SEPTEMBER 1981 P H Y S I O T H E R A P Y 75 the itc h b u t it d id n o t su b s id e c o m p le te ly . A fte r tw o w eeks sh e w as d isc h a rg e d w ith in s tru c tio n s to c o n tin u e using th e s te ro id c rea m . T h e p a tie n t w as a g a in a d m itte d to h o s p ita l o n 26 M a rc h 1980, still c o m p la in in g o f th e itc h w h ich h a d p e rsiste d d u rin g h e r tim e a t h o m e . T h e itc h a t this tim e w as o f su c h in te n siy th a t it c au sed h e r to s c ra tc h the v u lv a u n til it b led . S he w as a g a in tre a te d w ith ste ro id c re a m b u t w ith o u t success. In th e m id d le of A p ril she w as re fe rre d to th e P h y s io th e ra p y d e p a r t­ m en t w ith a re q u e st fo r ‘C u ra p u ls e t h e r a p y ’ (p u lse d sh o rt-w a v e d ia th e rm y ). T h e p h y s io th e r a p is t’s e x a m in a ­ tio n sh o w ed a d e p ig m e n te d a re a in v o lv in g th e lab ia , vulva, p e rin e u m a n d c lito ra l a re a . T h e p a tie n t ’s m a in c o m p la in t w as th e in tra c ta b le itch. A s th e C u ra p u ls e w as n o t a v a ila b le it w as d e c id e d to try p u lse d u ltra s o u n d . T h e p a tie n t w as tre a te d o n fo u r successive days. T h e first tr e a tm e n t c o n siste d of p ulsed u ltra s o u n d , in c o n ta c t w ith th e p r u r itic a re a , usin g g ly c e rin e as a c o u p lin g m e d iu m . T h e d o se was |0,5 w a t t/ c m 2 fo r 5 m in u te s. T h is re su lte d in so m e re lie f w hich la s te d f o r 16 h o u rs. T h e se c o n d tr e a tm e n t w as g iven a t th e s a m e in te n sity fo r 6 m in u te s a n d re lief laste d f o r 20 h o u rs a fte rw a rd s . T h e th ird a n d f o u rth tre a tm e n ts w ere p ro g re s se d by o n e m in u te in e a c h case. A fte r th e th ir d tre a tm e n t th e p a tie n t re p o rte d c o m p le te re lief o f th e itch. She w as 'd is c h a rg e d fro m h o sp ia l on 19 A p ril 1980, free o f a ll s y m p to m s a n d n o t n e e d in g to p ic a l a p p lic a ­ tio n o f ste ro id c re a m . S h e w as g iven an o p e n a p p o in t­ m e n t to r e p o rt b a c k to th e P h y s io th e ra p y D e p a r tm e n t sh o u ld th e s y m p to m s recur. A fo llo w -u p h o m e visit o n e m o n th a f te r d isc h a rg e re v ea le d th a t m ild p ru ritis h a d d e v e lo p e d a g a in 3 w eeks a fte r th e p a tie n t ’s d is c h a rg e fro m h o s p ita l. A rra n g e ­ m e n ts w e re m a d e fo r a lo n g e r c o u rse o f u ltra s o u n d to be g iven b u t u n f o r tu n a te ly th e p a tie n t’s h u s b a n d re ­ fused to le t h e r a tte n d . D IS C U S S IO N A fte r th e th ird tre a tm e n t w ith p ulsed u ltra s o u n d the p a tie n t re p o rte d c o m p le te re lie f o f itch fo r the first tim e in tw o years. In e v a lu a tin g th e tre a tm e n t th e p la c e b o effect m u st b e c o n sid e re d b u t c a n p ro b a b ly be d is c o u n te d o n th e e v id e n ce th a t c h a n g e s o f tre a tm e n t e a rlie r d id n o t p r o ­ d u c e a n y sig n ific a n t effect. L o c a l a p p lic a tio n o f o e stro - jgen h a d n o effect a n d ste ro id c re a m s o n ly a p a rtia l effect; a t n o tim e d id th ey re liev e s y m p to m s c o m ­ pletely. G ro n ro o s e t al. (1979) re p o rte d on 25 p a tie n ts w ho h a d v a rio u s c h ro n ic v u lv a l lesio n s w ith c o n tin u o u s p r u ­ ritis, tre a te d by p u lse d sh o rt-w a v e th e ra p y . P a tie n ts w ere g iven 1 0 - 1 5 single tre a tm e n ts w ith in te rv a ls of tw o days. T h e ben eficia l effect o f th is th e ra p y was e ith e r d e fin ite