The successful treatment of infantile paralysis requires that the surgeon should have in his mind a definite plan covering all the phases of the disease, a plan based on the pathology in its various phases. We have at the outset a virulent acute affection with a high mortality, then comes a period of two years during which we try to restore to their highest efficiency the affected muscles, and finally we meet in the later and so-called stationary stage of the affection the question of correcting deformity and restoring or improving function by operative measures. Few affections offer a wider range of requirements from a therapeutic point of view, and if when we are treating the first stage we bear in mind what may happen to the patient in the third stage, we shall treat the early stages better.
The muscle test spoken of in the paper is a means
LOVETT RW. A PLAN OF TREATMENT IN INFANTILE PARALYSIS. JAMA. 1916;LXVII(6):421–426. doi:10.1001/jama.1916.02590060021006