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October 24, 1959


Author Affiliations

New York

Director of Physical Medicine and Rehabilitation, The New York Hospital-Cornell Medical Center, and Assistant Professor of Medicine (Physical Medicine), Cornell University Medical College.

JAMA. 1959;171(8):1061-1065. doi:10.1001/jama.1959.03010260017004

Applying braces to the legs in the rehabilitation of hemiplegic patients calls for discrimination. A brace that aids in standing may hinder walking; a patient who needs the knee support of a long brace at first may eventually become able to walk as well with either a short leg brace or none at all. The history of a 61-year-old man after sudden onset of total right-sided paralysis and aphasia illustrates the importance of frequent, apparently minor adjustments in determining the progress of the patient. Bracing is a significant consideration in the management of some hemiplegic patients. When it is necessary, a prompt and judicious choice should be made among devices of the kind here described, and frequent inspection and adjustment may be necessary.