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Article
March 20, 1954

USE OF A TILT-TABLE IN EARLY REHABILITATION OF PARAPLEGIC PATIENTS

JAMA. 1954;154(12):1000. doi:10.1001/jama.1954.02940460032006i

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Abstract

In discussing the prophylaxis of decubitus ulcers in paraplegic patients, it must be admitted that the ulcers develop in patients in every hospital regardless of size and over-all efficiency. The earlier the patient leaves his bed and avoids or reduces the complications of prolonged immobilization, namely, bedsores, decalcification of bones, and genitourinary infections, the better are his chances for rehabilitation, both occupational and psychological. The opportunities for rehabilitation are made available early by the use of a modified, four-wheeled stretcher that is capable of securing and maintaining the paraplegic patient in the erect posture (see figure) as soon as the medical status permits.

A patient can remain strapped in the erect position for many hours, since the plantar integuments, composed of highly specialized tissue, are capable of withstanding prolonged pressure from body weight. Thus, a patient can engage in skillful occupation. Since the table rotates from a horizontal position to

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