October, 1956. P H Y S I O T H E R A P Y Page Five S O M E I M P R E S S I O N S OF THE W O R L D C O N F E D E R A T I O N F O R P H Y S I C A L T H E R A P Y B y F R E D A D E B R U IN Tu F W O R L D C O N F E D E R A T IO N F O R P H Y S IC A L T H E R A P Y w as h eld in N e w Y o rk fro m 17th— 23rd T h e C .S .P . c h a rte r p la n e left L o n d o n o n 12th Ju n e d re tu rn e d on Julv 2nd, so th a t tim e w as allow ed for h n s D ita l visits a n d sightseeing, a n d I trie d to get to as m any Hospitals a n d in stitu tio n s as possible. It p ro v e d to be a very hectic b ut e n joyable a n d stim u la tin g visit. T he A m erican P h y sio th e rap ists w ent o u t o f th e ir w ay to m ake th e overseas visitors a t hom e, th e ir friendliness, hospitality a n d helpfulness m ad e th e visit a very p lea sa n t one a nd we soon c o tto n e d on to “ A m e ric an e se ” . 1 left the U .S .A . d e te rm in e d to do all in m y p o w e r to see th a t th e S o u th A frica n Society o f P h y sio th e rap y is adequately re p re se n ted a t th e W o rld C onference to be held in Paris in S e p tem b e r 1959. O u r Society is ra p id ly e x p a n d ­ ing phy sio th era p y is gra d u ally m ak in g p ro g ress in S o u th Africa a n d it is m o st im p o rta n t th a t we be fully rep resen ted in Paris. A t this C o n fe d e ra tio n c o u n trie s w ith a sm aller m em bership th a n o u rs, a n d som e even fu rth e r aw ay from New Y ork th a n we a re, sent m o re re p re se n tativ es th a n we d id. T hirty-nine c o u n tries w ere re p re se n ted a n d th e to ta l a ttendance w as 2,486. U .S .A ....................... 1,733 re presentatives. C a n ad a 196 B r i t a i n .................... 99 A u stralia 30 D enm ark 12 G erm any 13 H o lland 10 N ew Z ealand 3 N orw ay 16 S w eden.................... 25 F ra n c e .................... 9 A lgeria, A rgentine, A u s tria , Belgium, Brazil, B ritish G u ia n a, C o lu m b ia , C u b a , E g y p t, E ire, F in la n d , H a iti, In d ia, In d o n e sia, Ira n , Isra el, K e n y a, K o re a , M a lay a , M exico, N . R h o d e sia, P o rtu g a l, R ussia, T h a ila n d , T rin id a d , T urkey a n d V enezuela w ere also re p re se n te d a n d it w as a truly in te rn a tio n a l conference. D espite th e differences o f lan g u a g e a n d ra ce we fo u n d th a t we h a d a c o m m o n g ro u n d in p h y sio th e ra p y and th e trea tm e n t a n d w ell-being o f th e p a tie n t. I t w as m o st in te rest­ ing to find th a t o th e r p h y sio th e ra p ists have th e sam e problem s o f sta te re g is tra tio n , tra in in g a n d sh o rta g e o f train ed p ersonel as we do. D u rin g th e C onference c o n c u rre n t sessions w ere held, som etim es fo u r a t th e sam e tim e. T h e re w as a lso an excellent pro g ram m e o f films in th e film th e a tre a n d a crow ded display o f scientific a n d p ro fessio n al exhibits. I t w as im ­ possible to a tte n d th e official m eetings as well as a ll th e lectures a n d I felt th a t a t least to d o full ju stic e to all th e lectures a n d fu n c tio n s th a t w ere o rg a n iz ed — ho w I wish th a t you co u ld a ll have been there. I regret to sta te th a t I h e a rd som e m o st p e cu liar a nd d istorted o p in io n s a b o u t S. A frica a n d S. A frica n p h y sio ­ therapy a n d sp e n t som e tim e on p ro p a g a n d a , yet a n o th e r reason fo r a d e q u a te re p re se n ta tio n a t th e n ext C ongress. A s fa r as p h y sio th era p y in N ew Y o rk a n d B oston is c o ncerned I feel very re lu c ta n t to sta te m y views— I was only th e re fo r 3 weeks a n d it is n o t easy to fo rm an im pression in such a sh o rt tim e. R e h a b ilita tio n is the k e yw ord fo r A m e ric an P h y sio th e rap y a n d I visited th e K essler In stitu te a n d th e In s titu te o f P hysical M edicine and R e h ab ilita tio n in N ew Y o rk “ th e largest c en tre o