o r g o o d in 8 0% o f a ll th e cases. T h e w rite r h a s fo u n d n o re fe re n c e to th e u se of p u lse d u ltra s o u n d in th e tre a tm e n t o f c h ro n ic p ru ritis vu lv ae . T h e n o tio n to use th is m o d a lity w as b a se d on th e f a c t th a t in s o n a tio n w ith u ltra s o n ic en erg y re su lts in re d u c e d c o n d u c tio n v e locity in n e rv e . T h u s it c a n be u sed in its p u lse d fo rm to tr e a t p a in fu l c o n d itio n s , p a r ­ tic u la rly th o se w hich h a v e re a c te d a d v e rse ly to the a p p lic a tio n o f h e a t (W a d sw o rth a n d C h a n m u g a n , 1980). P re s u m a b ly p a in re lie f is d u e to re d u c e d c o n d u c tio n v e lo c ity in n e rv e s c a rry in g p a in im p u lse s. S tim u li w h ich give rise to itch a re c a rrie d m a in ly in th e slow c o n ­ d u c tin g , u n m y e lin a te d C fibres, a n d it h a s b een p o s tu ­ la te d th a t p a in fibres c a rry th e s e n s a tio n o f itch in the se n so ry sp in a l n e rv e to th e s p in o th a la m ic tra c t a n d h e n c e to th e th a la m u s (L o tin c z, 1971). T h e fin d in g s of Y a m a m o to e t al. (1981) su g g est th a t c lin ic a lly , th e s e n ­ s a tio n s o f itc h a n d p a in a re clo sely re la te d . Itc h is u su a lly m a d e w orse by in c re a s e d lo ca l te m p e ra tu re , h o w e v e r w ith p u lse d u ltra s o u n d th e tre a tm e n t is re la ­ tively a th e rm ic . W ith o u t its th e rm a l influence, th e effect o f u ltra s o u n d is m a in ly m e c h a n ic a l; it c o u ld b e s p e c u la te d th a t the G a te C o n tro l T h e o ry o f M e lz a c k a n d W all (1965) co u ld h e lp to e x p la in th e re lie f o f itch e x p e rie n c e d by the p a tie n t. G ly c e rin e w hich w as used as th e c o u p lin g m e d iu m is a c le ar, c o lo u rle ss s y ru p y liq u id u se d as a m o is te n in g a g e n t a n d a so lv e n t fo r c e r ta in d ru g s; it is n o t k n o w n to h a v e a n y a n ti- p r u r itic p ro p e rtie s . T h e tro u b le s o m e a n d o fte n d istre s sin g c o n d itio n o f p r u r itis v u lv a e c a n be re s is ta n t to a w ide ra n g e o f c o n ­ v e n tio n a l tre a tm e n ts . A lte rn a tiv e a p p ro a c h e s usin g p u lse d sh o rt-w a v e d ia th e rm y a n d th e m o re e asily a p p lie d p u ls e d u ltra s o u n d m a y p ro v e ben eficia l. It is in te n d e d to stu d y f u r th e r th e effects o f p u lse d u ltr a ­ s o u n d in th e tr e a tm e n t o f c h ro n ic p r u r itis vulvae. A ck n ow led gem en t 1 w ish to th a n k M rs. L. G u m e d e , L e c tu re r in P h y s io ­ th e ra p y a n d th e S taff o f th e K in g E d w a rd V III P h y s io ­ th e ra p y D e p a rtm e n t fo r th e ir a ssista n c e w ith th is case. R eferen ces G ro n ro o s , M . (1979). T r e a tm e n t o f v u lv a l e p ith e lia l lesio n s by p u ls e d h ig h -fre q u e n c y th e ra p y . A c t a O b s te t. G y n e c o l. S c a n d . 58, 187 - 189. M e lz a c k , R . a n d W a ll, P . D . (1965). P a in m e c h a n is m s : A n e w th e o ry . S c ie n c e , 150, 971 - 979. L o tin c z , A . L. (1971). N e u ro p h y s io lo g ic r e a c tio n s o f th e s k in : P a th o p h y s io lo g y o f p ru r itis . In : F itz p a tr ic k , T . B., A rn d t, K . A ., C la rk , W . H . e t al., eds. D e r m a ­ to lo g y in g e n e ra l m e d ic in e . M c G ra w -H ill. N e w Y o rk . (P. 212.) W a d s w o rth , N . a n d C h a n m u g a n , A . P . P , (1980). E le c tr o ­ p h y sic a l a g e n ts in p h y s io th e ra p y . S c ien c e P re ss, (p. 494.) REPORT ON