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October 13, 1956


JAMA. 1956;162(7):635-637. doi:10.1001/jama.1956.02970240017007

• A study of the patient's movements is essential to physical diagnosis, and a study of such movements is the basis for treatment of locomotor dysfunction by exercise. Both diagnosis and treatment require a knowledge of the rhythm of movement obtained not only by research but by the development of a fine sense of "feel" and a degree of manual dexterity that can be acquired by constant practice and that, therefore, cannot be taught didactically. The doctor must learn to work with his hands when treating his patients in an attempt to reestablish functional movements. Then he can transfer his ideas and techniques by demonstration, better than by words, to his staff. The physiatrist is equipped especially to use physical agents for diagnosis and treatment. These agents should not be neglected. Exercise for the purpose of reestablishing functional movement to as nearly normal as the pathology will permit is of greatest importance, yet careful study of its application has been neglected.