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JAMA 100 Years Ago
January 19, 2000


Author Affiliations

JenniferReiling, Editorial Assistant

JAMA. 2000;283(3):309. doi:10.1001/jama.283.3.309-JJY90045-2-1

E. RIPARD.—The emaciation of tuberculosis subjects is not merely the disappearance of adipose tissue, but is due to an actual muscular atrophy which should be combated in the treatment of the disease. The subjects should be trained in gymnastics, to restore strength to the muscles engaged in respiration, as these are the most important in their case. First they should be trained to hold themselves erect. This is easiest learned by having them lie flat on the back for a few minutes to an hour several times a day, without a pillow, on a hard bed. The elbows should be held back in walking and now and then the subject should take a few steps on tiptoe, which throws the chest forward. The reclining favors both circulation and respiration and the subject soon learns to prefer the erect position.