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SYSTEMATIC THERAPEUTIC EXERCISES IN THE MANAGEMENT OF THE PARALYSES IN HEMIPLEGIA

ROBERT ODEN
JAMA. 1918;70(12):828-833. doi:10.1001/jama.1918.02600120008003.
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In considering the treatment of cerebral hemiplegia, Thomas1 states that "the paralyzed limbs should be rubbed, moved passively," and "when voluntary power begins to return, this should be encouraged by practice, and the patient should have regular gymnastic exercises." Church2 says that "as soon as the apoplectic coma has passed away, gentle massage of the paralyzed side and exercise of all the paralyzed muscles by mild faradism should be instituted... As soon as there is any reappearance of voluntary motion the patient should be encouraged to exercise it. These measures are usually postponed to the end of ten days or a fortnight in fear that, by instituting them early, the brain lesion may in some way be increased." Then he suggests that the fear of greater injury is without reason, if the measures are properly carried out. These two statements from standard medical works illustrate the mode of

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