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Analysis of Cases seen by Specialist
Boys
Cause of Deafness Action or Recommendation
Conductive deafness (3 cases) Favourable position in class.
Conductive deafness (5 cases) Treated at special E.N.T. clinic.
Conductive deafness (2 cases) For observation at clinic.
Familial deafness Favourable position in class.
Intermittent unilateral otorrhoea Treated at clinic.
Intermittent unilateral otorrhoea Recommended tonsil and adenoid operation.
Girls
Conductive deafness Favourable position in class.
Conductive deafness Treated at special clinic.
Familial deafness Favourable position in class.
Perceptive deafness Favourable position in class.
Unilateral otorrhoea (2 cases) Treated at clinic.
No deafness found at examination
ORTHOPAEDIC AND POSTURAL DEFECTS. Some children with these defects were referred,
as in previous years, to the orthopaedic surgeon at the Children's Hospital, Plaistow.
Following the establishment of the Council's own physiotherapy service described in
the next paragraph, 124 children were treated at clinics or special schools under these new
arrangements. Cases known to have been treated outside the Council's scheme numbered 311.
7 children were known to be in-patients in various hospitals.
In accordance with the National Health Service arrangements, surgical appliances are
provided by the hospitals when needed.
PHYSIOTHERAPY. Mrs. A.M. Tootell commenced duty as a physiotherapist at the beginning
of the year on a part-time basis. She attends three full days a week, approximately half of
the time being devoted to the School Health Service. Two clinics are held weekly at the Forest
Street Child Welfare Clinic and two weekly at Grange Road Child Welfare Clinic: at each of
these clinics both school and pre-school children are treated. In addition the physiotherapist
attends one day a week at the Elizabeth Fry Day Special School. Visits are paid to the Fyfield
Open Air School from time to time.
Children are usually referred to the physiotherapist by the Assistant School Medical
Officers, the Consultant paediatrician, general practitioners and hospitals.
Much of her time is taken up with classes of children requiring remedial exercises for
faulty posture, flat feet, knock knees and the like. When necessary, massage as well as ultraviolet
irradiation is given. The results achieved have been surprisingly good, particularly in
the flat foot classes, and this supports the view that these conditions, if taken early, can be
more easily remedied and probably spared the need for later treatment at an orthopaedic clinicThe
cases given ultra-violet irradiation are mostly asthmatic, bronchial or debilitated childrenThe
type of lamp employed enables several children to be treated simultaneously in a group.
Breathing exercises are also given, especially in certain chest conditions.
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