The purpose of this study was to review retrospectively and evaluate a uniform group of C6-spared quadriplegics who had similar surgical procedures. Eight patients undergoing 12 procedures were reviewed at an average of 3.8 years follow-up. There were three bilateral procedures. All patients had extensor carpi radialis longus to flexor digitorum profundus and brachioradialis to flexor pollicis longus transfers to improve grip strength and key pinch. All patients reported subjective improvements in quality of life, activities of daily living and patient-centred goals. There were six excellent and two good results. Objective improvements included mild improvements in key pinch and grip strength.

The pu9;oose of this stu& was to mamine the interchangeabilio of results in two evaluation devices, the Force Assessment Systems Technology (FAST) and Work Assessment Systems Technology (WEST) 4A, which both measure toque generation. Thirty volunteen were tested using standard positioning and testing protocols. Results daifsered signifcant4 between the two instruments for both supination (t=8.758, @=29, pc.001) andpronation (t=6.165, d f 2 9 , pc.001). Correlations between the FAST and the WEST 4A were significant (Supination: r=0.573, pc.01; Pronation: r=0.632, pc.01). Coeflkknts of variation were also examined and found to be significantly daflerent (Supination: t=2.976, d f 2 9 , pc.01; Pronation: t=2.522, nf=29, pc. 02). These findings indicate that results from these two instruments are not interchangeable and the nonnative data presented in the manuals is questioned On the basis of these findings, it is suggested that if clinicians wish to compare a client's result with nonnative data, this should be established for each instrument separately.Ev Innes, BAppSc(OT), MHPEd, is a lecturer at the and function is a complex area and much of its assessment is necessarily task related.