Rehabilitation of Achilles and patellar tendinopathies

Achilles and patellar tendinopathies affect a broad range of the population and are difficult conditions to manage clinically. The pathology is persistent in the chronic tendon and can be considered to be failed healing. The exact cause of tendinopathy pain is unclear but may be related to changes in neurovascular structures.

Rehabilitation for Achilles and patellar tendinopathies is based on an exercise programme that aims to improve muscle–tendon function and normalise the pelvic/lower limb kinetic chain. This incorporates a programme for restoring and improving muscle strength, endurance and power and retraining sport-specific function.

Rehabilitation may take a prolonged period of time, both the athlete and clinician must be patient and persistent to maximise results from an exercise-based treatment.

Organizing forms in change management: the role of structures, process and boundaries in a longitudinal case analysis

This paper examines change management at William Angliss Institute of Technical and Further Education (TAFE) against the three organizational dimensions of structures, processes and boundaries identified by the INNFORM Study. Its experience confirms that even when an organization adopts a systemic approach and implements change across each design dimension, optimal performance benefits depend on mutually reinforcing and complementary changes. Furthermore, improvement to processes, particularly communications and human resources practices, plays a pivotal role, as complementary change across all dimensions depends ultimately on the contribution and commitment of organization members. Case findings also highlight the need for ambidextrous forms of organizing that combine 'controllability' with 'responsiveness'. The conceptual notion of organizing dualities has been employed to provide a practical interpretation of the ostensibly competing imperatives implied by ambidexterity. This case explores the dualities that can be demonstrated for the INNFORM triumvirate of structures, processes and boundaries. The dualities interpretation emphasizes an acceptance of texture and the simultaneous presence of what are conventionally viewed as incompatible organizing forms. This was considered a useful conceptual vehicle in the analysis of a case study covering nearly ten years of serious change interventions, where one theoretical view can be misleading in understanding the subtleties and complexities of the actual changes that occurred.

The rehabilitation of indigenous prisoners : an Australian perspective

The massive problems experienced by Indigenous Australians in their encounters with the criminal justice system have been well documented and widely discussed. This paper applies the Risk, Needs and Responsivity Model of rehabilitation to Indigenous offenders. While much of the review is devoted to a discussion of Australian Indigenous offenders, the issues raised are likely to be relevant to Indigenous groups from other countries and, possibly, ethnic minority offenders more generally. We concluded that whilst the model clearly has value, rehabilitation programs would benefit from a careful consideration of issues relating specifically to the Risk, Needs and Responsivity of Indigenous offenders.

Current trends in the rehabilitation of juvenile offenders

The Australian Institute of Criminology's recent work on adult male offenders has found that the most serious and persistent adult offenders had been detained as a juvenile. In terms of crime reduction, interventions that focus on reducing the likelihood of juveniles escalating to adult offenders will have significant benefits for the whole of the Australian community. Research conducted in juvenile justice settings around the world consistently shows that young people who come to the attention of criminal justice agencies have multiple problems and experience high levels of need across all areas of functioning. In meeting these needs, correctional agencies have been increasingly influenced by the model of rehabilitation known as the 'what works' approach. This paper outlines a case management framework for rehabilitating juvenile offenders that includes three of the most important 'what works' principles, namely the risk principle, the needs principle and the responsivity principle. In the longer term, the implementation of the framework will need to be evaluated to determine what works and what doesn't with rehabilitating juveniles.

Fish assemblage response to rehabilitation of a sand-slugged lowland river

The impact of excessive sediment supply on river channels has been  described in many areas of the world. Sediment deposition disturbance alters habitat  structure by decreasing channel depth, changing substrate composition and burying woody debris. River rehabilitation is occurring worldwide, but information is scant on fish assemblage responses to rehabilitation in sedimentdisturbed lowland rivers. Sediment removal and large woody debris (LWD) replacement  were used to experimentally rehabilitate habitat along a 1500m stretch of the Glenelg River in western Victoria, Australia. Using an asymmetrical before-after control-impact (BACI) design, fish were captured before and after the reach was rehabilitated, from two control reaches and from a ‘higher quality’ reference reach. After two years post-rehabilitation monitoring, the fish assemblage at the rehabilitated reach did not differ from control reaches. Temporal changes in taxa richness and the abundance of Philypnodon grandiceps, Nannoperca spp. and three angling taxa occurred after rehabilitation (winter 2003) compared with the before period (winter 2002), but these effects did not differ between rehabilitated and control locations. Highest taxa richness and abundances occurred at the reference location. High salinity coincided with the timing of rehabilitation works, associated with low river discharges due to drought. The negative effects of other large-scale disturbances may have impaired the effectiveness of reachscale rehabilitation or the effects of rehabilitation may take longer than two years to develop in a lowland river subjected to multiple environmental disturbances.

