6 Facet Condition Survey

[Mirta Dozar]

Theresultant 6 Facet Survey will allow Condition Categories to be allocated to properties on a facet by facet basis together with a summary of remedial costs to bring each facet up to a safe and sound condition.

Data is gathered using hand held electronic gathering tools that provide data consistency between surveyors and have in-built checking and productivity functionality. The tools mirror a standard pro-forma style and are used to record the condition of each element/sub element. A risk assessment is undertaken (as required by NHS) which gives a score for Severity and Probability allowing the Risk Scored Backlog to be calculated.

We commonly add extra facets to the surveys which provides you with efficiencies and costs savings; these would typically be Asset Registers, Space Utilisation (New ERIC departmental requirements & Carter Review) and Disabled Access Audit.

All data can be input into all software packages, we are experienced in working with all leading brands.

As an independent surveying consultancy we can advise on the best solution for your Trust.

We specialise in graphical summaries for board presentation as well as detailed Excel data for out of software planning and work packages.

Oakleaf are at the forefront in providing data as highlighted in the Carter and Naylor Reviews. The Carter Review is challenging the productivity and the space use is a key measure now. Oakleaf can provide your NHS organisation with the validated data to ensure accurate ERIC Returns and the data and recommendations to make change as the Carter Review suggests. We believe that creating the room use data your organisation will be future proofing itself against changing NHS Space Definitions. The Naylor review to develop the new NHS strategy to release 2bn of asset relies on accurate backlog figures so the challenge can be met. We can assist with CAFM systems and synchronising data, verifying room uses and CAD plans and updating them if necessary. We are fully aware of the Carter Review drivers and can assist in the crucial data fields appearing in the Carter driven Department of Health Dashboards.

Osteoarthrosis, also known as degenerative joint disease is a condition I was diagnosed with a little over 4 and a half years ago after undergoing an MRI on my lumbar spine. The osteoarthrosis was a mild case and seen at all of my lumbar facet joints at the age of 20 years old. While the L5-S1 disc herniation was always the primary issue I was dealing with, the facet joint osteoarthrosis was a secondary condition that would cause me some issues from time to time throughout the years.

Mainly, prolonged periods of sitting and heavy squatting have been two tasks that have been a bit of a struggle at times. In the photo below is a picture of my MRI report that was taken on January 6th, 2014 which is where I was first initially diagnosed with facet joint osteoarthrosis.

Growing up I had always perceived osteoarthrosis/osteoarthritis as a condition you get with old age. If you look to western culture, television commercials are always promoting osteoarthrosis/osteoarthritis relief products to older adults. As a result of being repeatedly exposed to these advertisements over the years, the association between old age and osteoarthrosis/osteoarthritis became ingrained in my beliefs.

I truly believed when I was a young fellow that only older adults develop osteoarthrosis/osteoarthritis and never did I think a young individual like myself could have this condition at the age of 20.

Yang & King (1984) reported that normal facet joints carry about 3-25% of the compressive load on the spine, whereas degenerative lumbar facet joints may absorb up to as high as 47% of the compressive load on the spine. Degenerative facet joints will create instability of the spine, and this may alter the way compressive forces are administered through the spine (Cailliet, 2003).

Dunlop, Adams & Hutton (1984) reported that forces acted upon human cadaveric lumbar facet joints increases when the lumbar spine is placed into increasing degrees of extension, and disc height loss is present. Shirazi-Adl and Drouin (1987) found that the facet joints carry as much as 30% of the compressive load in the presence of 2 to 5.6 of extension rotation. The highest compressive loads on the facet joints tend to take place during lumbar extension movements (Schendel, Wood & Buttermann, Lewis & Ogilvie, 1993). In lumbar extension, the lumbar extensor muscles exert a compressive force on the spine, which further adds to the facet joint loading (El-Bohy, Yang & King, 1989).

