24 F I S I O T E R A P I E ABSTRACTS SEPTEMBER i 97a C yriax, J. (1978) M ech an ism s o f Sym ptom s. D u ral P ain . L a n c e t, 1, 919 - 921. E x c e p t in b o n e dise ase, th e tis su e w h ic h c auses a w a re n e ss o f b a c k a c h e is th e d u r a m a te r. A s so o n as th e in se n sitiv ity o f th e l u m b a r j o in t to in te rn a l d e ra n g e ­ m e n t b e c o m e s a c c e p te d , th e d ifficulty f o r m e n w ith sc ien tific tra in in g to a c c e p t tre a tm e n t m e th o d s t h a t a re, o n th e fa c e o f it, illo g ic a l, w ill b e o b v ia te d . I t is th e disc, th e d u r a m a te r, o r th e d u ra l sleeve o f th e n e rv e ro o t th a t re q u ire s tre a tm e n t. R e c o g n itio n o f th e in ­ se n sitiv ity o f th e l u m b a r jo in ts a lso d isp e ls th e n o tio n th a t so m e un sp ecified j o in t c o n d itio n k n o w n as th e " o s te o p a th ic le s io n ” c au ses tro u b le . A d h e re n c e to th is id e a h as d e n ie d c r e d ib ility to la y m a n ip u la to r s a n d h a m p e re d th e e v o lu tio n o f th e ir c ra ft. M . J. R u n n a lls Barnes, W . J. and A lliso n , J. D . (1978): Isom etric T orq u e o f th e F in g er E xtensors at the M etacarp o­ ph alangeal Joints. P h y s . T h e ra p . 58, 1. A p ilo t stu d y w as u n d e rta k e n to e v a lu a te th e iso m e tric to rq u e p ro d u c e d a t th e m e ta c a rp o p h a la n g e a l jo in t d u rin g fin g er e x te n sio n . T h e m e a n to r q u e a t th e j o in t a n g le o f 60 d e g ree s w as sig n ific a n tly g re a te r th a n a t 0 d egrees b u t n o t a t 30 degrees. T h e ra p is ts s h o u ld p lac e th e fingers in a re la tiv e ly flexed p o s itio n w h e n a sk in g f o r activ e c o n tra c tio n o f th e fin g er e x te n so rs , e sp e c ia lly in p a tie n ts w ith w e a k n e ss o r p a ra ly s is o f th e s e m uscles. T h e w rist sh o u ld a lso be slig h tly flexed w h e n e x e rc is in g th e finger ex te n so rs. M . J. R u n n a lls Van Z u id en , E . en H o itin k , G . J. (1978): Puvatherapie. N e d . T ijd s c h r ift F y s io th e ra p ie , 88, 158. D it is d ie b e h a n d e lin g v a n p s o ria s e m e t 8-m eto k si- p s o ra lie n o f m e to s a lie n in k o m b in a s ie m et lan g g o lw ig e u ltra v io le tlig (3200 - 3900 A). N a b e s p re k in g v a n d ie p a to lo g ie van p s o ria s e e n d ie v e rs k ille n d e a n d e r te ra p ie e , w o rd n a d e r in g e g a a n o p b e h a n d e lin g m e t m e to k s a lie n en u ltra v io le tlig . M e to k s a lie n w o rd tw ee u u r v d d r be- s tra lin g in ta b le tv o rm in g en e em . U ltr a v io le tlig a k tiv e e r d ie m e to k s a lie n w a t d a n ’n v e rb in d irig a a n g a a n m et D .N .S . (D e s o k s irib o n u k le i'e n s u u r) in d ie selle v a n d ie vel. S e ld e lin g s a k tiw ite it w o rd h ie r d e u r gerem . D ie lig- g e v o e lig h e id v a n m en se v e ro o rs a a k d e u r m e to k s a lie n b e re ik n a 2 - 3 u u r sy m a k s im u m en h e t n a 8 u u r h e e lte m a l v e rd w y n . U itv o e rig w o rd in g e g a a n o p d ie te g n ie k v a n b e h a n d e lin g en h o e r e s u lta te g e m e et w ord. D a a r w o rd a an g e g ee w a tte r p a s ie n te m e t p s o ria s e v ir h ie rd ie b e h a n d e lin g in a a n m e rk in g k o m . D ie b y w e rk in g e v a n p u v a te r a p ie w o rd b e s p re e k a so o k d ie v o o rso rg - m a a tre e ls w a t ge n ee m m o e t w o rd . D ie re s u lta te van h ie rd