Front Lace With Clasp

Slides (especially recommended with Curve Out Over Groin)

No Lacing—Zipper (Panel Front)—(extra charge—see price list)

No Lacing—Hooks and Eyes (Panel Front)

Hose Supporters: Four hose supporters are supplied.

To Order: To order, check the order form in the space for "Spencer Posture Corset."

Adjustment:   See Spencer Booklet No. 515.

BENEFITS AND FEATURES OF SPENCER POSTURE CORSET

  1. Provides utmost in figure improvement and style lines.
  2. Recommended for average client or patient requiring posture improvement and relief from symptoms due to relaxed abdominal muscles ; also helps to relieve backache, headache, and fatigue.
  3. Excellent support for wear following use of surgical, orthopædic or maternity supports.
  4. Can be made high as necessary (extra charge for height exceeding 6 inches at back.   (See price list)
  5. Light and flexible, but can be designed to give exact degree of rigidity needed.
  6. Easily adjusted to daily figure changes.
  7. Adjustment feature unnoticeable through clothing.   Rigid Steels may be ordered if prescribed.   When Rigid Steels are ordered, support is most effective when ordered with Curve Out Over Groin, and Slide Fastening.
  8. With Slide Fastening and Curve Out Over Groin, this support is excellent for use with Abdominal Spring Pad for conditions such as ptosis, postural hypotension, angina pectoris or dropped kidney.

Spencer Abdominal Supporting Corset

The Spencer Abdominal Supporting Corset is of benefit whenever unusual abdominal support is needed, especially in cases of ptosis, ventral and umbilical hernia, movable kidney, or for protection of a scar after an operation. In addition, it accomplishes the same purposes as the Spencer Posture Support.

Pads:   When the Abdominal Supporting Corset is ordered for patients with hernia, ptosis or movable kidney, suitable pads should be ordered (see Chapter 13, page 184).

When a Ptosis Pad (see page 184) or Abdominal Spring Pad (see pages 184 and 185) is ordered, an extra straight strap will usually be supplied (see page 216).

Inner Abdominal Supporting Section:   The outer part of the Abdominal Supporting Corset is designed like a Spencer Posture Corset. The inner abdominal supporting section curves under the abdomen and acts as an elevator for the sagged abdominal organs. The abdominal supporting section is adjusted from the outside by straps which pass through openings at each side and fasten to adjustment slides.   By adjusting the lower straps tighter than those above, the amount of abdominal uplift may be regulated. The combination of the corset and the inner abdominal supporting section provides the greatest possible abdominal support, combined with good back support.

Fig. 93Fig. 94
Spencer Abdominal Supporting Corset, Showing Inner Abdominal Supporting Section

The abdominal supporting section is designed so the bottom edge will extend to the top of the pubic bone.   Usually it extends to a point 3 inches below the waistline at top.   The distance from the waist down to the top edge of the abdominal supporting section is determined from information supplied.   Width of the abdominal supporting section is determined by other measurements and by the description of figure.

Special Conditions:   When there is a condition just below or above the waist, such as an umbilical or epigastric hernia or operative scar, which must be protected, describe it on the order form under Additional Instructions.   Also state how far above or below the waist this condition extends, and how many inches to the side of the centre-front.   In such cases, the abdominal supporting section will be made to cover the scar or hernia and may even extend above the waist.

Adjustment: See Abdominal Supporting Corset in Booklet No. 515.

Concealed Slides:   This method of adjustment does not permit maximum support. When made with Concealed Slides, the slides are placed on narrow sections attached to the inside at the hip seam.   This arrangement reduces the amount of adjustment possible.   The abdominal supporting section cannot be readjusted after the lacer has been tightened, as is the case when the slides are placed on the outside.

Concealed Slides must not be ordered for a figure with a full pendulous abdomen where good support and uplift are required, for a figure with prominent hipbones, for ptosis or for control of hernia.

An Extra Straight Strap cannot be supplied on an Abdominal Supporting Corset when Concealed Slides are ordered.

Concealed Slides may be ordered only when the Abdominal Supporting Corset is made Front Lace With Clasp or Front Lace With Hooks and Eyes Fastening.   Concealed Slides are not practicable with Front Lace With Zipper Fastening because the zipper does not extend all the way to the bottom of the support. Consequently it is difficult to adjust the abdominal supporting section.

To order Concealed Slides, check the space "Concealed Slides" on the order form (extra charge for Concealed Slides).

Types of Fastening: There is a choice of five types of fastening.   (See Chapter 15, page 218.)

Front Lace

Front Lace With Zipper (extra charge—see price list)

Front Lace With Hooks and Eyes

Front Lace with Clasp

Front Slides (especially recommended with Curve Out Over Groin)

Hose Supporters: Four hose supporters are supplied.

To Order:   To order an Abdominal Supporting Corset, check the space on the order form for "Abdominal Supporting Corset."