f its kind in th e w orld offering com p le te a n d in te g rate d services in physical m edicine a n d re h a b ilita tio n to b o th in -p atien ts a nd o u t-p a tie n ts .” T h is w as a n experience w hich I shall never forget; all the d e p a rtm e n ts a nd services necessary fo r re h ab ilitatio n u n d e r one ro o f— an ideal w hich we h ope w ill o ne d ay be realised in S o u th A frica. A fe a tu re o f all th e h o sp ita l d e p a rtm e n ts w hich 1 visited w as th e c om plete c o -o p e ra tio n betw een the m em bers o f th e re h a b ilita tio n te a m a n d a basic “ g e tting d ow n to brass ta c k s ” in tre a tin g th e p a tie n t as a p e rso n . A t an ev alu atio n clinic w hich I a tte n d e d , 15 p e rso n s w ere p re se n t:— a physical m edicine specialist, an o rth o p a e d ic surgeon, a physician, a psychologist, an in te rn , a n u rsin g sister, a p h y sio th era p ist, a speech th e ra p is t, an o c c u p a tio n a l th e ra p is t, an o rth o p a e d ic tec h n ician , a social w o rk e r, a hom e visitor, a voc atio n al g u idance e x p ert a n d a “j o b p lac em e n t” officer. Before the p a tie n t cam e in, his case h isto ry w as read a n d discussed a n d th e p ro b a b le tre n d w hich his tre a tm e n t w ould take. W hen th e p a tie n t cam e in he w as m et w ith th e w ords “ W h a t w o uld y ou like us to d o fo r y ou ?” a n d th en a c o m p le te a n d c o -o rd in a te d p ro g ra m m e w as m ap p e d out. T he re h a b ilita tio n o f paraplegics, hem iplaegics, spastics, a m p u te es a n d p o lio s is excellent a n d th e p a tie n t is tru ly re h a b ilita te d in th a t he c a n ta k e his place in society a nd h o ld d ow n a jo b o f w ork. I t w as n o t u n c o m m o n to find d o c to rs a n d interns, them selves e x -p atie n ts, carry in g o u t th e w ork fro m a w heel-chair. D isa b led p e rso n s are accepted by th e p u b lic as eq u als in th e la b o u r m a rk e t. T ra in in g in th e U .S .A . differs ra d ic ally fro m th e English a nd S o u th A frican. T h e e m phasis is o n re h a b ilita tio n a nd n o t so m u ch on th e re lie f o f pain. A n te and p o st n a ta l w ork, chest w o rk a n d e le c tro th e ra p y are n o t em phasized as m uch as in o u r train in g . T h e tra in in g is sh o rte r. S p e a k in g a m o n g st th e o th e r overseas visitors now here d id we find a d e p a rtm e n t c o m p a ra b le to a g eneral h o sp ital d e p a rtm e n t as we u n d e rs ta n d it. N e a rly all th e e le ctro ­ th e ra p y is left to th e d o c to r a n d w h irlp o o l b aths a n d h y d ro - c o la to rs (w et packs) a p p e a r to be very p o p u la r. A m erican p a tie n ts h ave to p a y fo r th e ir tre a tm e n t, unless covered by a n in su ra n ce schem e, a n d tre a tm e n t is very expensive by o u r sta n d a rd s . I t m ay c o st $20— 25 p e r d a y to rem ain in h o sp ital (b o a rd a n d lodging a lo n e n o t in clu d in g d o c to rs’ fees a n d tre a tm e n t) a n d h a lf a n h o u r ’s p h y sio th era p y costs fro m $3— 5. T h e ra te o f exchange is $ 2 -8 0 to £1. I felt th a t expense m ay be one o f th e fa cto rs in n o t seeing, w h a t to us is all to co m m o n , p a tie n ts w ith backache, stiff neck, fibro- sitis, p a in fu l jo in ts a n d flat fe et receiving tre a tm e n t. I trie d to discover as f a r as p ossible th e v a rio u s trends in th e tre a tm e n t o f polio m y e litis a n d saw th e c o n servative m eth o d , th e S ister K e n n y m e th o d a n d th e p ro p rio c e p tiv e n e u ro m u s c u la r fa cilitatio n tec h n iq u e. All these m ethods have th e ir sta u n c h s u p p o rte rs. • C ontinued on P age 16 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. ) Page Sixteen P H Y S I O T H E R A P Y October, 1956. BRANCH NEWS M iss Lovely, o f th e sta ff o f A d d in g to n H o s p ita l, D u rb a n , is a t p re sen t on leave in E n g la n