CAE crash analysis of structures in oblique loading

This work focussed on how tubular steel structures similar to that in frontal car frames deform under crash conditions. The novelty comes from finding three crash modes: axial crush, transitional and global bending. Each mode was categorised by reaction force and energy absorption, this allowing for better structural design practices.

Evolutionary psychology and the rehabilitation of offenders : constraints and consequences

The mainstream view in criminology and correctional psychology is that evolutionary perspectives have little to offer researchers or practitioners and may in fact lead to overly reductionist and crude responses to the complex issue of crime and its consequences. However, in our view all the major evolutionary approaches to the explanation of human behavior have something of value to contribute, with niche construction providing a particularly useful lens upon crime and its management. In this paper we analyze the concept of rehabilitation and describe the key features of effective rehabilitation. We argue that niche construction is responsive to the cognitive versatility and behavioral flexibility of human beings and can also accommodate the important role of social and cultural scaffolding in the rehabilitation process.

Repairing the rupture : restorative justice and the rehabilitation of offenders

Restorative justice is a social justice movement that aims to deal with consequences of crime through repairing and restoring relationships of three key stakeholders: victims, offenders, and communities. Unfortunately, it is often unclear where offender rehabilitation fits within the constructs of repair and reintegration that drive this justice paradigm. An analysis of the relationship between restorative justice theory and offender rehabilitation principles reveals tensions between the two normative frameworks and a lack of appreciation that correctional treatment programs have a legitimate role alongside restorative practices. First, we outline the basic tenets of the Risk–Need–Responsivity Model and the Good Lives Model in order to provide a brief overview of two recent models of offender rehabilitation. We then consider the claims made by restorative justice proponents about correctional rehabilitation programs and their role in the criminal justice system. We conclude that restorative justice and rehabilitation models are distinct, although overlapping, normative frameworks and have different domains of application in the criminal justice system, and that it is a mistake to attempt to blend them in any robust sense.

The rehabilitation of offenders : reducing risk and promoting better lives

This article examines the nature of offender rehabilitation and briefly reviews the effectiveness of correctional interventions in reducing recidivism. It then outlines the two most prominent contemporary theories of offender rehabilitation: the Risk-Need-Responsivity Model and the Good Lives Model (GLM). Our aim is to introduce these two broad rehabilitation frameworks and analyse their practice implications. We conclude that the GLM can offer an alternative view of offender rehabilitation that seeks to help offenders live more fulfilling lives while also reducing risk.

Evaluation of numerical procedures to determine seismic response of structures under influence of soil-structure interaction

In this study, the accuracy and reliability of fully nonlinear method against equivalent linear method for dynamic analysis of soil-structure interaction is investigated comparing the predicted results of both numerical procedures with the results of experimental shaking table tests. An enhanced numerical soil-structure model has been developed which treats the behaviour of the soil and the structure with equal rigour. The soil-structural model comprises a 15 storey structural model resting on a soft soil inside a laminar soil container. The structural model was analysed under three different conditions: (i) fixed base model performing conventional time history dynamic analysis, (ii) flexible base model (considering full soil-structure interaction) conducting equivalent linear dynamic analysis, and (iii) flexible base model performing fully nonlinear dynamic analysis. The results of the above mentioned three cases in terms of lateral storey deflections and inter-storey drifts are determined and compared with the experimental results of shaking table tests. Comparing the experimental results with the numerical analysis predictions, it is noted that equivalent linear method of dynamic analysis underestimates the inelastic seismic response of mid-rise moment resisting building frames resting on soft soils in comparison to the fully nonlinear dynamic analysis method. Thus, inelastic design procedure, using equivalent linear method, cannot adequately guarantee the structural safety for mid-rise building frames resting on soft soils. However, results obtained from the fully nonlinear method of analysis fit the experimental results reasonably well. Therefore, this method is recommended to be used by practicing engineers.

The role of serious games in robot exoskeleton-assisted rehabilitation of stroke patients

his chapter describes how serious games can be used to improve the rehabilitation of stroke patients. Determining ideal training conditions for rehabilitation is difficult, as no objective measures exist and the psychological state of patients during therapy is often neglected. What is missing is a way to vary the difficulty of the tasks during a therapy session in response to the patient needs, in order to adapt the training specifically to the individual. In this chapter, we describe such a method. A serious game is used to present challenges to the patient, including motor and cognitive tasks. The psychological state of the patient is inferred from measures computed from heart rate variability (HRV) as well as breathing frequency, skin conductance response, and skin temperature. Once the psychological state of the patient can be determined from these measures, it is possible to vary the tasks in real time by adjusting parameters of the game. The serious game aspect of the training allows the virtual environment to become adaptive in real time, leading to improved matching of the activity to the needs of the patient. This is likely to lead to improved training outcomes and has the potential to lead to faster and more complete recovery, as it enables training that is challenging yet does not overstress the patient.