BENEFITS AND FEATURES OF
ABDOMINAL SUPPORTING CORSET

  1. May be used as an aid to treatment of ptosis, ventral and umbilical hernia, movable kidney, for postoperative wear and for any other conditions for which unusual abdominal support will be beneficial.
  2. In outside appearance this support is similar to the Spencer Posture Corset.
  3. The inner abdominal support is a separate section, adjusted by flat straps, from the outside of the support. Adjustable at all points, so the desired degree of uplift may be obtained. Pull of the abdominal support is placed on the pelvis—not on spine at or above the lumbar region.
  4. Slides lock automatically and cannot loosen, even under sudden strain.
  5. Designed as high at back as desired (extra charge for more than 6 inches Height at Back—see price list).   Boning may be from regular, light, to rigid. (Rigid Steels and Orthopædic Shoulder Straps may be ordered.)
  6. The following pads may be used :
     
    (a)   Laparotomy Pad
     
    (b)   Kidney Pad
     
    (c)   Ptosis Pad
     
    (d)   Abdominal Spring Pad
     
    (e)   Fat Restraining Pad
     
    (f)   Ventral or Umbilical Hernia Pad

Spen-Support


Fig. 95

The Spen-Support (see Fig. 95) may be used for general figure control, posture improvement, ptosis, hernia (except femoral and inguinal), low back conditions, postural hypotension, moveable kidney, and general abdominal and back support.   This support is especially comfortable for thin figures with prominent and sensitive hipbones, because there are no slides or boning throughout the prominent hipbone area.   The back of the SpenSupport is similar to a Spencer Corset, and the front consists of two parts—the abdominal section extending down to the pubic bone, and a Thighband overlapping the abdominal section.

The Spen-Support is an excellent support for low back conditions, when thigh control is also desired.   Rigid Steels may be ordered at extra charge.   Made up to 6 inches above waist.

When ordered for ptosis, postural hypotension or movable kidney, suitable pads should be ordered (see Chapter 13, page 184).


Fig. 96

Thighband:   The Thighband provides definite control of thigh fullness.   The Thighband closes at side-front with hooks and eyes and is adjustable by means of elastic lacers at centrefront.   The stretch of the elastic lacers and the fact that the Thighband readjusts itself when client is seated assure flexibility and comfort.   Figure 96 shows the Spen-Support with the Thighband unfastened.

Lacers for Thighband:   The use of two short elastic lacers (tied separately) for the Thighband, instead of one longer lacer, results in holding the top part smoothly against the figure, allowing the lower part to stretch as the figure moves or as the client is seated (see page 228).

Types of Fastening:   The Spen-Support is regularly made to fasten at centre-front with straps and slides.   (When made with Straps and Slide Fastening, an attached fly is provided without extra charge).   It can be made Front Lace Without Clasp upon request.   When made in this style, there will also be one slide placed at the bottom of the abdominal section to provide a positive pull around the pelvis.   This strap and slide is covered by the top of the thigh section.   A zipper may be ordered with this fastening at extra charge.

Adjustment:   The client should lie down for the adjustment of this support, especially in ptosis, hernia, and postural hypotension cases, or when the abdomen is large.

Hose Supporters:   Six hose supporters are supplied.

Boning:  Extra boning, including Rigid Steels, may be ordered as needed.

Recommendations:   Best results will be obtained with the SpenSupport when the following recommendations are observed:

  1. Waist Measurement—not more than 45 inches.
  2. Abdomen—small enough to be controlled with a Pubic Bone Measurement of 11 ½ inches or less.
  3. Length at Back and Hip—not to exceed 16 inches. (The bottom edge of the abdominal section is made to extend as far below waist as the Waist to Pubic Bone Measurement. The total length of the support at front is governed by the Length Cloth at Hip and the shape of the Thighband).

To Order:   To order a Spen-Support, check the space on the order for "Spen-Support."   When Slide Fastening is wanted, it is not necessary to check the order for "Slide Fastening," since this is the type of fastening ordinarily supplied on this support.

BENEFITS AND FEATURES OF SPEN-SUPPORT

  1. Provides general improvement in posture and appearance.
  2. Gives good abdominal support as well as firm back support. Suitable for postural hypotension, ptosis, movable kidney, and low back conditions. Is especially well adapted to the use of the Abdominal Spring Pad.
  3. No boning throughout the prominent hipbone area—especially suitable for thin women with prominent hipbones.
  4. The Thighband provides thigh control, but elastic lacers at centre-front allow freedom in walking or moving about.
  5. Designed as high at back as is necessary (extra charge for height exceeding 6 inches Height at Back—see price list), Boning at back may be from light to rigid to meet the need of the patient.
  6. Simple to adjust by means of slides in front.   May also be made Front Lace.
  7. Abdominal section comes to pubic bone and is curved out over groin.

Spencerband

Spencerband
Fig. 97

The Spencerband (see Fig. 97) is a delightful lightweight support suitable for the slender figure where the posture problem is not serious.   This support provides gentle yet definite control of the abdomen, lower back and thighs.   Its lightness and flexibility make the Spencerband especially appealing to those desiring the ease and comfort of a very light support.

Types of Fastening:   (See Chapter 15, page 218.) There is a choice of four types of fastening available.

Front Lace

Front Lace With Zipper (extra charge—see price list)

No Lacing—Zipper (extra charge—see price list).

No Lacing—Hooks and Eyes.