d . M eanw hile, M rs. P. P ilk in g to n a n d M rs. G re en w ay h a v e ta k e n u p p o sts a t A dd in g to n . T h e m em b e rs o f th e N a ta l a n d Z u lu la n d B ra n ch offer th e ir co n d o le n ce s to M iss C h e rrin g to n (A d d in g to n H o sp ita l), o n th e occasion o f th e d e a th o f h e r fa th e r, w ho d ied on A u g u st 28th a fte r a long illness. M iss C o re e n K n o x -P e rk in s (A d d in g to n H o s p ita l) is o n a trip to visit frien d s in th e U .S.A . M r. A. D . M o ig h a s ta k e n up a p o st a t E d e n d a le H o sp ita l, P ie te rm aritz b u rg . M iss J. T h o m a s-D av ies, fro m th e U n ite d K in g d o m , a n d M iss J. R o b e rts , fro m N ew Z ea la n d , h a v e jo in e d th e sta ff o f th e K in g E d w a rd V III H o s p ita l, D u rb a n . N O R T H E R N C A P E B R A N C H N O T E S M em bers a re d e lighted to h e a r th a t M iss D . T re d re a re tu rn s to S.A . in S e p tem b e r a fte r successful eye o p e ra tio n s in L o n d o n . N ew s o f M r. E. J. N ic h o lso n is th a t h e h a s been a p p o in te d to th e R e h a b ilita tio n O rth o p a e d ic H o s p ita l, S ta n m o re , E ngland. T h e H elen B ish o p O rth o p a e d ic A fte r-C a re H o m e is at p re sen t w ith o u t a p e rm a n e n t P h y s io th e ra p ist. M iss S etzer a n d M rs. Y e o w a rt a re d o in g p a r t tim e w o rk th e re to help bridge th e g ap a little. W E S T E R N P R O V IN C E B R A N C H W e wish M r. M a c M u rra y well in h is new office as E x am in er to th e R o y a l C ollege o f S urgeons. H e has alw ays been a g ood frie n d to P h y sio th e rap ists. M r. H o d g e s has left a well fu n c tio n in g w o rk sh o p in C a p e T o w n a n d h a s g one to R h o d e sia to b ring to th a t c o m m u n ity h is a b le h elp in th e sh a p e o f T a y lo r’s B races, G o rm a n S prings a n d C a m p C orsets, etc. H e w as a tonic to k n o w a n d h e m a d e it his business to be au f a i t w ith the latest tre n d s fro m overseas. M r. B ill W o o d g ate. W e w ish h a p p in e ss in his new p o st a t th e L ad y M ic h a e l’s O rth o p a e d ic H om e, P lu m stea d . M rs. Sw eet. W e wish h e r jo y in h e r new h o m e a t T o k a i. M iss J. G o ld m a n . W e tru s t h e r se m i-re tire m e n t is h a p p y a n d w ith th e b e tte r w e ath e r we h o p e to see m o re o f her. M r. K . N icol. li is n o lo n g er necessary to re a d P ro f. Spock, as he h as g a ined a w ealth o f experience lo o k in g a fte r J u n io r w hilst M rs. N ic o l w as overseas. O u r G e n era l M e e tin g o n Ju ly 22nd w ith M iss J. B lair as guest sp e a k er w as a pleasure. W e w ere a b le to lea rn a t first h a n d w h a t C .E .C . w ere d o in g fo r us. I t is a p ity th ere c a n n o t be m o re m ig ra tio n a n d in te rch a n g e o f P h y sio th e r­ apists. C h a n g e o f a d d re ss : M rs. E . M yer, 7 O a k ley C o u rt, P ro te a R d ., C lare m o n t. S O U T H E R N T R A N S V A A L B R A N C H N E W S O n Ju ly 12th, D r. Ja c k G e a r gave th e b ra n c h a very s tim u la tin g a n d inte restin g talk on “ S om e P itfalls in th e E v alu a tio n a n d M e dical T re a tm e n t” . T h e ta lk was th o ro u g h ly e n jo y e d by all m em bers present. A F ilm evening w as h eld o n A u g u st 21st. A d is a p p o in t­ ingly sm all a u d ie n ce saw th re e very goo d films. T w o o f w hich w ere o f g eneral in te rest a n d o n e o f “ S hort-w ave T ec h n iq u e .” M A R R IA G E S M iss S. L e v itt to M r. J. H a lp e m , A u g u s t 5th, 1956. M iss E ileen B o o th — M edw ay. M rs. M e dw ay is still a t W yn b erg H o sp ita l. C o n tinued f r o m P age 5 It w as o nly p ossible to a tte n d a b o u t a q u a r te r o f the lectures. T h e c o m p le te pro c ee d in g s a re to be pu b lish ed in Ja n u a ry so th a t yo u will be a b le to re a d th em then. O ne of th e m o s t helpful