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rodiont heat, electrical treatment, ctc., obtain such locally, a
masseuse attending for the purpose three sessions per week. A
Centre or Centres for breathing exercises in rickety and other
subjects and those recent!) operated upon for post-nasal growths
will be required, whilst to complete the scheme, exercises on a
regular basis should be instituted at the various elementary schools
for the correction of round shoulders and minor degrees of spina!
Cunvatore under the instruction of a physical training teacher. As
Sir George Newman points out in his report on the School Medicol
Services for 1923, the correction of Orthopa;dic defects should
begin not in many cases when the child enters school, but during
the earliest years, or even months of life, a suggestion which it
is hoped the Maternity and Child Welfare Committee will avail
themselves of now that full facilities for the same exist in the
district.
There re is accommodation at the Physically Defective Class of
the Special School for 14 children, .'38 cases being on the register
during the year. 7 cases were examined and certified by the
School Medical Officer as suitable for admission, whilst five cases
attending the school were, after examination, found to have sufficiently
improved to warrant their return to ordinary school.
The following extract from a preliminary report submitted
by the Orthopaedic Surgeon is appended :—
"The following groups come within the scope of the work of
the Orthopædic Surgeon, and can be conveniently dealt with at
in Orthopædic Clinic established in connection with the School
Medical Service of a district:—
(1) Congenital and acquired deformities of the spine
and extremities, i.e., wry-neck, club foot, rickets, etc.
(2) Infantile paralysis.
(3) Arthritis with all its varieties, joint tuberculosis,
rheumatoid arthritis and osteo-arthritis.
(4) Deformities of adult paralysis type, i.e., spastic hemiplegia.
(5) Injuries to bones and joints.