When made Front Lace with Zipper or No Lacing—Zipper the zipper will be located on the left side (see Fig. 97) far enough back so it will not rest on prominent hipbones.   If Spencerband is to be made No Lacing—Zipper and client does not wish to have zipper located at side, it can be placed at centre-front upon request.

When made No Lacing—Hooks and Eyes (panel front) the hooks and eyes will be located "off centre" at front on left side to provide the smoothest possible effect.

Front Lace With Hooks and Eyes cannot be ordered on the Spencerband.   The hooks and eyes cannot be placed conveniently when there is a lacer at centre-front, because of the location of the elastic gores.

Elastic Gores:   The Spencerband is always made with specially shaped elastic gores on each side front at top and bottom.   In keeping with the lightness of the support, lighter weight elastic is used for these gores.

An elastic gore in the front panel (extra charge—see price list) will be supplied upon request when No Lacing—Zipper fastening is ordered.   This cannot be ordered when No Lacing—Hooks and Eyes fastening is ordered because of the location of the hooks and eyes.

Hose Supporters:   Four hose supporters are supplied.

Limitations:   The Height at Back can be made from 0 to 2 inches.

The Height at Front can be made from 0 to 2 inches.

The Heights at Under-Bust and Under-Arm are made in proportion to the other heights.

The difference between the front and back heights cannot be more than 1½ inches.

When there is no fullness above waist at back it is well to order the Height at Back "0."   With such figures a Spencerband made higher at back might stand away from the figure above waist when the client is seated.   For best results when "0" Height at Back is ordered, the Height at Front should be at least ½ inch.

The Waist Measurement cannot be more than 32 inches.

The difference between the Waist and Hip Measurements can be neither less than 4 inches nor more than 12 inches.

The Length Cloth at Front cannot exceed 16 inches.

The Length Cloth at Hip or Back cannot exceed 16½ inches.

The Spencerband cannot be ordered with pads or any orthopædic features since it is intended only for the normal figure with good posture.

Boning:   Light boning is always supplied.   When designed No Lacing—Zipper two wide, flexible steels (Side Steels) are always supplied in the front panel. When designed No Lacing—Hooks and Eyes, two light bones (Spencer Bones) are always supplied on the side opposite the hooks and eyes.

Extra Boning and Special Steels are not available in the Spencerband and should not be ordered.

To Order:   To order a Spencerband, check the space on the order form for "Spencerband."

BENEFITS AND FEATURES OF SPENCERBAND

  1. Exceptionally light and flexible support, suitable for normal figures with good posture.   Excellent for young women in preventing backache and excessive fatigue.
  2. Provides control of abdomen, lower back and thighs.
  3. Especially shaped elastic gores at top and bottom provide ease and comfort.

Spencer Maternity Corset

The Spencer Maternity Corset is a light, flexible support, designed to support the back and abdomen during pregnancy.   It is designed to allow for the increase in the size of the figure during this period.

Fig. 98 Fig. 99
Spencer Maternity Corset, Showing Inner Abdominal Supporting Section

Inner Abdominal Supporting Section:   Definite and constant support for the lower part of the abdomen is supplied by the abdominal supporting section which is made of a non-elastic material.

Concealed Slides:   The back of the corset and the abdominal supporting section are made the same as the Abdominal Supporting Corset with Concealed Slides.   The abdominal supporting section and the slides (see Fig. 99) are covered by the front part of the support.   With the use of elastic lacers, the only daily adjustment necessary is that of the abdominal supporting section.

Slides on Outside of Support:   Upon request, the Maternity Corset can be made with slides on the outside, similar to the Abdominal Supporting Corset.   This makes it possible for the client to readjust the abdominal supporting section after the support has been adjusted.   To order, write "Slides on outside" under Additional Instructions.

Elastic Lacers:   In the front of the Maternity Corset are three elastic lacers.   One lacer extends the full length of the support at centre-front.   There is another lace: at each side-front, extending from the groin line to the top of the support.

The lacer openings provide for the necessary adjustment as the size of the figure increases.   The elastic lacers insure flexibility and comfort for the wearer, and guard against restriction at the upper part of the abdomen.

The lacers at side-front pull through special eyes which extend beyond the edge of the material making it possible for the lacers to lie flat on the figure. The eyelets for the centre-front lacer are recessed. These special features enable the wearer to present a well-groomed appearance and prevent the possibility of the lacers showing through clothing.

Fly Under Lacer:   The use of a Fly Under Lacer in a Maternity Corset is not considered practicable for the following reasons:

  1. Much of the abdominal flesh is covered with the abdominal supporting section.
  2. The addition of the Fly Under Lacer would increase the bulk where it overlaps the supporting section, and due to the larger lacing spare as figure increases in size, the fly would not be wide enough to extend under lacer edge.

However, when some special condition indicates the need for a Fly Under Lacer, it will be furnished at extra charge if ordered. Extra charge—see price list.

Height at Front:   Many doctors believe that a maternity support should be low in front.   Therefore, we suggest that the doctor's wishes be considered in determining the Height at Front Measurement.

There should be not more than 1 inch difference between the Height Under-Bust and the Height Under-Arm.   Otherwise the angle of the top edges at front and back of side-lacing space would be so great that one of the top eyelets would have to be located too far from the top edge of the support.