FOURTEENTH GENERAL MEETING OF THE NATIONAL COUNCIL OF THE SOUTH AFRICAN SOCIETY OF PHYSIOTHERAPY HELD ON 27th & 28th MARRCH 1981 IN PRETORIA Office B e a re rs, m e m b e rs o f th e N a tio n a l E x e c u tiv e C o m m itte e , B ra n c h d e le g a te s, re p re s e n ta tiv e s o n N a ­ tio n a l a n d In te r n a tio n a l O rg a n isa tio n s, m e m b e rs o f the P ro fe ss io n a l B o a rd a n d v a rio u s o b se rv e rs a tte n d e d the 14th N a tio n a l C o u n c il M e e tin g . M rs. A . M a th ia s , C h a irm a n , in tro d u c e d P ro fe s s o r F. G . G e ld e n h u y s , P re sid e n t o f th e S o u th A fric a n M e d ic a l a nd D e n ta l C o u n c il, P re s id e n t o f th e S o u th A fric a n M e d ica l A s so c ia tio n a n d D e a n o f th e F a c u lty o f M e d i­ cine, U n iv e rsity o f P re to ria . In his o p e n in g a d d re ss P ro fe s s o r G e ld e n h u y s e x p la in e d th e re la tio n s h ip b e ­ tw een M e d ic a l C o u n c il a n d th e P ro fe s s io n a l B o a rd , a n d o u tlin e d th e d e v e lo p m e n ts sin c e 1947, w h e n th e re g is te r w as first e sta b lish e d . T h e B o a rd w as e s ta b ­ lish ed in 1972, th e sc o p e o f th e p ro fe s s io n g a z e tte d in 1977, th e w h o le c o u n try p re s c rib e d in 1979 a n d a T a riffs C o m m itte e h a d ju st c o m p le te d its h e a rin g . T h e P re s id e n t, M rs. M . L evy, th a n k e d P ro fe s s o r G e ld e n h u y s a n d th e n d e liv e re d h e r P re s id e n tia l a d d re ss . M rs. M a th ia s p a id tr ib u te to th e m e m o rie s o f P ro fe s s o r B. 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. ) 76 F I S I O T E R A P I E SEPTEMBER 1981 B ro m ilo w -D o w n in g , M iss M . R o p e r, a n d M rs . A . D e a ­ con. T h e b u sin e ss m e e tin g c o m m e n c e d by n o tin g a p o lo ­ gies, c o n firm in g p ro x y v o tes, e s ta b lis h in g n u m b e r of v o tes a n d tw o -th ird m a jo rity , a n d o u tlin in g p ro c e d u re . A d d itio n a l m o tio n s, to be ta k e n u n d e r G e n e ra l, w ere ta b le d a n d tw o m o tio n s w ere w ith d ra w n . T w o r e s o lu ­ tio n s p a sse d a t th e 13th N a tio n a l C o u n c il, w ere ra tified , viz. th a t th e S .A . N e u ro d e v e lo p m e n ta l T h e r a p y A s s o ­ c ia tio n be a d d e d th e list o f N a tio n a l O rg a n is a tio n s , a re p re s e n ta tiv e to b e e le cte d la te r, a n d th a t th e c o st of N E C m e m b e rs a w a y fro m H e a d q u a r te r s be c o n trib u te d to o n a p r o - r a ta b asis by all B ra n c h e s. I n th e C h a ir m a n ’s R e p o r t M rs. M a th ia s o u tlin e d th e a c tiv itie s of th e N .E .C ., th e im p le m e n ta tio n o f r e s o lu ­ tio n s fro m th e 13th N a tio n a l C o u n c il M e e tin g a n d m a t­ te rs th a t a ro se fro m th e P ro fe s s io n a l B o a rd . M iss E. B o ttin g , A c tin g G e n e ra l T r e a s u r e r , s u b m itte d h e r R e p o rt fro m th e F in a n c e C o m m itte e a n d th e 1 9 7 9 /8 0 F in a n c ia l S ta te m e n ts a n d 1 9 8 0 /8 1 F in a n c ia l E s tim a te s w ere a d o p ­ ted . A risin g fro m this, a n n u a l su b s c rip tio n s fo r F u ll P ra c tis in g m e m b e rs w ere ra is e d to R 25 (o th e r c a te g o ­ ries to be a d ju s te d a c c o rd in g ly ), N .E .C . w as e m p o w e re d to c o n su lt p ro fe s s io n a l a d v is e rs to f o r m u la te fin an c ia l p ro je c tio n s fo r th e g ro w th o f th e S o c iety a n d th e lim it f o r tra v e llin g e x p e n s e s o f N .E .C . m e m b e rs w as set at R3 00 0 fo r th e f o rth c