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May 19, 1951


Author Affiliations

Van Nuys, Calif.

From the Veterans Administration Hospital.

JAMA. 1951;146(3):223-225. doi:10.1001/jama.1951.03670030001001

The aura of hopelessness that pervaded the outlook of the severe neurological cripple in the past has been largely dispelled by rehabilitation advances during recent years. Aphasics and hemiplegics can now be taught to talk and ambulate. Paraplegics and paralytics can be returned to states of comfortable usefulness. These major accomplishments have evolved primarily through the experience accumulated where large numbers of aphasic, hemiplegic and paraplegic patients have been collected. These centers are successful because they can integrate and focus the activities of medical and nonmedical agencies on different aspects of the same problem under the supervision of physicians who have made the study of these conditions their particular interest. The paraplegic patient, almost more than any other, requires such integrated effort. Initially, he is within the province of the neurosurgeon, who evaluates the extent of the injury and does what he can, surgically and otherwise, to facilitate the return

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