Rheumatic fever is the principal cause of heart disease from childhood well into adult life, but most persons with chronic rheumatic heart disease can be helped to enjoy productive lives by adequate total rehabilitation. The majority can be employed without any special concessions, after proper orientation and training, by matching the person's mental and physical capacities with the requirements of the proposed job. Orientation and education of the patient and his family will help to produce a favorable environment free from undue tensions, so that a therapeutic balance between work, play, and rest can be achieved.
Newman LB. THE ROLE OF PHYSICAL MEDICINE AND REHABILITATION IN RHEUMATIC HEART DISEASE. JAMA. 1957;165(12):1547–1555. doi:10.1001/jama.1957.02980300027008
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