For the greatest benefit, the client should be measured for a Maternity Corset by the third month of pregnancy if possible.   If measured by this time, the figure will be almost normal in size.   Therefore, the support can generally be used for after-maternity wear without having it redesigned.   This can be accomplished by merely substituting regular lacers for the elastic lacers.

Type of Fastening:   It is unnecessary to check any of these spaces on the order form.   The Maternity Corset is always made with Hooks and Eyes Fastening at the side-front and with elastic lacer at centre-front and each side-front.

Hose Supporters: Four hose supporters are always supplied.

Method of Lacing: Refer to page 227.

To Order:   To order a Spencer Maternity Corset, check the space on the order form for "Maternity Corset."   In the space for Additional Instructions state how far advanced pregnancy is—whether two, three, or four months.   This information will be helpful in designing the support and will make it possible to provide a front lacing space which is most practicable for the length of time the support will be used for maternity wear.   When ordered early during the pregnancy, the opening at front lacing space will be narrower than if ordered later.

BENEFITS AND FEATURES
OF MATERNITY CORSET

  1. Light and flexible, yet strong enough for the woman who requires support and definite posture improvement. Sup- ports the abdomen and back during pregnancy without restricting natural figure expansion.
  2. Backache is lessened because strain from the increasing weight of abdomen is placed on the pelvis—not on spine at or above waistline.
  3. After birth the support guards against wrong posture and back injury, thus assisting the abdominal and back muscles to regain tone.
  4. The non-elastic part of the support encircles and holds the pelvis firmly—lessening chance of sacroiliac strain.
  5. Non-elastic inner abdominal supporting section provides firm support at lower abdomen.
  6. Elastic lacers allow for expansion and freedom of upper part of abdomen.
  7. Generally, the same support may be used after delivery by merely substituting non-elastic for elastic lacers.
  8. Because all lacers are elastic, the only daily adjustment necessary is of the straps and slides.   The support is easily fastened and unfastened by hooks and eyes.
  9. May be designed as high as necessary and boned according to patient's needs.   (Extra charge for more than 6 inches Height at Back—see price list).
  10. Slides, usually concealed, may be placed on outside.
  11. In many cases nausea is prevented if support is worn during early months of pregnancy.

Spencer Sacroiliac Corset

Spencer Sacroiliac Corset
Fig. 100

The Spencer Sacroiliac Corset (Fig. 100) is designed to relieve the pain caused by sacroiliac subluxation or strain. The corset part is designed like a Spencer Posture Corset.   A pelvic binder consisting of a strong nonelastic band is designed to fit inside the corset around the back and hips.   It emerges at each side of centre-front for convenient, accurate adjustment.   A pad is attached inside centreback of pelvic binder.

When pain subsides, the pelvic binder can be removed from support without difficulty. The support can then be worn to prevent recurrence of acute pain.

Note:   Once a person has suffered sacroiliac strain, there may be a permanent weakness at this point.   If good posture is maintained, and protection is provided in the way of support to abdomen and back, possibility of a recurrence of the acute condition is minimized.


Fig. 101

Pelvic Binder:   The purpose of the pelvic binder (see Fig. 101) is to encircle the pelvis tightly and bind the hipbones against the sacrum. This tends to immobilize the sacroiliac joints.   The binder is tightened from outside by means of separating slides and flat hooks.


Fig. 102

Pad:   It is unnecessary to give measurements for the Sacroiliac Pad (see Fig. 102) unless the doctor makes a specific request for an unusual size, shape or thicknessA pad one-half the regular thickness may be ordered by writing " Thin Sacroiliac Pad " under Additional Instructions on the order form. The position of the pad in the support is determined by the Spencer Technicians.


Fig. 103

Figure 103 shows how the pelvic binder encircles the pelvis. Lines marked "A" show the sacroiliac joints, and the line marked "B" shows the pubic joint.

Abdominal Support:   When a client with an acute sacroiliac subluxation or strain also requires support for the abdomen, the Sacroiliac Corset should still be ordered.   This support provides definite relief for the sacroiliac condition, and supports the abdomen.

When a client has a bad back condition, and pendulous abdominal flesh which cannot be controlled by a Sacroiliac Corset, use the Spencer Abdominal Belt incorporating the Sacroiliac Binder and Pad.

Type of Fastening:   There is a choice of four types of fastening on the Spencer Sacroiliac Corset:

Front Lace.

Front Lace With Clasp.

Front Lace With Zipper (extra charge—see price list).

Slides.

Note:   This support cannot be ordered Front Lace With Hooks and Eyes Fastening because hooks and eyes cannot be placed on the seam where the openings for the pelvic binder are located.

Hose Supporters: Four hose supporters are supplied.

Adjustments:   See instructions in Booklet No. 515.

To Order the Sacroiliac Corset:   Check the space for Sacroiliac Corset on Order Form.

