Kristallnacht
The Day after Kristallnacht

Dr. Ludwig Guttmann is the undisputed father of the Paralympic Games.

But in the fascinating fantasy world of “What If” speculation, the Paralaympic Movement may have had a different, perhaps more delayed progression through time had Guttmann met a different fate in the increasingly scary build up to World War II in Germany.

In 1938, Guttmann was the medical director of a Jewish Hospital in Breslau, which at the time was part of Germany. On November 9, German paramilitary and citizens walked unimpeded through cities across Germany smashing the glass windows of Jewish-owned stores, buildings and synagogues. Called Kristallnacht, this pogrom led to the death of dozens of Jews, and the arrest of tens of thousands of Jewish men.

On that Night of Broken Glass, 64 Jewish men were admitted into Guttman’s hospital. While many were injured, some were not and were simply looking for refuge from the violent rampage. According to this interview of Guttmann’s daughter, Eva Loeffler, Guttmann admitted all to the hospital regardless of whether they were injured or not, at great personal risk.

My father said they must all be allowed in, whether they were ill or not and they were all admitted to beds on the wards. The next day the Gestapo came round to see my father, wanting to know why such a large number of admissions had happened overnight. My father was adamant that all the men were sick and said many of them were suffering from stress. He took the Gestapo from bed to bed, justifying each man’s medical condition. Apparently he also pulled faces and grimaced at the patients from behind the Gestapo’s back, signaling to them to pull the same expressions and then saying, “Look at this man; he’s having a fit.”

Poppa Guttman Celebration, Stoke Mandeville.
Eva Loeffler the daughter of Paralympic Games founder Sir Ludwig Guttmann appointed as the Mayor of the Paralympic Village by London 2012

Of the 64, only four were carted away by the Gestapo, the remaining 60 allowed to escape incarceration or death for another day.

Guttmann was Jewish, and thus could easily have been arrested, which would likely have led to death in a concentration camp. But he not only saved the lives of dozens, he saved himself. Despite the fact that he was Jewish, Guttmann was one of the foremost authorities in neuro medicine, and was thus still highly valued by the German government. In fact, in order to exercise influence with a potential ally in the Portuguese, the Nazi regime dispatched Guttmann to Portugal so that he could treat a close friend of the Portuguese prime minister, António de Oliveira Salazar. The German authorities then re-issued Guttmann’s passport (as all Jews had their passports confiscated), and then send him to Portugal.

After finishing his work in Portugal, Guttmann made a significant trip to London, where he met members of the Society for the Protection of Science and Learning. This particular group at the time was devoted to obtaining visas for Jewish academics in Germany to come to England. In fact, according to Guttman’s daughter, Loeffler, the society had already sent a visa to the relevant Berlin authorities informing them that Guttmann has already been offered a research post at the Radcliffe Infirmary in Oxford. When Guttmann returned to Germany, he was presented with an opportunity that could secure his family’s long-term safety, or accelerate his family’s demise.

It was 1939 and I was six years old. I remember I was abnormally frightened at the time; I used to cry a lot. Even as a small child I picked up the fear and sadness felt by my parents. Although Jews were allowed to take out some furniture, clothes and linen they were not allowed to take any money, gold silver or jewelry. But the official who was supervising us came round the day before and told my mother ‘I shall be an hour late tomorrow’. It was obviously a hint that we might pack what we wanted; but my mother was too frightened to take anything forbidden as she thought it could be a trap.

Dr Ludwig Guttmann 2nd from left
Dr. Ludwig Guttmann (2nd from left) with Prof Otfrid Foerster and hospital staff at the Wenzel-Hancke Hospital, Breslau, Germany, 1920s Wellcome Library, London

Fortunately, it was not a trap.

Five years later, Guttmann was asked to run the National Spinal Injuries Center at Stoke Mandeville Hospital in Buckinghamshire, England, which led to his revolutionary work on treatment of the disabled, and the eventual birth of the Paralympic Movement.