o m in g term . T h e E d ito ria l B o a rd R e p o r t w as p re s e n te d by M rs. G ild e r a n d a se t o f b o u n d J o u r n a ls h a n d e d to th e C h a ir ­ m a n . M iss C h a tte r to n , J o u r n a l T re a s u re r, p re s e n te d the J o u r n a l F u n d S ta te m e n ts a n d E s tim a te s, w hich w ere a d o p te d . D u e to in c re a s e d co sts o f p rin tin g a n d p a p e r, a n in c re a s e d a llo c a tio n w as re q u e ste d a n d it w as a g re e d t h a t th e in c o m in g N .E .C . will fin alise th is. T h e r e a f te r M iss P. B lake, A p p o in tm e n ts I n f o r m a tio n S e c re ta ry , g a v e h e r re p o rt. M rs. L e n n a rd , C h a irm a n o f th e A c tiv a tio n s S u b C o m ­ m itte e , o u tlin e d th e v a rio u s p ro je c ts in w h ic h th e C o m ­ m itte e w as in v o lv e d d u rin g 1 9 7 9 /8 0 a n d su g g e ste d th a t a n A c tio n C o m m itte e , w ith w id e r n a tio n a l r e p re s e n ta ­ tio n be e sta b lish e d . T h e C o n s titu tio n S u b -C o m m itte e h a d b e e n th ro u g h th e C o n s titu tio n a n d m a d e th e n e c e ssa ry a lte ra tio n s . S e v e ral re s o lu tio n s w ere p a sse d , d e a lin g w ith m a tte rs su c h as d e fin in g P h y s io th e r a p is t/P h y s ic a l T h e ra p is t, G r o u p s a n d v a rio u s c a te g o rie s o f m e m b e rs h ip , e s ta b ­ lish in g S ta n d in g C o m m itte e s o f N .E .C . (E d ito ria l B o a rd , F in a n c e C o m m itte e a n d R e g is tra tio n C o m m itte e ) a n d S u b -C o m m itte e s a n d A d H o c C o m m itte e s bl N .E .C .; th e c o m p o s itio n o f th e N a tio n a l C o m m itte e o f R e p re ­ s e n ta tiv e s ; e th ic a l ru les; a n d c o n s titu tio n s o f S pecial G r o u p s /A s s o : ia ti o n . T h e R e g is tra tio n C o m m itte e assesses a p p lic a n ts a n d m a k e s r e c o m m e n d a tio n s r e g a rd ­ ing re g is tra tio n , th e m a in p ro b le m b e in g th e v a ria b le p ra c tic a l s ta n d a rd s . N e w a p p lic a tio n fo rm s a re to b e d ra w n up. T h e A d H o c C o m m itte e o n In d u s tr ia l/O c c u p a tio n a l P h y s io th e ra p y re c o m m e n d e d th a t th is be in tro d u c e d at u n d e r g ra d u a te level a n d su g g e ste d M r. H a y n e a n d M iss M c P h e e as p o ss ib le sp e a k e rs fo r a le c tu re to u r. It w as also su g g e ste d th a t s lid e -ta p e s o n e rg o n o m ic s be p ro ­ d u c e d . T h e C o m m itte e fo r the In te r n a tio n a l Y e a r of D isa b le d P e rso n s r e p o rte d on v a rio u s a c tiv itie s a t local a n d n a tio n a l level th a t h a d ta k e n p la c e o r w ere p la n n e d . T h e in v e s tig a tin g C o m m itte e h a d lo o k e d in to c rite ria a n d g u id e lin e s f o r re c o g n itio n o f a d d itio n a l re g is tra b le q u a lific a tio n s, o p tim a l p h y s io th e ra p y case lo a d s in d iffere n t h o s p ita ls a n d a w a rd in g c e rtific a te s o f a d v a n c e d c lin ica l c o m p e te n c e , as well as h a v in g s u p p lie d in f o r ­ m a tio n fo r th e m e m o ra n d u m s u b m itte d to th e C o m ­ m issio n of E n q u iry in to H e a lth S ervices. T h e C o m m itte e o n M e d ica l R e fe rra ls d re w u p a m e m o ra n d u m to s u p ­ p o rt th e su g g e ste d c h a n g e o f R u le 2 ' (G o v e rn m e n t G a z e tte R I 8 3 8 o f S e p te m b e r 1977) w hich w as s u b ­ m itte d to the P ro fe s s io n a l B o a rd a n d th e M e d ic a l A sso ­ c ia tio n of S o u th A fric a . M A S A d id n o t s u p p o rt the su g g e ste d c h a n g e a n d th e