PEDIATRICS Vol. 48 No. 5 November 1971, pp. 845-846
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Rehabilitation after Head Injury

Herbert J. Cohen M.D.1, Darryl C. DeVivo M.D.2, and Philip R. Dodge M.D.2

1 Pediatrics and Rehabilitation Medicine, Albert Einstein College of Medicine, 1410 Pelham Parkway South, Bronx, New York 10461
2 St. Louis Children's Hospital, 500 S. Kingshighway, St. Louis, Missouri 63110

While the article by De Vivo and Dodge1 on the diagnosis and management of head injury was an excellent review of this problem, I would like to take issue with their statements concerning the physical rehabilitation of the traumatized child. Though responsible professionals in the field of pediatric rehabilitation share the authors' concern about the inadequate documentation of the results claimed by proponents of "elaborate and time-consuming programs of physiotherapy" applied to post-traumatic brain damaged patients, the authors' proposed approach utilizing only range of motion exercizes "to minimize contractures and maintain muscle tone and strength" is inadequate.