But what if Guttmans’s pleas and gesticulations before the Gestapo in the aftermath of the Night of Broken Glass had ended in his incarceration?

What if those 60 Jewish men were not allowed to live another day, to have a chance to survive the war and have families, grandchildren, and great grandchildren?

What if Guttmann was not alive to emigrate to England, and join Stoke Mandeville Hospital?

Would there be a Paralympic Games as we know it today?

Ludwig Guttmann in office
Dr. Ludwig Guttmann

In 1917, at the age of 18, Ludwig Guttmann volunteered at a hospital and watched a young coal miner, who suffered a serious spinal injury and paralysis, wither away over a five-week period in isolation. Doctors could do nothing for him except encase him in plaster and watch him die. Six years later, Guttmann graduated from the University of Breslau in Poland in medicine, after which he took a position in Neurology and Neurosurgery, only because he could not find a placement in pediatrics, his first choice.

That decision was to have impact ripples that resonate powerfully today.

As the head of the National Spinal Injuries Center at Stoke Mandeville Hospital in Buckinghamshire, England, Dr Guttmann pursued a line of treatment novel at the time – rehabilitation of injured war veterans via sporting activities to build up not only their physical capacity, but also their mental strength. Likely recalling the demise of the young coal miner when he was 18, Guttmann believed that patients with such disabilities required a new form of treatment, a forward-thinking treatment, that would eventually prepare them for re-entry into society. As explained in this article:

Guttmann fundamentally disagreed with the commonly held medical view on a paraplegic patient’s future and felt it essential to restore hope and self-belief in his  patients as well as practical re-training so when they were well enough to leave they could once more contribute to society. He achieved this firstly by changing the way they were treated – he had them moved regularly to avoid the build up of pressure sores and the possibility of urinary tract infections developing – and secondly by engaging them in physical and skill-based activities. Sports like Archery improved their mental wellbeing while learning new skills, such as woodwork, clock and watch repair and typing, would ensure they would be employable. If staff, or patients, on Ward X thought they were going to have an easy time, they were in for a shock.

Guttmann was less innovator and more revolutionary, a man who’s powerful belief in the ability of disabled patients to recover from tremendous physical disabilities to re-enter society led to an incredible transformation at the spinal injuries center. According to this article, Stoke Mandeville had 24 beds and 1 patient when Guttmann arrived, but within 6 months the center housed close to 50 patients, all receiving his obsessive care. Said one Dr. John Silver,

Essentially if they went anywhere else for care, the spinal injuries patients died. He exerted a total, obsessive control over all aspects of care at the hospital, whether it was him coming round in the middle of the night to make sure that the nurses had turned patients, or checking on the quality of the cleaners’ work or that of the food served on the wards. Everything was his responsibility. This was such an enormous contrast with consultants in other hospitals.

Inspired by the 1948 Olympic Games which were held in London, Guttmann held an archery contest on July 28, 1948, the day of the opening ceremonies of the London Olympics. A total of 16 disabled wheelchair-bound men and women came together representing two institutions: The Star and Garter Home in Richmond Surrey and Stoke Mandeville. (According to the Star and Garter site, their team won, not only in 1948, but also 1949.)

Javelin throw with Ludwig Guttmann watching
Javelin throw with Ludwig Guttmann watching

The archery contest was well publicized, for it was in the spirit of the Olympics, whose ideals of participation resonated with the disabled who yearned to participate and be included. Guttmann is quoted here as saying, “Small as it was, it was a demonstration to the public that competitive sport is not the prerogative of the able-bodied.”

And thus was born the Paralympic Movement.

If ever I did one good thing in my medical career it was to introduce sport into the treatment and rehabilitation programme of spinal cord sufferers and other severely disabled.

Dr. Ludwig Guttmann, in Scruton, ‘Stoke Mandeville, Road to Paralympics’. The Peterhouse Press, 1998