P ro fe s s io n a l B o a rd suggested d iffe re n t w o rd in g , viz. . . th e tre a tm e n t o f a n y p a tie n t u n le s s t h a t p a tie n t h a s b e e n re fe rre d by a re g iste red m e d ic a l p r a c titi o n e r o r a re g is te re d d e n tis t, o r in close c o -o p e ra tio n w ith su c h re g is te re d p r a c titio n e r , e x c e p t in a n e m e rg e n c y .” T h is w as re fe rre d b a c k to th e in co m in g N .E .C . fo r f u r th e r a ctio n . S pecial G ro u p s /A s s o c ia tio n s re p o rte d on th e ir a c tiv i­ ties. T h e L e c tu re rs G ro u p h a d revised m in im a l s ta n ­ d a rd s fo r d e g re e a n d d ip lo m a c o u rses; lo o k e d in to re g is tra b le a d d itio n a l q u a lific a tio n s, e d u c a tio n a l o b je c ­ tives l o r te a c h e r tra in in g in p h y s io th e ra p y a n d syllabi fo r tra in in g of p h y s io th e ra p y a ssista n ts ; o rg a n is e d w o rk ­ sh o p s, p u t o u t a q u a r te r ly N e w s le tte r a n d su rv e y e d c o n ­ tin u in g e d u c a tio n p rio ritie s in p h y s io th e ra p y . T h e M a n i­ p u la tiv e T h e ra p is ts G r o u p re p o rte d 67 p a rtic ip a n ts in th e 75 h o u r c o u rse s in 1979 a n d 1980 a n d 28 in th e 1 m o n th c o u rse by M r. M a itla n d . M e m b e rs a tte n d e d the J F O M T C o n g re ss a n d a p a p e r w as re a d . T h e U n iv e N s ity o f S te lle n b o sc h p la n s to in s titu te an H o n o u r s d e g ree in m a n ip u la tiv e th e ra p y . T h e N a tio n a l H o s p ita l G ro u p n ow h as b ra n c h e s in T ra n s v a a l, N a ta l a n d th e C a p e. T w o v e ry su c c essfu l s e m in a rs o n M a n a g e m e n t a nd M a rk e tin g w ere offered in 1980 a n d 1981. A re so lu tio n re sc in d in g th e title “ D e p a r tm e n ta l A id e s ” a n d re- a c c e p tin g th e title “ P h y s io th e ra p y A s s is ta n ts ” w as c a r ­ ried . T h e O b s te tric A s s o c ia tio n h a d b e en a c tiv e in s e n d in g o u t re g u la r N e w s le tte rs, o rg a n is in g c o u rses, lec­ tu re s a n d p re p a rin g ex erc ises f o r a b o o k le t on “ b a b y ’s first y e a r ” . T h e P riv a te P ra c titio n e r s A s so c ia tio n had b e en in v o lv e d in th e p rin c ip le o f in c o rp o ra tio n (not a g re e d to), E th ic a l R u le J4 5 8(a) (m ed ica l re fe rra l) a n d th e T a riffs C o m m iss io n ; h ig h e r g ro u p in s u ra n c e fo r p riv a te p r a c titio n e r s a w a its im p le m e n ta tio n a n d c h a rg e c a rd s m a y n o w be a cc ep te d . R e p re s e n ta tiv e s on N a tio n a l O rg a n is a tio n s d e ta ile d v a rio u s a c tiv it es in w hich p h y s io th e ra p is ts p a rtic ip a te d . It w as n o te d th a t 1982 will be th e in te r n a t io n a l Y e a r o f th e A g e in g a n d th a t in fo rm a tio n a b o u t fa c ilitie s fo r and se rv ice s to th e a g ed sh o u ld b e f o rw a rd e d to N .E .C . B ra n c h re p o rts a n d F in a n c ia l S ta te m e n ts w ere c irc u la te d w ith th e a g e n d a , ta k e n as re a d a n d a d o p te d . It was a g re e d th a t B ra n c h e s re q u e stin g e x e m p tio n fro m a u d itin g o f th e ir F in a n c ia l S ta te m e n ts , s h o u ld fo rw a rd theii re a so n s w ith th e ir re q u e st to N .E .C . A f u r th e r m o tio n a m e n d e d th e b y e -la w s to th e effect t h a t th e S o c iety sh a ll c o n trib u te to w a rd s a u th o r is e d e x p en ses of re p re s e n ta tiv e s o n N a tio n a l o r I n t e r n a t i o n a l B odies, th e a m o u n t to be d e te rm in e d by fu n d s a v a ila b le . It w as a