Functional multidisciplinary rehabilitation versus outpatient physiotherapy for non specific low back pain: randomized controlled trial.

INTRODUCTION: In recent decades the treatment of non-specific low back pain has turned to active modalities, some of which were based on cognitive-behavioural principles. Non-randomised studies clearly favour functional multidisciplinary rehabilitation over outpatient physiotherapy. However, systematic reviews and meta-analysis provide contradictory evidence regarding the effects on return to work and functional status. The aim of the present randomised study was to compare long-term functional and work status after 3-week functional multidisciplinary rehabilitation or 18 supervised outpatient physiotherapy sessions. METHODS: 109 patients with non-specific low back pain were randomised to either a 3-week functional multidisciplinary rehabilitation programme, including physical and ergonomic training, psychological pain management, back school and information, or 18 sessions of active outpatient physiotherapy over 9 weeks. Primary outcomes were functional disability (Oswestry) and work status. Secondary outcomes were lifting capacity (Spinal Function Sort and PILE test), lumbar range-of-motion (modified-modified Schöber and fingertip-to-floor tests), trunk muscle endurance (Shirado and Biering-Sörensen tests) and aerobic capacity (modified Bruce test). RESULTS: Oswestry disability index was improved to a significantly greater extent after functional multidisciplinary rehabilitation compared to outpatient physiotherapy at follow-up of 9 weeks (P = 0.012), 9 months (P = 0.023) and 12 months (P = 0.011). Work status was significantly improved after functional multidisciplinary rehabilitation only (P = 0.012), resulting in a significant difference compared to outpatient physiotherapy at 12 months' follow-up (P = 0.012). Secondary outcome results were more contrasted. CONCLUSIONS: Functional multidisciplinary rehabilitation was better than outpatient physiotherapy in improving functional and work status. From an economic point of view, these results should be backed up by a cost-effectiveness study.

Sudden cardiac death in forensic medicine - Swiss recommendations for a multidisciplinary approach.

Sudden cardiac death (SCD) is by definition unexpected and cardiac in nature. The investigation is almost invariably performed by a forensic pathologist. Under these circumstances the role of the forensic pathologist is twofold: (1.) to determine rapidly and efficiently the cause and manner of death and (2.) to initiate a multidisciplinary process in order to prevent further deaths in existing family members. If the death is determined to be due to "natural" causes the district attorney in charge often refuses further examinations. However, additional examinations, i.e. extensive histopathological investigations and/or molecular genetic analyses, are necessary in many cases to clarify the cause of death. The Swiss Society of Legal Medicine created a multidisciplinary working group together with clinical and molecular geneticists and cardiologists in the hope of harmonising the approach to investigate SCD. The aim of this paper is to close the gap between the Swiss recommendations for routine forensic post-mortem cardiac examination and clinical recommendations for genetic testing of inherited cardiac diseases; this is in order to optimise the diagnostic procedures and preventive measures for living family members. The key points of the recommendations are (1.) the forensic autopsy procedure for all SCD victims under 40 years of age, (2.) the collection and storage of adequate samples for genetic testing, (3.) communication with the families, and (4.) a multidisciplinary approach including cardiogenetic counselling.

1998 Brock Baseball Team

1998 Brock Badger men's baseball team photo. Front Row (L to R): Bill Gillen, Ryan Villers, Greg Arbour, Mark Cheeseman, Andrew Tinnish, Rick Bottomley, Matt Fletcher, Brad Namtzu, Darryl Presley, Dan Pino, Grant Giffen, Mike Caruso, Mark Reilly Back Row (L to R): Jeff Lounsbury (Head Coach), Jayar Green, Creston Rudolph, Ryan Fisher, Jamie Trull, Stefan Strecker, Andrew Robb, Jeremy Walker, Ryan Johns, Matt Stezycki, Steve Lester, Fabio Del Rio, Jarrod Haase, Jess Dixon, Rick Falconer (Pitching Coach) Absent: Marc Purdy, Ian Bala, Marc LePage (Asst. Coach), Waybe Briggs-Jude (Asst. Coach)

1999 Brock Baseball Team

Men's baseball team after winning the 1999 national championships.

Men's Basketball Team (1970-71)

Front left team member John Corlett is currently (2008) Dean of the Faculty of Applied Health Sciences

Men's Basketball Team (1988-89)

Coach: Garney Henley Team (Alphabetically): Bruce Adams, Frank Capretta, Kevin Farrow, David Dennis, Rob Demott, Brian Hayden, Peter Kaija, Steve Kolenko, Leacoft Panton, Kevin Rome, Kevin Stevinson, Glen Tone, Moe Willoughby

Men's Basketball Team

1981-1982 Men's Basketball Team Front - Doug Fast. John Radaslav, Jim Zareski, Kelly Baker, Jim Baldin, Doug Johnson, Tim Mcalpine Back - Manager Britt Fischer, ??, Bob Blasko, David Hodges, Mark Green, Bob Yuhasz, Paul Treitz, Mike Creighton, Trainer Joe Kenney, Coach Garney Henley

Women's Basketball Team (1981-82)

Back Row: Pat Woodburn (Coach), Rhonda Walcarius, Melanie Brown, Patty Stamps, Lyn Storm, Diane Hilko, Jackie Kuntze, Janice Jockel Front Row: Maureen Kelly, Lena Olszewski, Trudy Montel, Carolyn Foreman, Dawn Dixon, Peggy Stamps

1976 Brock Track Team

Pictured here are Marg Stride, Bryan Stride and Kathy Prosser of the 1976 Brock University Track Team.

1976 Brock Track Team

Pictured here are Marg Stride, Bryan Stide and Kathy Prosser.

Cross Country Team (1970-71)

From Left to Right: Terry Neal, Doug Bowers, Art Wiebe, Gord Merrill, Dave Viney

Track and Field Team (1981-82)

Back Row: Al Pedler (Coach), Murray McEachern, John Popham, David Heyworth, Colin Harris, George Nixon Middle Row: Renee Traver, Wendy Wells Front Row: Maggie Swan, Debbie Belair, Katherine Coy

Cross Country Team (1981-82)

Back Row: Murray Mc Eachern, John Popham, Colin Harris, David Heyworth, George Nixon, Al Pedler (Coach) Front Row: Maggie Swan, Debbie Belair, Katharine Coy

1970-71 Curling Team

1970-71 Brock curling team in action. From L to R: Rob Kelly, John Donald, and John Goodwin