ie te r a p ie lyk g o e d te w ees h o e w e l d a a r n o g b a ie n a v o rs in g g e d o e n m o e t w o rd , o.a. d ie k o rts te e ffektiew e b e s tra lin g s ty e o m p o te n s ie le b e sk a d ig in g s b y la n g d u rig e b e h a n d e lin g s te v e rm in d e r. B .G . K esselm an n, G . en B urggraf, H . (1978): T heo/-etische en p raktische in leid in g tot de “M o to th er a p ie ”. N e d . T ijd s c h r ift F y s io th e ra p ie , 88, 169. M o to te ra p ie is d ie b e w e g in g s d ia g n o stie se e n bew e- g in g s te ra p e u tie s e m e to d e v ir d ie b e h a n d e lin g v a n re- ta rd a s ie s (v e rtra g in g s ) e n p sig o -m o to rie s e p ro b le m e e n / o f s to o rn is s e in d ie m o to rie s e f u n k s io n e rin g van Ve k in d e rs en a d o le ssen te. In d ie k o n ta k m e t d ie omgewj w o rd g e v o e le n s en e m o sie s u itg e d ru k d e u r m o to r ij 18 h a n d e lin g e (p sig o m o to rie k ). S to o rn isse in m o to rie k T g e d ra g h e t ’n u itw e rk in g o p d ie h e le p e rs o o n , w a a r d e un d it m o e ilik w o rd o m o p n o rm a le w yse m e t jo u med m en s te k o m m u n ik e e r. D ie m o to te r a p ie w il n o u deu m id d e l v a n lig g a a m sb e w e g in g s h ie r d i e k o m m u n i k a s i/ p ro b le m e p ro b e e r o p h e f. D ie b e la n g rik s te hulpm iddel h ie rb y is d ie p e d a lo , ’n a p p a r a a t v a n 2 x 3 w ie le agter m e k a a r m e t 2 p la n k ie s tu sse n -in w a a r o p d ie k in d hom se lf v o o rtb e w e e g en a lle rh a n d e o p d r a g te u itg e v o e r kart w o rd . E e n en a n d e r w o rd m e t f o t o ’s v e rd u id e lik en v e rs k ille n d e o e fe n in g e w o rd g e n o em . H o e w e l hierdie te r a p ie v e ra l v ir d ie p sig ie s g e stre m d e k in d beskryf w o rd , k a n d ie p e d a lo m o o n tlik o o k ’n p le k v e ro w e r in d ie a rs e n a a l v a n d ie a lg e m e n e fisio te ra p e u t. B.G. K olb , M ary E lizab eth , (1978) D an triu m : E en hulp. m iddel bij de fy sio th e r a p ie van de spastische patient. N ed. T ijd s c h r ift F ysio th e ra p ie , 88, 172. In h ie r d ie a rtik e l w o rd d ie in v lo e d v a n d ie relaksasie- m id d e l d a n tro lie n n a triu m (fa b rie k s n a a m d a n triu m ), wat re g stre e k s o p d ie sp ie re w e rk o p ’n p le k v e rb y die n e u ro -m u s k u le re sin a p s, b e sp re e k . D e u r d ie vrystelling v a n k a ls iu m io n e u it d ie s k e le ts p ie re te e n te g a a n deur m id d e l v a n d a n tr iu m , w o rd d ie e k sita sie -k o n tra k sie m e g a n ism e v a n d ie sp ie re o n tk o p p e l. D ie r e s u lta a t van b e h a n d e lin g h a n g in g r o o t m a te a f v a n d ie dosering v a n d a n tr iu m : d u id e lik e v e rm in d e rin g in w eerstand tee n p a ssie w e stre k , v e rm in d e rin g v a n k lo n u s, verlaging van h ip e rre fle k sie , v e rm in d e rin g v a n o n w ille k e u rig e sp a stie s e to ta a lp a tr o n e , ens. D ie b y w e rk in g e van d a n tr iu m m a g w ees 'n a lg e m e n e slegte g e v o el, ve rm o e id - h e id , d u is e lig h e id en ’n g e v o el v a n s p ie rs w a k te en soms d ia rre e . H ie r d ie b y w e rk in g e , as h u lle a a n w e sig is, is g e w o o n lik v a n v e rb y g a a n d e a a rd en is v e ra l a fh a n k lik v a n d ie d o s e rin g v a n d a n triu m . O p h ie r d ie d osering w o rd d a n n a d e r in g e g a a n . D ie e rn s tig s te b y w e rk in g van d a n tr iu m is h e p a titis w a t v e ra