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Progress in Pediatrics
May 1944

POLIOMYELITIS: II. RESULTS OF TREATMENT DURING THE ACUTE STAGES OF THE DISEASE

Author Affiliations

CLEVELAND
From the Department of Contagious Diseases, City Hospital, and the Department of Pediatrics, Western Reserve University.

Am J Dis Child. 1944;67(5):393-399. doi:10.1001/archpedi.1944.02020050055011
Abstract

Since 1922 all patients with infantile paralysis cared for in the Department of Contagious Diseases, City Hospital, Cleveland, by one of us and his staff have been treated according to the Toomey-Feiss method.1 This method includes early active treatment, manipulation, massage, heating by infra-red rays, warm baths and other physical therapy. All of these procedures have been advocated separately or collectively by other authors. In addition, we have used no casts or fixed splints, although we have kept the patients in neutral positions by the use of sandbags and other devices. If the intercostal and diaphragmatic muscles were involved, a respirator was employed. This plan of therapy has been outlined previously by one of us (Toomey).2 Some years prior to 1922 Feiss concluded that the lack of casts did not interfere with recovery.3 Our subsequent experience in the treatment of over 1,600 patients in the acute stage

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