a n d stim u la tin g lectures discussed the m e th o d o f using “ to n ic neck reflex” in th e tre a tm e n t of hem iplegia. A m o n g st th e tips th a t I p icked u p w as glosso-pharygeal b re a th in g o r frog bre ath in g . P a tie n ts w ith re sp irato ry p a raly sis a re ta u g h t to “ g u lp ” a ir in to th e lungs, so th a t they b ecom e filled a fte r 10 “ gu lp s” a n d th e re fo re c a n b u ild up th e ir v ital capacity. In c o n clu sio n 1 m u st say h o w m uch I enjoyed th e con­ ference a n d h ow g ra te fu l I a m th a t 1 h a d th e o p p o rtu n ity to a tte n d it as th e re p re se n ta tiv e o f th e S o u th A frica n Society o f P h y sio th e rap y . L e t us d o everything in o u r p o w e r to see t h a t S o u th A frica is fully re p re se n ted a t th e n e x t W orld C o n fe d e ra tio n in Paris. C ontinued fr o m P age 13 so o rte gro e p d ee ln e m in g w at n o d ig is om die p a sie n t o p n u u t te sosialiseer so d a t hy sy da ag lik se p ro b le m e in d ie buite- w ereld w eereens die h o o f k a n bied. 6. D ie ro l v an die a rb e id ste ra p e u t w o rd aan g e d u i. T h e c o lo u r p h o to g ra p h s (Figs. 1— 36) w ere tak e n by the a u th o r a n d they show th e v a rio u s a ctiv ities o f th e Physical M e d icin e D e p a rtm e n t. 1 wish to th a n k D r. H . M o ro ss, M e d ica l S u p e rin te n d en t o f T a ra , fo r his very k in d a dvice a n d c o -o p e ra tio n in m aking th is p re se n ta tio n possible. F O R S A L E P r i v a t e P r a c t i c e in E a s t L o n d o n . F u lly eq u ip p e d tre a t­ m e n t ro o m s in new M e d ica l C e n tre . O w n er w ishes to re tire fo r do m estic reasons. F o r fu rth e r p a rtic u la rs a p ply: P .O . 25, P h y s io th e ra p y D e p a rtm e n t, G e n era l H o sp ita l, J o h a n n e sb u rg . P h y s i o t h e r a p i s t re q u ire d , full-tim e o r p a rt tim e from 1st J a n u a ry , 1957, fo r P riv a te P ra c tice in G e rm is to n . F o r f u rth e r p a rtic u la rs p lease w rite to M r. J. M . B o th a , 203 M edical C e n tre , G e rm is to n , o r P h o n e 51-1933. L o c u m w a n ted to ta k e o ver P riv a te P ra c tice a t D u rb a n N o r th , N a ta l. O w n e r going o verseas in M a rc h . L ocum re q u ire d J a n u a ry 1957 to S e p tem b e r 1957. L o cu m n o t re q u ire d on S alary basis, b u t to ta k e o ver a ll p ro fits and p a y expenses. C a r a necessity. F o r fu rth e r p a rtic u la rs a p p ly : P . U n ia ck e , R o o m s 1 6/17, 11, B ro a d w ay , D u rb a n N o rth . A E s t a b l i s h e d P r i v a t e P r a c t i c e in E d u c a tio n a l C ity for im m e d ia te sale. F o r fu rth e r p a rtic u la rs a p p ly : P .O . 28, P h y s io th e ra p y D e p a rtm e n t, G e n e ra l H o sp ita l, Jo h a n n e sb u rg . 1 M a i n s O p e r a t e d P o r t a b l e U n i t in b lack case giving ga lvanism a n d sin u so id a l, in p erfect c o n d itio n . M a k e rs : M e d ica l S upplies A sso c ia tio n , M o d e l 0. £20. A p p ly : M rs. A . C lose, P.O . B ox 355, L iv in g sto n e , N o rth e rn R h o d e sia. O l d E s t a b l i s h e d P h y s i o P r a t i c e fo r sale in S o u th e rn R h o d e sia . D o m e stic re a so n s f o r sale. F o r f u rth e r p a rtic u la rs a p p ly :— P . 027, P hysio D e p t., G e n e ra l H o s p ita l, J o h a n ­ nesburg. S IT U A T IO N S V A C A N T V a c a n c y occu rs fo r a p a r t tim e fully q u alified p h y sio ­ th e ra p is t. H o u r s : 9 a .m .— 1 p .m . M o n d a y s to F ridays. A p p ly : Secretary, U n ite d C e re b ra l P alsy A sso c ia tio n o f S o u th A frica, P . O . B ox 10398, o r ’P h o n e 33-3367 /8. L o c u m P h y s i o t h e r a p i s t re q u ire d fo r p riv a te p ra c tic e fo r N o v e m b e r o r D e ce m b er, 1956. D ire c t e n q u iries to — 13, B rig h t S tre et, S o m e rse t W est, C ape. 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. )