RT Journal A1 OBER FR T1 PAin and tenderness during the acute stage of poliomyelitis JF Journal of the American Medical Association JO Journal of the American Medical Association YR 1942 FD October 17 VO 120 IS 7 SP 514 OP 515 DO 10.1001/jama.1942.02830420022005 UL http://dx.doi.org/10.1001/jama.1942.02830420022005 AB The management of the acute stage of poliomyelitis should be a combined effort of the family physician and the orthopedic surgeon. Nursing care of poliomyelitis in this stage should be carried on by a nurse specially trained in the physical therapy aspects of the disease. Sister Kenny has demonstrated the importance of this. There is no question in my mind that, in waiting until the quarantine period is over before instituting early physical therapy measures, recovery is delayed because the pain and spasm when unrelieved become more and more prominent in direct proportion to neglect in instituting such measures.The lack of knowledge among physicians of what physical therapy means is not their fault. It is because medical students are not taught the value of this important asset in the treatment of diseases which involve joints and the neuromuscular mechanism. The information handed out to these students, when joint disease