l k a n o n tw ik k e l b y b a ie h o e d o se rin g s v a n d a n triu m . R e e lm a tig e le w e rto e tse sal h ie r d ie g e v a a r s te rk v e rm in d e r. B-G< G ray, S. D . H aem atom a and M y o sitis O ssificans (1977): A ust r. J. P h y s io l her. 23, 4. T h e tr e a tm e n t o f h a e m a to m a b e tw e e n s k in and fa sc ia , b e tw ee n fa sc ia l p la n e s o r m u sc le p lan e s, w ith in m u sc le b u lk o r b e n e a th th e p e rio s te u m o f th e bone, w h e re p h y s io th e r a p y p la y s a m a jo r p a r t in r e h a b ilita ­ tio n is d isc u sse d . T h e r o u tin e first a id o f c old, com ­ p re ssio n a n d re st in e le v a tio n fo rm s th e im m e d ia te tre a tm e n t o f such a tra u m a . T re a tm e n t t h e r e a f te r rests o n d e te rm in in g th e site o f th e b le e d in g a n d th e severity o f th e c o n d itio n . T re a tm e n t o f i n te rm u s c u la r lesions s h o u ld b e d y n a m ic a n d re s o lu tio n ra p id . T re a tm e n t of in tra m u s c u la r a n d su b c u ta n e o u s lesio n s, w h e re th e re is a p o s s ib il:'-' o f c a lc ific a tio n , s h o u ld b e c a u tio u s, p a rtic u la r ly w h e n in tro d u c in g e x erc ises. R e h a b ilita tio n s h o u ld n o t o n ly b e d ire c te d to w a rd s th e a ffected lim b b u t also to w a rd s m a in ta in in g g e n e ra l fitness. Specific tr a in in g s h o u ld n o t b e re su m e d u n til r e s o lu tio n is c o m p le te . M . J. R u n n a lls R ep ro du ce d by S ab in et G at ew ay u nd er li ce nc e gr an te d by th e P ub lis he r (d at ed 2 01 3. ) ggpTEMBER 1978 P H Y S I O T H E R A P Y 25 physiotherapy and P sychiatry. P h y s io th e ra p y 64, 23 - 24. This is th e re p o rt on T h e R o le o f the P h ysio th e ra p ist ■ R ela tio n to L o n g -s ta y P sy c h ia tric P a tie n ts, w h ic h w as ' n o n s o r e d in D e c e m b e r 1977 b y th e N o rth -W e s t T h a m e s Regional H e a lth A u th o rity . S e v e ra l o p in io n s g iv e n a re f in te rest a n d so m e a re q u o te d below . 0 “M e m b ers all a g re e d th a t P h y s io th e r a p y se rv ice s h o u ld b e a v a ila b le in m e n ta l h o s p ita ls — th e o n ly disagreem ent w a s on w h e th e r P h y s io th e ra p is ts w o rk in g there sh o u ld h a v e a d d itio n a l p s y c h ia tric tra in in g . G enerally it w a s a g re e d th a t p s y c h ia tric k n o w le d g e v v o u l d b e h e lp fu l to u n d e rs ta n d th e p a tie n t’s p r im a r y illness a n d a v o id d is tu r b in g th e ir m e n ta l sta te , b u t p h y sio th era p ists s h o u ld n e v e r a tte m p t th e r a p e u tic i n te r ­ vention in th is s p h e r e ” . “P h y s io th e ra ip s ts h a d b e e n a b le to h e lp th r o u g h o u t the h o s p ita l b y e n s u rin g th a t p a tie n t’s c h a irs w e re the right h e ig h t f o r th e m , b y a d v is in g o n a id s a n d access in la v a to rie s, b y te a c h in g w a rd staff to p o s itio n p a tie n ts s0 th e y co u ld ris e f r o m c h a irs w ith o u t e x p e c tin g h e lp every tim e , b y e n c o u ra g in g p a tie n ts to w e a r shoes, a n d ' I sh o w in g h o w c o rre c t p o s itio n in g c o u ld p re v e n t pres- 1 (ire s o re s ” . “T h e m a in ta s k f o r p h y s io th e ra p is ts w as to te a c h senior n u rse s as w ell as ju n io r s a n d h e lp e rs h o w to move a n d p o s itio n p a tie n ts . T h is w as o f te n m o st ta c t ­ f u lly a c c o m p lis h e d b y a sk in g th e