BENEFITS AND FEATURES
OF SACROILIAC CORSET

  1. In appearance it is similar to the Spencer Posture Corset.
  2. Is usually ordered 1½ to 2½ inches back up but may be designed as high as necessary (extra charge for more than 6 inches Height at Back—see price list) and boned according to client's needs.
  3. Non-elastic pelvic binder encircles pelvis as tightly as necessary to immobilize the sacroiliac joints.
  4. The Sacroiliac Pad is attached to this pelvic binder.
  5. Pelvic binder is adjusted easily from outside of support, without loosening the body support.
  6. Slides lock automatically so that binder cannot possibly slip or loosen.
  7. Sacroiliac feature (pelvic binder) can be removed quickly and easily when condition subsides.
  8. Gives general abdominal and back support.
  9. Also designed for men (see page 152).

Spencer Lumbosacral Corset


Fig. 104

The Spencer Lumbosacral Corset (Fig. 104), by improving posture and limiting movement in the lumbosacral area, is designed to relieve pain caused by lumbo sacral strain.   It is similar to a Sacroiliac Corset but is usually ordered with greater heights.   A Lumbosacral Pad is used in place of a Sacroiliac Pad.

To limit movement of the lumbar vertebrae it is necessary to limit the movement of the vertebrae higher up in the spinal column, because movement of these higher vertebrae effects the lumbar vertebrae.

For this reason a support for lumbosacral strain should not be measured to come less than 4 inches up at back, and about one-half inch lower under-arm.   It should be as high as possible in front without touching the breasts.

Rigid Steels either side the spine are essential except in cases of slight strain.

The additional height, the pelvic binder and the Lumbosacral Pad tend to prevent movement of the lumbar vertebrae.


Fig. 105

Pelvic Binder:   This binder is similar in construction and location to the pelvic binder in the Sacroiliac Corset (see Fig. 105).


Fig. 106

Lumbosacral Pad:   The shape of the Lumbosacral Pad is shown in the illustration (Fig. 106).

The lower part of this pad is shaped like the Sacroiliac Pad and lies over the sacroiliac joints, while the upper, narrower part of the pad helps to prevent movement in the lumbar region.

It is unnecessary to give measurements for the Lumbosacral Pad unless the doctor makes a specific request for an unusual size, shape or thickness.   A pad one-half the regular thickness may be ordered by writing "Thin Lumbosacral Pad" under Additional Instructions on the order form.

Day and Night Wear:   The Spencer Lumbosacral Corset is comfortable for day and night wear when continuous treatment is necessary.

Types of Fastening:   There are four types of fastening:   Front Lace.

Front Lace with Clasp.

Front Lace with Zipper (extra charge—see price list).

Slides.

Note:   The Spencer Lumbosacral Corset cannot be made Front Lace with Hooks and Eyes Fastening because the hooks and eyes cannot be placed on the seam where the opening for the pelvic binder are located.

Hose Supporters:   Four hose supporters are supplied.

Adjustment:   See instructions in Booklet No. 515.

To Order:   Check the space for Lumbosacral Corset on Order Form.

BENEFITS AND FEATURES OF LUMBOSACRAL CORSET

  1. Designed as high as necessary (extra charge for more than 6 inches Height at Back—see price list).   Unless otherwise specified by the doctor, Height at Back of 4 to 5 inches is recommended.
  2. Boning may be firm and Rigid Steels should be used in all but cases of slight strain.   When Rigid Steels are ordered, Curve Out Over Groin, and Slide Fastening should also be ordered.
  3. Pelvic binder is similar to binder in the Sacroiliac Corset.
  4. Lumbosacral Pad is supplied in this support.
  5. Comfortable for day and night wear, when continuous treatment is necessary.
  6. Also designed for men (see page 153).

Spencer Abdominal Supporting Belts

Spencer Belts, described on the following pages, are designed for those who cannot or prefer not to wear a corset type of support, or for those who need a support for bed wear.   They also provide comfortable support for sports and general, everyday wear.

Spencer Belts embody the same principles of abdominal support as the Abdominal Supporting Corset.   The desired degree of uplift is obtained by adjusting the abdominal supporting section straps. The bottom edge of the abdominal supporting section is made to extend as far below waist as the Waist to Pubic Bone Measurement.

Spencer Belts are non-elastic, and have a broad, ample back which gives a good line. While belts cannot give such excellent general figure control as the Abdominal Supporting Corset, they do give the same degree of abdominal support.

Thighband:   The purpose of the Thighband is to control full thighs.   It is of value only for the figure with full thighs.

The Thighband is made of the same material as the back of the belt.   It closes at side-front with hooks and eyes and is adjustable by means of two short elastic lacers, tied separately, at centre-front.   The stretch of the elastic lacers and the fact that the Thighband readjusts itself when the client is seated assures flexibility and comfort.   (See the illustration of the Thighband on De Luxe Belt, page 117, Fig. 111.   See page 228 for correct method of lacing of Thighband).

The Thighband may be ordered with both De Luxe and Regular Belts (extra charge—see price list).   To order, check "Thighband" on the order form.

Lacer at Back:   For the patient with pre-natal condition with soft flesh, the belt may be ordered (extra charge—see price list), with a lacer at back without lacing space.   This will provide for adjustment as the flesh is redistributed and controlled by wearing the belt.   This should be ordered under Additional Instructions.

