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April 27, 1946


Author Affiliations

Randolph Field, Texas; Medical Corps, Army of the United States; Air Corps, Army of the United States

From the Laboratory of Physical Fitness, AAF School of Aviation Medicine, Randolph Field, Texas (Dr. Karpovich and Captain Weiss) and the AAF Regional Hospital, San Antonio Aviation Cadet Center, San Antonio, Texas (Lieutenant Colonel Starr, Captain Kimbro and Major Stoll).

JAMA. 1946;130(17):1198-1203. doi:10.1001/jama.1946.02870170004002

There is a great deal of diversity in AAF hospitals regarding the management of the period of convalescence after rheumatic fever. It varies from a prolonged restriction of physical activities to an early participation in special exercise which often may require a great deal of exertion. This difference in attitude regarding physical activity can be explained easily. On the one hand, it has been a medical tradition, based mainly on observation among children, that rest is an essential part of the rheumatic fever regimen not only during the active stage of the disease but also during a long period of time afterward. On the other hand, accumulated experience with rheumatic fever has indicated that this disease affects adults in a lesser degree than children, and therefore the management of the patients in the two instances may not be the same. Moreover, the present attacks on the "abuse of bed rest"

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