m to h e lp in a d e m o n ­ stra tio n . ‘E x p e rie n c e in a p s y c h ia tric h o s p ita l s h o u ld b e in ­ c lu d e d in th e p h y s io th e r a p y s tu d e n t-tra in in g p r o ­ g ra m m e ” . A n in te re s tin g a rtic le , o f re le v a n c e to a ll w h o h a v e d e a lin g s w ith b o th p s y c h ia tric , th e e ld e rly lo n g -te rm , a n d g e r ia tr ic p a tie n ts . H C W A T T S G od w in , R . J, (1978): Chest X -rays after A b dom inal Surgery. P h y s io th e r a p y 64, 34 - 39. A w e ll-illu s tra te d a rtic le d e s c rib in g th e v a rio u s p o s t­ o p e ra tiv e c h est c o n d itio n s th a t m a y o c c u r, a n d h o w to re c o g n ise th e m fro m X -ra y a p p e a ra n c e s . T h e c o m p li­ c a tio n s th a t m a y o c c u r a re d iv id e d in to : Im m e d ia te (u p to 24 h o u rs p o s t-o p e ra tiv e ly ) In te rm e d ia te ( 1 - 7 d a y s) a n d L a te d e v e lo p m e n t (7 d ays + ) . T h e d a n g e rs o f u n in fo rm e d p h y s io th e r a p y tre a tm e n t a re d e sc rib e d , p a rtic u la r ly in th e case o f a c u te p u l ­ m o n a ry o e d em a. T h is is a m o s t in te re s tin g a n d u se fu l a rticle . H C W A T T S e ig h t h i n t e r n a t i o n a l c o n g r e s s a n d n i n t h g e n e r a l MEETING OF THE WORLD CONFEDERATION FOR PHYSICAL THERAPY: 28th MAY TO 2nd JUNE 1978 T h e th e m e o f th e c o n g ress w as “T h e E v a lu a tio n o f P h y s io th e ra p e u tic P ra c tic e s ” a n d se ssio n s r a n s im u l­ ta n e o u sly a t th e H ilto n H o te l a n d H o lid a y Inn, T el Aviv. R e g is tr a tio n o n S u n d a y 2 8 th M a y w as fo llo w e d by an in fo rm a l so c ia l g a th e rin g a t th e H il to n H o te l. O n M o n d a y 2 9 th , th e sc ien tific sessions c o m m e n c e d w ith a n O p e n in g le c tu re , fo llo w e d b y a K e y n o te le c tu re at e ac h v e n u e. T h is w as fo llo w e d b y f o u r p a n el d is ­ cussions, on M u sc le S tre n g th e n in g , M u sc le , T e stin g P ublic H e a lth a n d the Im a g e o f the P h y sio th e ra p ist, discussed b y m e d ic a l a n d a llied p ro fe ssio n s. E le v e n Special In te re st G r o u p d isc u ssio n s to o k p la c e th a t a f te r ­ noon a n d w e re c o n tin u e d on T h u rs d a y a fte rn o o n , 1st June. O n T u e s d a y fre e p a p e rs w e re d e liv e re d in sessions on D e v e lo p m e n ta l a n d P aed ia tric P h y s io th e ra p y , A n te - ~wlal P h y s io th e r a p y , R e s p ir a to r y P h y s io th e ra p y , O r th o ­ p ed ic P h y s io th e ra p y , C ardiac R e h a b ilita tio n , V a sc u la r iJiseases a n d N e u r o lo g y . T w o K e y n o te lec tu re s o n T h u r s ­ d ay m o rn in g w e re fo llo w ed by f o u r p a n e l d iscussions on E ffe c ts o f S e n so ry I n p u t on F u n c tio n in N e u ro lo g ic a l D isorders, B io fe e d b a c k — I ts uses in P h y s io th e ra p y , C riteria fo r E v a lu a tio n in N e u r o lo g y a n d C riteria fo r E v a lu a tio n o f G ait. O n F r id a y m o rn in g th r e e s im u l­ ta n e o u s sessions o f m is c e lla n e o u s fre e p a p e rs p re c e d e d an o p e n session — M a r k e t P lace. T h is w as fo llo w ed by a p le n a ry session on a tw o y e a r p h y sio lo g ic a l a nd p sy c h o lo g ic al fo llo w -u p o f tra u m a tic p a ra p le g ic s a n d the c losing a d d re ss b y M r. E u g e n e M ichels, w h o w as r e ­ elected as P re sid e n t o f th e W o rld C o n fe d e ra tio n fo r P h y s