ILIOPSOAS ACTING AS ABDUCTOR STRENGTH EVALUATION AFTER DISTAL INSERTION TRANSFER ACCORDING TO MUSTARD IN TREATMENT FOR PARETIC DISLOCATION AND SUBLUXATION OF THE HIP IN PATIENTS WITH MENINGOMYELOCELE
Prof. Witold Marciniak, Maciej Glowacki, M.D., Jersy Nazar, M.D.
Department of Pediatric 0rthopaedics, Institute of 0rthopaedics and Rehabilitation ul. 28 Czerwca 1956 r. nr 135/147, 61-545 Poznan, POLAND
The strength of iliopsoas that serves to substitute for abductors of the hip in 47 dislocated or subluxated joints in patients with myelomeningocoele has been evaluated. The strength assessed according to Lovett was related to tensometric evaluation that included hip abductors/adductors strength ratio. The relationship between index and factor and stability of the operated hip as well as potential for ambulating has been proved.
BEST PRACTICE: A MODEL FOR OCCUPATIONAL REHABILITATION IN THE NEW SOUTH WALES COAL MINING INDUSTRY
Natalie E Pelham (University of Sydney, Sydney, Australia) Professor Dennis S Smith & Professor Ross D Harris
Purpose: To design an auditing tool to assist NSW coal mines monitor their progress towards best practice in workplace-based rehabilitation.
Method: Analysed Joint Coal Board's Injury Data base for NSW. Conducted 16 mine site visits to assess working conditions at NSW coal mines. Surveyed by questionnaire 729/1604 coal miners who suffered lower limb injuries. Developed auditing tool. Conducted a pilot program of the auditing tool at two mine sites in NSW.
Results: The audit is designed for use by coal mines to assess their progress towards best practice. It provides an understanding of the various stages, including examples of programs and procedures which may be of assistance in achieving best practice. The mine sites which piloted the program found it very useful in assessing their progress. We are now in the process of evaluating the changes they have made subsequent to the audit.
Conclusion: In recent years, NSW, as well as many other States in Australia, has seen the introduction of workplace-based rehabilitation. The link between recovery of injury and returning to the work environment has been increasingly stressed as an integral component of full recovery. In the NSW coal mining industry, this concept too has been embraced by the majority, however, a number of barriers remain with respect to its implementation. We conclude that the use of an auditing tool, such as the one described here, may be effective in assisting coal mines achieve best practice in workplace-based rehabilitation.