g re e d th a t n e g o tia tio n s ..be set up to e sta b lish a n e x c h a n g e o f p h y s io th e ra p is ts -b e tw e e n c o u n trie s fo r f u r th e r a n c e o f p ro fe s sio n a l k n o w le d g e , e x p e rie n c e , a nd s p e c ia lis a tio n . T h e S o c iety w as a lso re q u e s te d to in v e s­ tig a te th e a p p o in tm e n t o f D is tric t P h y s io th e ra p is ts by th e D e p a r tm e n t o f H e a lth in o r d e r to c a te r fo r p a tie n ts r e fe rre d by D is tric t S u rg e o n s in ru ra l a rea s. A d d itio n a l m o tio n s d e a lt w ith a re q u e st to in v estig a te e x a m in a tio n re su lts a n d th e w ith d ra w a l o f e x a m in e rs ’ services; th e a p p o in tm e n t o f a n A c tio n C o m m itte e , w ith w ide n a tio n a l re p re s e n ta tio n , to be m e rg e d w ith th e A c tiv a tio n s C o m m itte e . A risin g fro m th e C h a ir m a n ’s R e p o rt th e p ro p o s e d e v a lu a tio n o f th e p ro fe s sio n o f P h y s io th e ra p y by th e office o f th e C o m m iss io n of A d m in is tra tio n , w as d isc u sse d a n d its im p o rta n c e s tre sse d . A le n g th y q u e s tio n n a ire , d e a lin g w ith d e s c rip ­ tio n o f th e p ro fe s sio n (to be u p d a te d ), w o rk s itu a tio n s a n d w o rk c o n d itio n s will be u se d . T h e in c o m in g N .E .C . w as re q u e s te d to in v e s tig a te c o -o rd in a tio n o f re se a rc h at u n d e r g ra d u a te a n d p o s tg ra d u a te levels. E le c tio n s th e n to o k p la c e a n d th e fo llo w in g w ere ele cte d : H o n o ra ry L ife P re sid e n t: M r. J. J. C raig. 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. ) SEPTEMBER 1981 P H Y S I O T H E R A P Y 77 H o n o r a r y V ice P re sid e n ts : P ro fe s s o r E. G . M. Boes (P re to ria ); P r o fe s s o r J. C . de V illie rs (C a p e T o w n ); G e n e ra l N. J. N ie u w o u d (P re to ria ); P ro fe s s o r F. P. R e tie f (M e d u n sa ); D r. D . P . v a n V e ld en (B lo e m fo n te in ). H o n o ra ry L ife M e m b e rs : M iss G . H . Jo n e s ; M iss H . B aines; M iss J. B lair (L e c tu re rs G ro u p ); M r. A . R o th - berg (N a tio n a l H o s p ita l G ro u p ). Office B e are rs: P re s id e n t: M rs. K. M . L evy; C h a ir ­ m an: M rs. A . M a th ia s ; 1st V ice C h a irm a n : M iss S. H . Irw in -C a rru th e rs ; 2 nd V ice C h a irm a n : M rs. J. C. Been- h a k k e r; J o u rn a l E d ito r: M rs. J. A . C. G ild e r; G e n e ra l T re a su re r: M rs. B. J. V ic to r; G e n e ra l S e c re ta ry : R e fe rre d b ack to N .E .C . N a tio n a l E x e c u tiv e C o m m itte e : M r. A . M . B lom ; M rs. F . M . G la u b e r ; M rs. L. H a c k ; M rs. A . M c F a rla n e ; M iss E . S m ith ; M rs. Y . L. v a n d e r W a tt. R e p re s e n ta tiv e s o n N a t io n a l /I n t e r n a t io n a l O rg a n isa - TH E S O U T H A F R I C A N M E D IC A L A N D D E N T A L C O U N C IL T H E P R O F E S S IO N A L B O A R D FOR P H Y S IO T H E R A P Y IM P O R T A N T N O T IC E TO A L L P H Y S IO T H E R A P IS T S T h e a tte n tio n o f a ll p h y s io th e ra p is ts is in v ite d to th e ru les sp e c ify in g th e a c ts o r o m issio n s in re sp e c t o f w h ich d isc ip lin a ry ste p s m a y b e ta k e n b y th e P ro fe ss io n a l B oard fo r P h y s io th e ra p y a n d th e C o u n c il (G o v e rn m e n t N o tic e R 1838) a n d in p a r tic u la r to ru le 8(3) th e re o f, w hich s ta te s t h a t th e fo llo w in g is n o t p e rm is s ib le : “ U n d e rta k in g a n y p h y s io th e ra p y fo r o r o n b e h a lf o f a n y p e rs o n o th e r th