ic a l T h e ra p y . S o u th A fric a w as w ell re p re s e n te d b y six sp e a k e rs, n a m e ly P a t B o w e rb a n k , N a r i n a G ild e r, P o o b a la m G o u n d e n , L o u is e H a c k , G illia n O o s th u iz e n a n d M o ira R u n n a lls. O n th e T u e s d a y a n d T h u r s d a y m o rn in g s f o u r p r a c t i ­ cal d e m o n s tra tio n s o n th e tre a tm e n t o f a ta x ic a n d a th e to id c h ild re n , th e r e h a b ili ta t io n o f in ju re d w o r k ­ m en , n e w p lastic s u se d in m a k in g o rth o s e s a n d sim p le a id s f o r p h y s io th e ra p y in a c o n fin e d sp a c e w e re r e ­ p e a te d tw ice to e n a b le p a rtic ip a n ts to a tte n d all. T h e N in th G e n e ra l M e e tin g w as p re c e d e d by a S pecial M e e tin g w h e re tw o p ro c e d u ra l d e c isio n s w e re m ad e : a lte rn a te d e le g a te s w o u ld b e p e rm itte d to sp e a k to m o tio n s , e ac h d e le g a tio n b e in g lim ite d to sp e a k in g once a n d a lte rn a te s c o u ld v o te if th e v o tin g d e le g a te w as u n a v o id a b ly a b se n t; th e m e c h a n is m f o r e le c tio n o f vice- p re sid e n ts, a lte re d a t th e E ig h th G e n e ra l M e e tin g , w as re v o k e d a n d th e o ld sy ste m w as re sto re d . A t th e N in th G e n e ra l M e e tin g th e n a tio n a l o r g a n iz a tio n s o f E g y p t, H o n g K o n g , L u x e m b o u rg , T h a ila n d a n d V e n e z u e la w ere a d m itte d to m e m b e rs h ip . T h e r e w as le n g th y d isc u ssio n on m o tio n s p ro p o s in g c h an g e s in th e e th ic a l p rin cip les. T h e p rin c ip le de alin g w ith m e d ic a l re fe r r a l w as a lte re d s u b s ta n tia lly b y th e a d d itio n o f th e w o rd s if e xp ressly re q u ire d by the code o f e th ic s o f th eir n a tio n a l a ssociation, a m o tio n p r o ­ p o se d b y A u s tra lia . A f u r th e r m o tio n p ro p o s e d by D e n m a rk , w h ic h w as p a sse d , a lte re d th e w o rd in g p re sc rib e d b y a re g iste re d m e d ic a l p ra c titio n e r to in re sp o n sib le c o n su lta tio n w ith a re g iste red m e d ic a l p r a c ti­ tio n e r. In b o th in stan c es o r d e n ta l p ra c titio n e r was a dded. A m o tio n to re c o g n iz e th e n e e d f o r s p e c ia liz a tio n in p h y s io th e ra p y w as p a sse d a n d o n e to re s c in d th e 1974 d e c isio n to p e r m it th e f o r m a tio n o f g e o g ra p h ic a l a n d f u n c tio n a l su b g ro u p s w as n o t passed. T h e m a n ip u la tiv e th e ra p is ts (In te r n a tio n a l F e d e r a tio n o f O rth o p a e d ic M a n ip u la tiv e T h e ra p is ts ) w e re th e first to h a v e a su b ­ g ro u p re c o g n iz e d . T h e re su lts o f th e e le c tio n w e re :— P re s id e n t: E u g e n e M ic h e ls (U .S.A .). F i r s t v ic e -p re s id e n t: E . S im o n (B elgium ). S e c o n d v ic e -p re s id e n t: C. S h a v itt (Isra el). T h ir d v ic e -p re s id e n t: I. O d e e n (Sw eden). E x e c u tiv e c o m m itte e : A u s tr a lia , C a n a d a , P o la n d p lu s (fo r th e r e m a in d e r o f th e ir te rm ): G e rm a n y , M e x ico , S w itz e rla n d . T h e n e x t c o n g ress a n d th e T e n th G e n e r a l m e e tin g o f th e W o rld C o n f e d e r a tio n f o r P h y s ic a l T h e r a p y w ill be h e ld in S to c k h o lm , S w eden, in M a y 1982. R ep ro du ce d by S ab in et G at ew ay u nd er li ce nc e gr an te d by th e P ub lis he r (d at ed 2 01 3. )