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Article
May 20, 1933

THE TREATMENT OF POLIOMYELITIS: PREVENTION OF DEFORMITY AND PROTECTION OF MUSCLES

JAMA. 1933;100(20):1587-1588. doi:10.1001/jama.1933.02740200021005
Abstract

Jacob Heine, in 1840, in outlining the treatment of the deformities caused by poliomyelitis, recommended braces and the training of muscles. In his second edition, in 1860, he touched on the prevention of deformity. This, the paramount importance of rest, the protection of muscles from stretching and from the disastrous effects of fatigue, was fully discussed as to both principle and detail by Charles Fayette Taylor, in 1867. Hugh Owen Thomas, Sir Robert Jones, C. L. Lowman, Jean Macnamara and others have stressed these points; but deformities still occur and muscles continue to be damaged because this exact knowledge is not generally applied. Lovett, who was a great exponent of exercise, came to the conclusion that rest was the most important factor in treatment. One might say that the muscle paralyzed by poliomyelitis should be treated with the same care as a fracture as long as there is hope of

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