Elastic Gores:   Triangular elastic gores at top of the abdominal supporting section may be ordered (extra charge—see price list).   These are supplied when "Maternity" is checked on the order form.   They are frequently requested by doctors as an aid to treatment of patients suffering from postural syndrome (see page 118).   When elastic gores are ordered the heights at front and underbust should be level.

Reversed Slides:   For thin figures where the hipbones are prominent and sensitive, it is helpful to have the slides placed on the abdominal supporting section of the belt, with the straps attached to the back section.   By this method, the slides are located in front of the hipbones.   Upon request this method may be followed for both Regular and De Luxe Belts.   To order, write "Reversed Slides" in the space for Additional Instructions on the order form.

Pads:   When a belt is ordered for hernia, ptosis, or movable kidney, suitable pads should be ordered (see Chapter 13).

Extra Straight Strap:   When a belt is ordered with a Ptosis Pad or Abdominal Spring Pad, an Extra Straight Strap will usually be supplied at extra charge (see page 216).

Fulcrum Straps:   When the abdomen protrudes and is pendulous fulcrum straps for extra uplift should be ordered.   Where the abdomen is excessively pendulous and heavy, a special sling fulcrum strap can be ordered at extra charge.

Boning:   Extra boning at back may be ordered. Additional boning at front is not recommended, even on large figures, because too much boning prevents the belt from reaching in under the abdomen as it should for greatest abdominal uplift.

When client has a large apron of flesh at lower abdomen, it is sometimes advisable to stop bones above bottom edge to permit the abdominal supporting section to assume a hammock-like shape, to contain the loose flesh.

To order, write under Additional Instructions, "Stop bones of abdominal supporting section ............... inches above bottom edge."

In determining where to stop the bones, care must be used to make sure that ends of bone will not dig into groin or abdominal flesh and cause discomfort.   This should be checked when Control Support is completely adjusted and client is seated for top edge outlining.

Length:   To be in good proportion, a belt for the average figure should not be more than 2 inch longer at the hip than at the back.

Adjustment:   See Spencer Belt in Booklet No. 515.

Spencer Regular Surgical Belt


Fig. 107

The Spencer Regular Surgical Belt (see Fig. 107) is designed for those who need support for the abdomen because of ptosis, obesity, pregnancy, postural syndrome, hernia, or for postoperative protection.

Thighband:   This   may   be ordered at extra charge. Check space for "Thighband" on the order form.

Hose Supporters:   Four hose supporters are supplied.   (In Fig. 107 front hose supporters are omitted for photographing).   When a Thighband is ordered, six hose supporters are supplied.   An extra charge will be made for both the Thighband and the extra hose supporters.

Abdominal Supporting Section:   On the Regular Belt the abdominal supporting section is made of non-elastic webbing.   The bone casings are on the outside and the straps extend across the entire abdominal section.

Recommendations:   The Regular Belt will be designed to any reasonable proportions, and is particularly recommended in preference to the De Luxe Belt on figures over 38 inches in the waist. The construction of the abdominal supporting section is more effective in supporting a large, full abdomen.

To Order:   Check space for "Regular Belt" on order form.

Colostomy:   Many colostomy patients can so well regulate elimination habits that the use of a pouch or other receptacle is not necessary.   These clients usually wear an absorbent pad over the colostomy opening in the abdomen.   For these clients the Spencer Abdominal Supporting Belt (either Regular or De Luxe) may be ordered with special features (extra charge).   These features are:


Fig. 108

1.   A zipper at each side-front of the abdominal supporting section, extending from the top down to about 12 inches from the lower edge (see Fig. 108).   These zippers are for convenience in changing the absorbent pad without disturbing the adjustment of the belt.

2.   A moisture-proof lining which is easily cleaned, and which prevents soiling of the support or outer clothing.

Note:   It is recommended that the user change the dressing   Jim frequently, and sponge clean the moisture-proof surface with warm water and mild soap.

For added protection in cases where there is an unusual amount of see page, the moisture-proof lining will be applied to the portion of the flap which extends beneath the abdominal supporting section.   There will be a small extra charge for this which is in addition to the extra charge for the colostomy feature described above.

To Order:   Check "Regular Belt" or "De Luxe Belt" and write under Additional Instructions "Colostomy Front with Zippers" (extra charge—see price list).

To order moisture-proof lining on belt flaps, write under Additional Instructions "Line (right or left—or both) flaps with moistureproof-lining."

Other colostomy cases require a circular opening in the abdominal section of the belt (extra charge), which permits a colostomy pouch or other device to fit snugly against the body, around an artificial opening in the abdomen.   The colostomy pouch itself is worn outside the belt (see Fig. 109).   The doctor will instruct the client as to the specific device to be used and where to procure it.


Fig. 109

To Order With Colostomy Opening:   Check "Regular Belt" and give full information regarding size and location of opening to be made in the abdominal supporting section. Write under Additional Instructions:

"Opening on (right or left) side.

"Waist to centre of opening ...... inches.

"Centre-front to centre of opening ...... inches.

"Diameter of opening ......... inches."

A paper pattern made over controlled figure, giving this information in detail, will be helpful if attached to order.

Spencer De Luxe Belt

The Spencer De Luxe Belt is light, attractive, and is best suited to small and medium figures. (The Regular Belt should be used on figures over 38 inches in waist).

