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My First Experience in Theatre

Apr 21, 2022

On the 25th of January I had the pleasure of observing Dr Jean-Louis Papineau from Coastal Orthopaedics at Bethesda hospital for plate removal of distal tib/fib open fracture with manipulation under anaesthesia. This was the third surgery for a patient who had a traumatic workplace injury 10 months prior. I felt it was important to gain a more thorough understanding of the procedure involved and recovery required. Throughout the procedure I had the chance to engage and be apart of every stage with explanations for why extra steps were taken and how they were likely to improve the outcome.


It become obvious that surgeries although having the same guidelines and procedures, would require patients to recover in different ways and with more specific rehabilitation. For me it is easier to now understand why some patients recover differently than others. Did you know that an additional cause of pain following surgery is from the tourniquet applied above the surgical site to reduce blood flow during the procedure?


Dr Papineau explained that although patients will present with the same or similar injuries it is crucial that advice is tailored specifically due to the individual characteristics and differing anatomical/physiological make up. During this observation Dr Papineau said the patient had a pronounced development of scar tissue in a short period of time and this was likely to occur again following this procedure. As such he strongly encouraged me to push the patient through discomfort and reinforce, he could not damage the ankle in order to reduce the impact of the oncoming scar tissue before it settled.


A major commonality I noticed between surgical teams and Absolute Balance is the importance and value placed on communication. Whilst in theatre every person was actively involved in a process be it providing tools and equipment, monitoring anaesthesia and multitasking with two surgeons operating on different things at the same time. The benefits to this team approach can include better patient outcomes, reduced operating times and confidence in supportive colleagues. Likewise in the Workers Compensation industry it is crucial that all stakeholders involved on a claim are aware of what is occurring at what stage and how long it is expected to occur. This collaborative approach results in significantly better outcomes.


It is always such a valuable learning experience to be able to observe surgery on a patient to get a better understanding of their personal rehabilitation requirements. This time is an invaluable chance to speak directly with the surgeon regarding prognosis, timelines and staged recovery planning to name a few. This experience has changed my approach through greater understanding of scar formation and discussing the aggressiveness of rehabilitation with specialists. I would urge all allied health professionals to ask about opportunities to learn from a specialist in theatre, for me, I would be very interested in observing a muscular or tendon repair such as a supraspinatus tear which I commonly treat. I hope this further experience would assist my understanding of the slow nature necessary of this type of repair.


  Cameron McRae

  Workers Compensation Specialist (AEP, ESSAM)

     


