MR morphometry of posterior tibialis muscle in adult acquired flat foot

We conducted magnetic resonance imaging of the posterior tibial (PT) and flexor digitorum longus (FDL) muscle bellies in 12 patients undergoing surgical treatment for unilateral posterior tibial tendon (PTT) dysfunction. All patients had atrophy of the PT muscle compared to the normal leg (mean 10.7%, p=0.008). In those patients with a complete rupture of PTT there was replacement of the PT muscle by fatty infiltration. Conversely, the FDL muscle showed a compensatory hypertrophy (mean 17.2%, p

Foot orthotics in the treatment of lower limb conditions: A musculoskeletal physiotherapy perspective

Orthotic therapy is frequently advocated for the treatment Of musculoskeletal pain and injury of the lower limb. The clinical efficacy, mechanical effects, and Underlying mechanism of the action of foot orthotics has not been Conclusively determined making it difficult for practitioners to agree on a reliable and valid clinical approach to their application and indeed even their fabrication. This problem is compounded by evidence suggesting that the most commonly used approach for orthotic prescription, the (Biomechanical Evaluation of the Foot. Vol. 1. Clinical Biomechanics Corporation, Los Angeles, 1971) approach, has poor validity and many of the associated clinical measurements of that approach lack adequate levels of reliability. This paper proposes a new approach that is based on two key elements. One is the identification, verification and quantification of physical tasks that serve as client specific outcome measures. The second is the application of specific physical manipulations during the performance of these physical tasks. The physical manipulations are selected on the basis of motion dysfunction and their immediate effects on the client specific outcome measures serve as the basis to making an informed decision on the propriety of using orthotics in individual clients. The motion dysfunction also guides the type of orthotic that is applied. Practical case examples as well Lis generic and specific guidelines to the application of this clinical assessment process and orthotics are provided in this paper. (C) 2004 Published by Elsevier Ltd.

Potential economic implications for regional tourism of a Foot and Mouth Disease outbreak in North Queensland

International and domestic tourism are sensitive to disastrous events which make areas inaccessible to visitors, less attractive or more dangerous. One form of tourism disaster is the outbreak of an exotic disease, of which Foot and Mouth Disease (FMD) is a prime case. It is now well documented that the 2001 FMD outbreak in the UK had a greater impact on tourism than on agriculture. It has been estimated than an FMD outbreak in Australia would impose a cost of about $13 million. The impact on tourism would be highly dependent on the extent and duration of an FMD outbreak, as well as on any management and containment restrictions imposed by the authorities in their attempt to control and eventually eradicate the disease. Public perception and thus the provision of accurate information and the way in which the media report disasters will also play an important role in determining the impact on the tourism industry. The economy of Tropical North Queensland relies heavily on international visitors, and an FMD outbreak in the region would impose a large cost to the regional economy, conservatively estimated here to be of the order of $200 million per year.

Il était une fois un match de foot:L'événement sportif comme objet de narration

L’analyse des temps de la narration n’est pas chose nouvelle. Souvent, ce sont les narrations orales ‘de tous les jours’ qui ont préoccupé les linguistes (Labov & Waletzky 1967, Bres 1994). Mais qu’en est-il de l’usage des temps dans les narrations écrites telles qu’on les trouve dans la presse sportive? On se fondera ici sur un corpus d’articles du 1er juillet 2002, tirés de la presse francophone (parisienne, régionale, belge et algérienne) et consacrés à la finale de la Coupe du Monde de football (Labeau 2002b). A quels temps a-t-on recours pour narrer ces exploits sportifs ? Le passé simple a-t-il toujours sa place dans ce genre « épique », ou s’est-il vu supplanter par d’autres formes telles le passé composé, le présent ou l’imparfait de narration… ? (Engel 1990) Nous allons nous concentrer sur deux aspects de l’emploi des temps. D’une part, la presse sportive constitue-t-elle un sous-genre distinct ? D’autre part, des différences régionales apparaissent-elles ? Nous tenterons de voir si les approches textuelles se reflètent dans l’emploi des temps des narrations étudiées. Termes clefs Narration - presse sportive – temps - presse régionale – presse francophone - genre