The basic design is the same as the Regular Belt. However, in the De Luxe Belt, the abdominal supporting section is made of the same material as the body of the support.   The bones and straps are arranged so as to keep the weight of the support as light as possible, and there are some refinements of trimming.

When ordered for a figure with a long Waist to Pubic Bone Measurement, indicating that more than usual curving at the lower part of the abdominal supporting section is required to hold the pendulous flesh, the abdominal supporting section will be made of the same material as the body of the support, but the straps and bone casings will be arranged as in the Regular Belt.   The cloth over the thighs is extended to come closer together in front than in the case of the Regular Belt.

Fig. 110
Spencer De Luxe Belt
Fig. 111
Spencer De Luxe Belt With Thighband

Hose Supporters:   Four hose supporters are regularly supplied on the De Luxe Belt.   (In Fig. 110 front hose supporters are omitted for photographing).

Thighband:   Figure 111 shows the De Luxe Belt with Thighband added (extra charge—see price list).

Adjustment:   See "Adjustment—Spencer Belt," in Booklet No. 515.

To Order:   Check space for "De Luxe Belt" on order form.

Maternity Belt


Fig. 112

The Maternity Belt is made with triangular elastic gores at top, each side of centre-front (extra charge—see price list). This makes the Spencer Belt an efficient maternity support, comfortable and light in weight. The elastic gores permit no constriction at the upper abdomen, while constant, non-elastic support is provided for the lower abdomen.

A lacing may be ordered at back (extra charge—see price list) to provide for increasing development. Measurements should be taken by the third or fourth month of pregnancy if possible.

The Maternity Belt (see Fig. 112) should not be measured to come above waist at front.

The daily adjustment of the support is made by the straps, which are made longer than usual to allow greater adjustment as the size of the figure increases.

To Order: To order, check "Maternity Belt."

Adjustment:   See "Adjustment—Maternity Supports," in Booklet No. 515.

BENEFITS AND FEATURES OF SPENCER BELTS

  1. In addition to maternity and postural syndrome cases and for general and postoperative support, the belt is used as an aid to the treatment of ptosis, hernia, movable kidney and obesity.   It may also be designed with colostomy feature.
  2. Separate front and back sections, adjusted to each other, provide the utmost in abdominal support. Also provides adequate back support.
  3. Like all Spencer Supports the belt is designed to place the pull of abdominal support on the pelvis—not on the spine, at or above the waistline.
  4. Simple to adjust by means of flat straps and slides.
  5. Each strap adjusts separately so the desired degree of uplift may be obtained.
  6. Slides lock automatically—straps will not slip.
  7. Extra Uplift Straps may be added for the client with an unusually pendulous abdomen at extra charge.
  8. Extra Straight Strap may be provided when figure is slight to help keep belt down on figure. An Extra Straight Strap is usually required when the Abdominal Spring Pad or Ptosis Pad is ordered.
  9. Perineal Straps may be ordered when needed to help hold belt down on figure.
  10. Thighband may be added to control full thighs.
  11. May be boned lightly or to any degree of rigidity desired. Rigid Steels may be used.
  12. Abdominal Spring, Ptosis, Fat Restraining, Laparotomy, Kidney and Hernia Pads may be used when recommended by the doctor.   (Hernia Tabs and Pads should be ordered when belt is to be used for inguinal or femoral hernia).
  13. Elastic gores may be ordered at top of abdominal supporting section to assist respiration and aid treatment in postural syndrome cases.
  14. May be made with elastic gores at top of abdominal supporting section and lacer at back, making an efficient maternity support.
  15. Belts may be designed for men (see page 139).

Emergency Belts

Emergency Belts are made of coutil.   They are available in three sizes—Waist Measurements 28 inches (Small), 34 inches (Medium), and 40 inches (Large)—to take care of clients with Waist Measurements from 26 to 44 inches.

They are made with a lacer at back, and one Stiff Steel is placed each side of lacer.   These Stiff Steels should be carefully moulded to meet the needs of each client.

With the three sizes and adjustment of both back lacer and straps, Emergency Belts meet the needs of most clients while their individually designed supports are being made.

Emergency Belts should be ordered on Order Form 137.   Please specify sizes desired—"Large," "Medium," or "Small."

Spencer-All No. 10


Fig. 113

A most beautiful all in one support. It provides general figure support and control, with support and with uplift (if desired) for the breasts. The inner abdominal section should be ordered when there is specific need for unusual abdominal support. If any part of the figure, including the breasts, is greatly out of proportion. a corset or other Spencer Support, and a separate breast support should be ordered.

Corset Part:   The corset part of the support is identical with the Spencer Posture Corset, made higher at back than usual to form the back of the breast support section. The Height at Front Measurement determines the height of the corset part, not the breast support part.   The corset part is always made with a lacer at centre-front and is regularly made the same as a corset made Front Lace.   Front Lace with Hooks and Eyes or Zipper may be ordered in addition to the lacer (extra charge for Zipper—see price list). Elastic gores at top of corset part are provided.

