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Page 23 text:
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simulate acute diseases which are usually treated in man with drug therapy or surgery, than those chronic conditions seen in many patients sent to the physical therapy department or spa because of failure or lack of promise of drug therapy or surgery. In practice, sharp division between basic and clinical research is impossible. Both have to work hand in hand. There are many problems which should be attacked simultaneously by a co-operating team of workers, each having some specialized training in one or more of the numerous experimental, theoretical, and clinical problems involved. The field for investi- gation in physical medicine is very wide — in fact a virgin one. The task of present-day research in physical medicine can be epitomized in a series of aphorisms based on those of Baruch for hydrotherapy: (1) To procure sound scientific proof of the biological actions brought about by physical agents. (2) To determine the exact relation between quality or quantity of the agents and the effects produced. (3) To offer plausible theoretical explanations for the effects observed and for their dependence on quantity and quality of the physical agents. (4) To provide methods to make the effective agents easily accessible in the needed and controlled quantity and quality. (5) To evaluate critically the therapeutic and diagnostic use of biologically effective physical agents. The positive negative pressure boot in the treatment of peripheral vascular dis ease
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Page 22 text:
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Luminous infrared radiation being applied with an extremity baker Short wave diathermy using the technique of electro- magnetic field heating Resistance exercise on the shoulder wheel designed to increase strength and range of movement in a patient who had suffered extensive burns in an industrial accident believe to be the truth today will be regarded as error by the next generation. Only continuing research can give us the facts out of which come hypotheses approximating the truth. Since a plausible explanation of the beneficial action of a remedial agent may be fallacious, the truly scientific physician is not satisfied with a possible explanation of its mode of action, but desires also to know the precise relation between dosage and effect. Planned experimentation, keeping all factors constant except one, and subsequent analysis of the results and the gathering of controlled clinical observations (the major scientific approaches to medicine in general) are equally applicable to physical medicine. Unfortunately, basic animal research is sometimes difficult, since we can better
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Page 24 text:
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u ecol lectin Having graduated from the Medical College of Virginia with the ancient Class of 1886, I claim relationship to Rip Van Winkle, and to whatever super-annuated title (if any) which he may have had! Ever since those ancient days I have always been proud of my Alma Mater, and especially so within the past few years, having witnessed her remarkable development, her progressive spirit, and her outstanding service and contributions to the advancement of the medical profession. I am very happy to know of the magnificent grants recently made and ear- marked for the Baruch Center, and for the further scientific development of Physical Medicine. In this branch of therapy I have been interested for many years, especially during World War I, when the various physical agents (most of them of ancient usage) became grouped under the heading Physical Therapy. Their physiological effects and therapeutic values were studied and widely used in the reconstruction hospitals of that day, and from the beneficial effects which were observed large numbers of medical men became interested in the results. The Government in 1917 issued a call for medical men who had had some experience in administering the newer forms of treatment by physical means distinct from the usual forms of medicine and surgery. There were very few who volunteered for such service. The term Physical Therapy was new, and hardly recognized by the medical profession. My application was forwarded to the Surgeon General ' s office and accepted. Appointed a Captain in the Medical Corps, I reported to the War Office in Chicago for assignment to duty to an old Medical Corps Major of many years ' service, who looked me over, and asked if I had a specialty. I answered in the affirmative. What is it? he asked. Physical Therapy, Sir. What in hell is that? was his explosive question. I tried to explain. Well, said he, I guess I ' ll send you to Fort Leavenworth. And to Fort Leavenworth I went! That Post was a kind of training ground for newly appointed medics, but there was no Physical Therapy within a thousand miles! After a few months there I was ordered to Walter Reed Hospital in Washington for instruction and duty. At that time this was the fountain head of Physical Therapy training and observation. There were only six or seven officers taking the course at the time, all being sent to reconstruction Precise control of fever therapy made possible by this modern cabinet which is a modification of the original Kettering Hypertherm
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