a n a re g is te re d p h y s io th e ra p is t, a m ed ic al p r a c titio n e r a g a in s t w h o se n a m e th e sp e c ia lity p h y sic al m e d ic in e is re g is te re d , b e it as a n e m p lo y e e o r in a n y fo rm o f p a rtn e rs h ip , fo r g a in o r fo r fa v o u r, even if re fe rre d b y a re g is te re d m ed ic al p r a c tit io n e r o r a re g iste re d d e n t i s t : P ro v id e d th a t th is ru le sh a ll n ot a p p ly to a n y h o s p ita l o r in s titu tio n c o n d u c te d o r s u b ­ sidised by th e S ta te o r a p ro v in c ia l o r lo ca l a u th o rity o r by th e S o u th A fric a n C h a m b e r o f M in e s o r such o th e r in s titu tio n o r m e d ic a l p r a c titio n e r s as m ay b e a p p ro v e d fo r th e p u rp o s e b y th e p ro fe ssio n a l b oard a nd the c o u n c il.” A n u m b e r o f e m p lo y in g a u th o ritie s h a v e a lre a d y b e en so a p p ro v e d . T h is n o tic e is se n t o u t a t th e r e q u e s t o f th e P r o ­ f e s s i o n a l B o a rd fo r P h y s io th e ra p y a n d se rv es as an ^ in v ita tio n to p h y s io th e ra p is ts w ho a re e m p lo y e d b y in stitu tio n s w h ic h h a v e n o t b e e n a p p ro v e d b y th e P ro fe ss io n a l B o a rd to a p p ly fo r a p p ro v a l to p la c e th e ir p ra c tic e on a s o u n d e th ic a l fo o tin g a n d th e re b y to o b v ia te th e p o s s ib ility o f d is c ip lin a ry p ro c e e d in g s in th e fu tu re s h o u ld c o m p la in ts b e lo d g e d w ith th e P ro fe s s io n a l B o a rd . P h y s io th e ra p is ts w h o a re c u rre n tly p ra c tis in g in S o u th A fric a c o n tra ry to e th ic a l ru le 8(3) q u o te d a b o v e a nd w ho re s p o n d to th is n o tic e m a y re s t a s s u re d th a t n o d isc ip lin a ry ste p s w ill b e ta k e n b y th e P ro fe s s io n a l B o a rd fo llo w in g su c h re sp o n se . K in d ly w rite t o : T h e R e g istra r, SA M e d ic a l a n d D e n ta l C o u n c il, P .O . B ox 205, P re to ria , 0001, a n d fu rn is h fu ll p a rtic u la r s o f y o u r c u rre n t w o rk s itu a tio n a n d th e n a m e o f th e e m p lo y e r. A n a p p e a l is m a d e to p h y s io th e ra p is ts to d isse m in a te the in fo rm a tio n in th is n o tic e as w id e ly as p o ssib le , e sp e cially to e m p lo y in g in s titu tio n s w ho h a v e in th e past, o r a re c u rre n tly , o r seem lik e ly in th e f u tu r e to be, e m p lo y in g p h y s io th e ra p is ts c o n tra ry to r u le 8(3). T h a n k y o u f o r y o u r c o -o p e ra tio n . N. M . P R IN S L O O , Registrar. J U N E 1981. tions: N a tio n a l C o u n c il fo r th e C a re of C rip p le s: M iss K . B rin k w o rth ; N a tio n a l C o u n c il of W o m e n in S o u th A fric a : M rs. J. U te rm o h le n ; S o u th A fric a n N a tio n a l C o u n c il fo r th e A ged: M rs. A . S te w a rt; S o u th A fric a n N a tio n a l C o u n c il fo r H e a lth E d u c a tio n : M rs. M . K v a sz ; S o u th A fric a n N e u ro d e v e lo p m e n t T h e ra p y A sso c ia tio n : M iss S. H . Irw in -C a rru th e rs ; 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 : M iss P . B o w e rb a n k . T h e n e x t C o u n c il M e e tin g w ill be h e ld in B lo e m fo n ­ tein in 1983. R E P O R T O N E M E R G E N C Y C O U N C IL M E E T IN G H E L D IN J O H A N N E S B U R G O N 13th J U N E 1981 T h e m o tio n d e a lin g w ith the w ith d ra w a l o f e x a m in e rs ’ se rv ice s fro m th e D e p a rtm e n t o f N a tio n a l E d u c a tio n w as re sc in d e d a fte r le n g th y d isc u ssio n a n d a n a m e n d e d m o tio n w as c arried . D IE S U ID -A F R IK A A N S E G E N E E S K U N D 1G E EN T A N D H E E L K U N D I G E R A A D D I E B E R O E P S R A A D V IR F IS IO T E R A P IE B E L A N G R IK E K E N N IS G E W IN G A A N A L L E F IS IO T E R A P E U T E D ie a a n d a g v a n a lle fis io te ra p e u te w o rd g e vestig op die re els w at d ie h a n d e lin g e o f v e rsu im e u ite e n s it ten o p sig te w a a rv a n tu g s ta p p e d e u r die B e ro e p s ra a d vir F is io te ra p ie en d ie R a a d g e d o e n k a n w o rd (G o e w e r- m en tsk e n n isg e w in g R 1838) m e t sp e sifiek e verw ysing n a re el 8(3), w at d ie v o lg e n d e as o n to e la a tb a a r ste l: “ E n ig e fisio te ra p ie w e rk v e rrig v ir o f n a m e n s e nige p e rs o o n b e h a lw e vir ’n g e re g istre e rd e fis io te ra p e u t, ’n g e n e e sh e e r te e n w ie se n a a m die sp e s ia lite it fisiese g e n e e s k u n d e g e re g is tre e r is, h e ts y as ’n w e rk n e m e r o f in e n ig e v o rm v an v e n n o o ts k a p , v ir w in s o f v ir guns, selfs al is so d a n ig e w e rk d e u r ’n g e re g is tre e rd e g e n e e sh e e r o f t a n d a r ts v e rw y s: M e t d ie n v e rs ta n d e d a t h ie rd ie reel n ie v a n to e p a ss in g is n ie op e n ig e h o s p ita a l o f in rig tin g w at b e h e e r o f g e su b sid ie e r w o rd d e u r d ie S ta a t o f ’n p ro v in s ia le o f p la a s lik e o w e rh e id o f d e u r d ie K a m e r v a n M y n w e s e v an S u id -A frik a , o f s o d a n ig e a n d e r in rig ­ tin g o f g e n e e sh e re as w a t v ir d ie d o e l d e u r d ie b e ro e p s ­ r a a d e n d ie r a a d g o e d g e k e u r m a g w o rd .” E tlik e in d ie n s n e m in g s o w e rh e d e is a lre e d s so g o e d ­ g e k e u r. H ie rd ie k e n n is g e w in g w o rd u itg e s tu u r o p v e rso e k v a n d ie B e ro e p s ra a d v ir F is io te ra p ie en d ien as ’n u itn o - d ig in g a a n fis io te ra p e u te w at in d ie n s s ta a n v an in sta n - sies w at n o ^ n ie d e u r die B e ro e p s ra a d g o e d g e k e u r is nie o m a a n s o e k te d o e n v ir g o e d k e u rin g , te n e in d e hul p ra k ty k op ’n g e so n d e e tie se g ro n d sla g te p la a s en d a a r d e u r d ie m o o n tlik h e id v an d issip lin e re sta p p e in die to e k o m s te v e rm y , in d ie n k la g te s by d ie B e ro e p s ra a d g e le so u w ord. F is io te ra p e u te w at ta n s in S u id -A frik a stry d ig m et e tie se reel 8(3) h ie rb o a a n g e h a a l p ra k tis e e r en w a t op h ie rd ie k e n n is g e w in g re a g e e r k a n g e ru s w ees d a t g een d issip lin e re s ta p p e d e u r d ie B e ro e p s ra a d g e n ee m sal w o rd in o p v o lg in g v a n so d a n ig e re a k sie nie. S k ry f asse- b lie f a a n : D ie R e ^ is tra te u r, SA G e n e e s k u n d ig e e n T a n d - h e e lk u n d ig e R a a d , P o s b u s 205, P re to ria , 0 001, e n ver- s k a f v o lle d ig e b e s o n d e rh e d e v a n u h u id ig e w e rk situ a s ie en die n a a m v a n u w erk g ew er. 'n B e ro e p w ord op a lle fis io te ra p e u te g e d o e n om die in h o u d v a n h ie rd ie k e n n is g e w in g so w yd as m o o n tlik b e k e n d te m a a k , v e ra l o n d e r in d ie n sn e m in g s o w e rh e d e w at in d ie v e rle d e fis io te ra p e u te in d ie n s g e n ee m h e t, of w at d it ta n s d o e n o f w at d it m o o n tlik in d ie to ek o m s g a a n d o e n , te e n stry d ig m et d ie b e p a lin g s v a n reel 8(3). D a n k ie v ir u sa m ew erk in g . N . M . P R IN S L O O , R egistrateur. JU N 1 E 1981. 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. )