Breast Support Part:   The breast support part hooks at the left side.   In front, the breast support part overlaps the corset part. The overlapping portion has elastic sections under the breasts which provide a smooth fit and allow for expansion through this area.

Breast Pockets:   The Spencer-All may be ordered to provide non uplift, normal uplift or high accentuated uplift with "peak." The breast support is similar in appearance to the 160 Breast Support.

Boning:   Bones are provided each side of centre-back, at sideback, at hip, at lacer opening, and at the first seam between the centre-front and hip.   One bone in each casing at under-arm and back is shorter at top than the other bones to permit greater flexibility.   A heavier bone on each side of the lacing will be supplied when order is checked "Extra Boning at Lacing."

Extra boning at back and underarm can be provided if requested on Order Form.

Inner Abdominal Supporting Section:   An inner abdominal supporting section, made of non-elastic material, may be ordered.   The size and position of the abdominal supporting section is determined from the Waist to Pubic Bone and other measurements.   In all cases, the bottom edge of the abdominal supporting section is designed to start at the top of the pubic bone.   Concealed slide adjustment can be used if suitable for requirements (extra charge).

Whenever the abdominal supporting section is ordered, Front Lace With Hooks and Eyes will always be given (or Front Lace with Zipper extra charge).

Types of Fastening: (See Chapter 15, page 218.)

Front Lace

Front Lace With Zipper (extra charge—see price list)

Front Lace With Hooks and Eyes

Hose Supporters:   Four hose supporters are provided.


Fig. 114

Décolleté Back:   When décolleté back is ordered, the support will be made as high above waist, at the point where shoulder strap is attached, as the measurement given for Height at Back.   The centre-back is cut down to about 2½ inches above waist   — (see Fig. 114).

Shoulder Straps:   Ribbon Shoulder Straps are attached at back and fastened with adjusting slides at front.   Wide "W" Satin Shoulder Straps may be ordered (extra charge—see price list.)

Built-up Shoulders:   When Built-up Shoulders (see page 128) are ordered, the boning at shoulder will extend about 1 inch higher than at. underarm.

SUGGESTED PROPORTIONS

If the client's figure is extreme and her measurements are not within the ranges suggested below, the client should not have a Spencer-All, and another type of Spencer Support should be recommended.

Length Top to Waist at Back:   5½ to 7½ inches is a normal Length Top to Waist at Back Measurement.

Built-up Shoulders:   When Built-up Shoulders are ordered, the Length Top to Waist Measurement should be at least 9½ inches for small figures and at least 11½ inches for large figures.

Waist:   The Spencer-All No. 10 can be designed with a Waist Measurement from 26 to 42 inches.

Hip: Hip should be at least 6 and not more than 11 inches larger than waist.

Bust:   When ordered for uplift, the bust should be at least 7 inches larger than waist when the breasts are small ; 9 inches when the breasts are medium ; 10 inches when the breasts are large.

Length:   Not over 17 inches at back.

Adjustment:   See Spencer-All in Booklet No. 515. To Order: Use Order Form 825a.

BENEFITS AND FEATURES OF SPENCER-ALL

  1. The Spencer-All is a lightly boned, one-piece support that provides posture improvement, general figure support and control for abdomen, back, and breasts, with or without breast uplift.
  2. The corset part resembles the Spencer Posture Corset, and with inner section the Abdominal Supporting Corset. The breast support portion (similar to the 160 Breast Support) overlaps the corset part at front.
  3. Corset and breast support sections each have elastic gores to ensure comfort and smooth fit.
  4. Breast support is designed to give the degree of uplift desired. Lace breast pockets and breast pockets of matching and other materials are available.
  5. An abdominal supporting section, may be ordered.
  6. Hooks and Eyes, or Zipper may be ordered in addition to Front Lace when abdominal supporting section is not ordered.   (See Page 120).
  7. Built-up   Shoulders,   décolleté   back,   "W" satin Shoulder straps may be ordered.

ADJUSTMENT OF SUPPORTS

All Spencer Supports made with lacers at front are designed to lace 2 inches apart, with even spacing from top to bottom.   This space may vary to meet changes in the figure.   Correct daily adjustment of a Spencer Support assures proper fit and comfort, longer wear, and greater satisfaction.

Booklet No. 515, giving full instructions for adjustment, can be supplied on request with support. When delivery is made, discuss in detail the purpose of the booklet with the client and leave the copy with her.   She must follow the directions faithfully to obtain the most benefit and the greatest amount of comfort.

You can be sure that your client understands the proper method of adjustment only if she adjusts her support correctly in your presence.

Notice whether she stands, sits down or stoops properly. If not, you can make helpful suggestions. The proper way to sit down is : first, stand close to a chair with the feet close together ; then bend forward from the hips ; sit down, well back in the chair so that the spine, below waist and at shoulders, touches the back of the chair.

The correct sitting position is illustrated in Figure 115.   Notice that the client sits well back in the chair so that the body is erect.

To stoop properly, step forward with the left foot. Allow the body to move straight down, bending the right knee and resting the weight of the body on the ball of the right foot. The right heel will be raised from the floor (see Fig. 116).

Fig. 115
Correct Sitting Position
Fig. 116
To Stoop Properly

Description of spencer breast supports