Friday in Christchurch

Despite the devastation, there are some wonderful sights in Christchurch right now.  This one (above) made me smile today.

And this one was taken in Nelson after we had turned back to return to Christchurch last week.  Cheerful things, sunflowers, and glorious colour on a rather gloomy and very grim day.

Briefly off topic

Look what I got up to over the weekend – is this ghoulish or what?!

Just look at how beautifully those bones fit together – strength, flexibility and interconnectedness. Poor ewe…

Bleached by the sun and wind, I’m not sure how this sheep died, but most of it was half-submerged in the sand, with only a few bones carried off by scavengers. The structures are incredible, fitting together with precision and beauty.
The last shot is taken on the Kaitorete Spit looking back towards the hills of Banks Peninsula.

Proud Mother!

michelles photographs
have to gloat – Michelle has been doing a bit of photography, and these are her photographs matted for an exhbition at school. I’m proud as anything – I think she has a real eye for composition and concept. Oh and she’s cute too!
If you go here you can catch some of her images over the past six months.

For those who don’t know, I’m away for two weeks – I may pop in on the odd occasion, but I’m not committing myself. In the meantime, go visit some of the blogs on my blogroll – they’re worth it!

Photographs of activities of daily living – cervical spine

Assessing fear in patients with cervical pain: Development and validation of the Pictorial Fear of Activity Scale-Cervical (PFActS-C).
Turk DC, Robinson JP, Sherman JJ, Burwinkle T, Swanson K.

Ever since the PHODA or photographs of activities of daily living was developed, I’ve used pictures to help establish exactly what movements and contexts people are worried about. Pictures say so much more than a set of words!

So it’s great to see that Turk and colleagues have got together to develop a cervical spine version.

This study examines the reliability and development of ‘a set of photographs depicting movements in which four factors that determine biomechanical demands on the neck are systematically varied – Direction of Movement, Arm Position, Weight Bearing, and Extremity of Movement.’

Although the initial findings are quite interesting the authors acknowledge that further work needs to be carried out. I am curious to see whether there are differences between what is reported by people using photographs compared with their ‘real’ performance as assessed in their own home, perhaps by occupational therapists. I’m also curious to see whether, as I’ve found with the PHODA, there are problems transferring the photographs across different countries. Despite the PHODA being reasonably culturally neutral, there are differences in the type of building, items being carried, equipment, surfaces and so on, and these have been commented on by patients. Similarly, I would expect that a set of photographs developed in North America may also reflect cultural bias, and not be quite as useful in a Southern Hemisphere setting.

The process of developing this instrument is also really fascinating, and I wonder whether there are many areas of pain research where photographers and therapists work together!!

Let me know if you have used photographs to assess anxiety and avoidance – I’m interested to see how far this type of assessment and therapy has spread, and whether it has gained popularity amongst people like occupational therapists and physiotherapists, who work to help people generalise their skill and improve function.

TURK, D., ROBINSON, J., SHERMAN, J., BURWINKLE, T., SWANSON, K. (2008). Assessing fear in patients with cervical pain: Development and validation of the Pictorial Fear of Activity Scale-Cervical (PFActS-C). Pain DOI: 10.1016/j.pain.2008.03.001