To this day, I still deal with some issues with regards to my lumbar facet joints, but they are pretty manageable for the most part. Prolonged sitting typically causes me some minor to moderate discomfort in my low back, but it is quickly relieved as soon as I stand up, walk around or lay down. The discomfort from prolonged sitting could be explained by the increased loading on the facet joints seen during prolonged static loading.

3. Many athletes involved in extension based sports may develop degenerative changes to the facet joints of the lumbar spine at some point in their athletic career. As a result of this, it makes it even more important as a strength and conditioning coach to make sure athletes are not recreating the mechanism for this condition to develop in the weight room.

Exercise like supermans and roman chair hyperextensions may not be the best option for these athletes to develop the low back musculature. An alternative like the Bird-Dog, which places a lower compressive force on the low back (spares the spine) and produces similar muscular activation patterns when compared to the superman exercise and roman chair hyperextensions may be a much more effective option for developing the low back musculature (McGill, 1998; McGill, 2014).

4. Symptoms may be manageable if the mechanism of injury is removed and avoided. Avoiding lumbar extension under load is very important for anyone with extension based issues since this may recreate symptoms.

5. Sleep is crucial. Simply improving sleep quality can go a long way in helping manage symptoms since a lack of sleep may throw the circadian rhythm out of whack and impact the bodies physiology in a negative way that may aggravate symptoms.

Got the same problems as yours at age 35 + big scoliosis I think tennis when I was young, too much sitting and lifting heavy did not help. I noticed tho switching back squat for front squat helped tremendously in controling the disease A) it strenghten your core, thus keeping your spine straight B) the shearing point of the front squat is in the knees instead of the lumbar spine. Keep squatting my man!

The Six Facet Survey is made up of 6 individual surveys, that combined together cover every aspect required by the NHS. Each individual facet can be custom built to your exact requirements, consisting of:

As you are aware preparation is essential for such a comprehensive survey type. Using pre-structured templates, all the vital information is captured on your mobile device on site, saving a considerable amount of time, and increasing the accuracy of the entire process.

Using your iPad, structured data is collected on an element and sub-element basis, complete with condition and priority ratings for each survey aspect and risk assessments undertaken. Annotated photos are attached to each entry, for later inclusion in reports as thumbnails or an indexed appendix. Using colour coded GoReport SmartPins technology, data entries can be grouped and linked to floor layout plans.

Once an inspection is complete the detailed on-site survey is uploaded to the GoReport Web Portal, where the content can be edited, reviewed, additional information added and approved before publishing. The automatic inclusion of summary tables, graphs and charts in reports, results in high-quality outputs.

The option to publish six facet survey data to Microsoft Excel and interactive dashboards in Microsoft PowerBI, enables slicing, dicing, analysing and presenting data across a portfolio of properties, helping evidence based decisions about the future of the estate including budgeting for maintenance, repair and replacement.

GoReport is a trading name for MobileReport Ltd. MobileReport is a company registered in Northern Ireland with company number NI607089 and VAT registration number 130 4660 48. Our registered address is Arthur House, 41 Arthur Street, Belfast, BT1 4GB

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The current study attempted a rigorous test of the construct validity of a widely used self-report measure of dispositional mindfulness, the Five Facet Mindfulness Questionnaire (FFMQ), within the context of an active controlled randomized trial (n = 130). The trial included three arms: mindfulness-based stress reduction (MBSR), an active control condition that did not include instruction in mindfulness meditation (Health Enhancement Program [HEP]), and a waitlist control condition. Partial evidence for the convergent validity of the FFMQ was shown in correlations at baseline between FFMQ facets and measures of psychological symptoms and psychological well-being. In addition, facets of the FFMQ were shown to increase over the course of an MBSR intervention relative to a waitlist control condition. However, the FFMQ failed to show discriminant validity. Specifically, facets of the FFMQ were shown to increase over the course of the HEP intervention relative to the waitlist control condition. MBSR and HEP, in contrast, did not differ in changes in FFMQ score over time. Implications of these findings for the measurement and theory of mindfulness and MBSR are discussed. (PsycINFO Database Record

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