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April 7, 1917


JAMA. 1917;LXVIII(14):1018-1020. doi:10.1001/jama.1917.04270040006003

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The problem of the treatment of the convalescent stages of infantile paralysis is definite, specific and undisputed. It is to restore the maximum ultimate efficiency to affected muscles. The present paper is a discussion ofhow this may best be brought about.

Our treatment of the acute stage of the disease has made great strides of late. Meddlesome therapeutics in the way of drugs, counterirritation and massage in the tender stage have been largely abandoned, the general practitioner is guarding against and preventing unnecessary deformity, and rest is being recognized as the best treatment at this time by the intelligent physician. In the later stage, too, an adequate and rational operative plan of treatment has been developed and is being practiced by most orthopedic surgeons. But in the convalescent stage, which may be assumed as lasting for about two years from the time when the tenderness disappears, little real change has

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