By Alison Absolute Balance 24 Apr, 2024
The human body is designed to move in a three-dimensional plane divided into the following segments: Sagittal Plane: Cuts the body into left and right halves. Forward and backward movements. Frontal Plane: Cuts the body into front and back halves. Side to side movements. Transverse Plane: Cuts the body into top and bottom halves. Twisting/rotational movements. Too often we get caught training mostly in a sagittal plane, think running, squats, bicep curls etc. While these are all good exercises, in day-to-day life we don’t only move along a sagittal plane. What happens when you need to quickly get out of the way of the e-scooter flying towards you on the foot path or make a quick sidestep to avoid a pothole – these movements are along the frontal plane. While movements such as turning to check your blind spot while driving or turning to talk to the person next to us are in the transverse plane. When it comes to injury prevention and movement efficiency it is important to incorporate exercises from all planes of movement into training programs. Sagittal If a line ran down the middle of the body splitting it from left to right, movements parallel to this line are within the sagittal plane of movement. The sagittal plane is the most common plane of movement and is trained overwhelming more than the frontal and transverse planes of movement. Movements/exercises considered to be in the sagittal plane include running, squats, deadlifts and bicep curls. Now while all these exercises are good, with the way our lives having evolved into many desk sitting roles, driving from place to place etc, to then go to the gym and focus heavily on movements that are predominantly up – down, and forwards – backwards we can end up reinforcing these pathways and becoming somewhat robotic, heavily limiting our natural movements. Frontal If a line ran down the middle of the body splitting it into front and back, movements parallel to this line would be within the frontal plane of movement – essentially any movement that involves moving away from or towards the midline. Often neglected in strength programs, frontal plane exercises include Cossack squats, lateral lunges, and side raises. Transverse If a line split the body in half separating it into top and bottom with the pelvis being the point of division, any movement parallel to this line would be considered to be in the transverse plane of movement. Movement along/through a transverse plane is generally more rotational such as a Russian twist or trunk twist. By focussing largely on sagittal plane movements, we are risking developing muscle imbalances, limited mobility and uncoordinated movements in the neglected planes. Our body is designed to move on a 3-dimensional plane so make sure to train in a way that will allow it to move the way it’s supposed to. Katie McGrath Injury Prevention Specialist Injury Prevention Services
18 Apr, 2024
Stretching and mobility exercises are indispensable components of both injury prevention and recovery strategies. Incorporating dynamic stretches before physical activity can help prepare the body for movement by increasing blood flow to muscles and enhancing joint flexibility. This dynamic warm-up routine primes the muscles and connective tissues, reducing the risk of injury during subsequent activity. Furthermore, static stretches, performed after physical activity, helps alleviate muscle tension and improve flexibility, thereby minimizing the likelihood of strains and tears. In the realm of injury recovery, stretching and mobility exercises play a crucial role in rehabilitation protocols for individuals recuperating from various musculoskeletal injuries. Following an injury, muscles can become tight and weakened due to disuse or trauma. Gentle stretching exercises aid in maintaining or restoring flexibility, preventing muscle atrophy and contractures. Additionally, targeted mobility exercises assist in restoring range of motion and functional movement patterns, allowing individuals to gradually regain strength and flexibility while reducing the risk of re-injury. Moreover, stretching and mobility exercises promote tissue healing by improving circulation to the injured area. Increased blood flow delivers essential nutrients and oxygen to damaged tissues, facilitating the repair process and reducing inflammation. By incorporating a comprehensive stretching and mobility routine into their regimen, individuals not only safeguard themselves against future injuries but also expedite their recovery journey, enabling them to return to their activities with greater resilience and confidence. Mariah Adolphus Workers Compensation Specialist (AEP, ESSAM) Exercise Rehabilitation Services ‑ WA
05 Apr, 2024
Hey, my name is Blake, and I am an Exercise Physiologist, Workers Compensation Specialist and Clinical Team Leader at Absolute Balance. I graduated from Edith Cowan University in 2015 after completed my Bachelor of Science (Exercise Science and Rehabilitation). I grew up on a farm Northeast of Perth past Gingin with my parents and two brothers, both of which are back working on the farm, which has been in our family for generations. My love for sport and interest in the human body initially prompted me to complete my Bachelors in Exercise and Sports Science, and my initial thoughts on a career were either Physiotherapy or Phys Ed Teacher. However, this quickly changed when I commenced my first Exercise Physiology unit in my Sports Science degree as it opened my eyes to exercise rehabilitation, and how important it was to individuals with injuries. Having experienced multiple injuries personally playing football (AFL), basketball and tennis, I can fully empathise with how much injuries can impact your life. Being an EP and being in a role where I can make a positive and meaningful impact on individual’s lives who have sustained an injury is extremely important to me. This doesn’t only extend to the patients I see, but also the team members I lead within Absolute Balance. I guide a team of five in the Northeast region at Absolute Balance, assisting them with their own patients and leading them to grow as Exercise Physiologists and individuals. Although it has its challenges, leadership is extremely rewarding and has helped me grow both personally and professionally. Whilst I am not at work, I am spending my time at the gym, at football training and games during February-September (or in the car travelling to and from comes with the gig of country football), spending time with my wife and our dog Otis. I spend the other half of my weekend manicuring my lawn and watching good shows and sports. Blake Cocking Workers Compensation Specialist ‑ Team Leader North East (AEP, ESSAM) Exercise Rehabilitation Services ‑ WA
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