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July 25, 1980

The Immobilized Patient: Functional Pathology and Management

JAMA. 1980;244(4):386. doi:10.1001/jama.1980.03310040066040

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All of those involved in the care of patients with serious problems should be vitally concerned with the numerous effects of immobilization on the structure and function of the human body. I believe that these potentially serious consequences have received far too little attention from the medical community at large. The author of this volume calls our attention to many of the body systems that can be altered drastically by lack of attention to appropriate management during immobility.

With modern methods of treatment, many who previously would have died now live only to face physical and mental impairment that can induce a temporary or permanent decrease in mobility.

The author reminds us of the historical war that has raged between the proponents of rest and those of early mobilization. Although the volleys still fly in the form of heated debate and caustic articles, we have learned much about the pathophysiology