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  • ⠀ The outside one-third of the meniscus has a rich blood supply. A tear in this "red" zone may heal on its own, or can often be repaired with surgery. A longitudinal tear is an example of this kind of tear.⠀⠀⠀ ⠀⠀⠀ In contrast, the inner two-thirds of the meniscus lacks a blood supply. Without nutrients from blood, tears in this "white" zone cannot heal. ⠀⠀⠀ ⠀⠀⠀ 🤔 So what's the best test to assess for meniscal lesions? The best we can do in practice is to rely on a thorough patient-history, which includes locking and giving way during daily activities, a history of twisting while weigh bearing hyperflexion of the knee, joint line tenderness (also kind of a test already), minimal to moderate synovial swelling, pain on forced flexion, limited extension with spring block end feel and refer for an MRI in case of a high level of suspicion. Other tests such as the Thessaly, Apley, and Mc Murray test have limited ability to diagnose meniscal lesions.⠀⠀⠀ ⠀⠀⠀ Treatment? Surgery? Conservative? PLACEBO????⠀⠀⠀ ⠀⠀⠀ 📚 The study of Sihvonen et al. (2013) who compared the results of a sham surgery for degenerative meniscal tears to partial arthroscopic meniscectomy showed the following:⠀⠀⠀ ⠀⠀⠀ 👉🏼 There was no significant difference in improvement measured by the Lysholm knee score, WOMET score and knee pain after exercise. Frequency for the need for susequent knee surgery was not statistically different either.⠀⠀⠀ ⠀⠀⠀ However, the direct conclusion that meniscectomy in degenerative tears is useless is not necessarily correct: Even if the effect that was shown is due to placebo, which other technique (which is ideally less invasive) is going to give us a similarly strong placebo effect?⠀⠀⠀ ➖➖➖➖➖➖➖➖➖➖➖
  • What body type are you? Now it’s possible your strictly one body type listed above but what are the chances you have all the qualities of one and none of the others? This is why you can be a hybrid of them which most people are such as an ecto-endomorph or a endo-mesomorph, etc. What are the actual traits of these body types and how do I train my body? •••••••••••••••••••••••••••••••••••••••••••••••••••••• ECTOMORPH- -Skinny -Small joints/ boned -Long arms and legs -Linear physique -Small shoulders -Lightly muscled -Small chest and buttocks -Low body fat (without exercising or following low calorie diets) -Can eat anything they like without weight gain -Fast and efficient metabolism -Difficulty gaining weight -Hyperactive -Difficulty in gaining muscle mass Tips: Short and intense workouts, focus on big muscle groups, eat before bed to avoid muscle catabolism ENDOMORPH- -Smooth, round body -Medium/ large joints/ bones -Small shoulders -Short limbs -High levels of body fat (may be overweight) -Body fat tends to settle in lower regions of body, mainly lower abdomen, butt, hips, and thighs (rather than being distributed evenly throughout body) -Pear-shaped physique -Can gain muscle easily, but tends to be underdeveloped -Difficult to keep lost body fat off -Lose weight slowly -Have to work hard to lose weight -Slow metabolic rate -Attacks of tiredness/ fatigue -Fall asleep easily Tips: always do cardio and weight training, watch caloric intake MESOMORPH -Naturally lean -Naturally muscular -Naturally strong -Medium size joints/ bones -Wider at the shoulders than the hips – i.e. chest dominates over abdominal area -Broad/ square shoulders -Female mesomorph: defined hourglass figure -Male mesomorph: V or rectangular shape -Efficient metabolism -Gaining muscle is almost effortless -Losing fat is almost effortless -Responds quickly to exercise Tips: Cardio and weight training, responds best to weight training, watch caloric intake
  • This week we have been talking about consistency and how it really is the key factor in any successful plan. @precisionnutrition breaks down how to stay on track when life gets busy. Did you know: When you're busy and stressed, working memory and willpower are low😫 ⠀⠀⠀ -⠀⠀⠀ 🤹🏼‍♀️🤹🏾If you know you have a busy week or weekend ahead, try some of our favourite exercise tips for the busy professional/ parent/ human. . . . #vancityfit #vancouverfitness #vancityfitness #yvrfitness #yvrfit #planofaction #keytosuccess #coalharbour #downtownvancouver #precisionnutrition #eliteperformance #balance #hiit #groupworkout #cardio #604 #yvr #positivemindset
  • Did you know that muscle mass naturally begins to decline around age 30, and that process, called sarcopenia, accelerates around age 40? 🏃🏻♂🏃♀Exercise, and in particular resistance training🏋🏾♂ (or strength training) is extremely effective for preventing sarcopenia. Resistance training affects the neuromuscular system, protein synthesis, and hormones, which, when not operating normally, work together to cause sarcopenia. After a program of resistance training is introduced, research shows that motor neuron firing and protein synthesis (both of which are needed in building muscle mass) increase even in the elderly. These changes indicate that it is possible to rebuild muscle strength even at an advanced age. Aerobic exercise also appears to aid in the fight against sarcopenia by increasing protein synthesis, an important function in maintaining muscle mass and strength in the ageing population. . . #vancityfit #vancouverfitness #vancity #vancityfitfam #vancouverbusiness #vancouvergym #yvrfitness #yvrfitfam #vancouver #musclegain #musclerebuild #glutes #quads #hamstrings #core #lunges #strengthtraining #sarcopenia #vancouverpersonaltrainer -
  • Andreas Vesalius was a 16th-century Flemish anatomist, physician, and author of one of the most influential books on human anatomy, De humani corporis fabrica. Vesalius is often referred to as the founder of modern human anatomy. He was born in Brussels, which was then part of the Habsburg Netherlands.
  • Keep moving towards your dreams...never stop! Never stop fighting for the life you want. You WILL get there!! But if you give up, say it’s too hard, not for you, or whatever...then I guarantee you won’t get there. Do the hard things and don’t care what others think! Do YOU! 🍎🍎🍎TAG A FRIEND WHO NEEDS TO HEAR THIS 🍎🍎🍎 . . . . . . #dreamchasers #liveyourlife #fightforyourdreams #dontstop #babysteps #presson #doyou #dreambig #chaseyourdreams #getthere #loveyourlife #universe #manifest #manifestation #motivators #motivating #goals #dream #laughatadversity #adversity #adversityquotes #adversitybuildscharacter #adventure#overcomefear #dream #liveyourdreams #liveyourdream #liveyourdreamlife #dreamchasers #dreamchaser #comfortzone
  • Muscle spindles Proprioceptors that provide information regarding muscle length and the rate of change in length. Relays to spinal cord, which in turn innervates that same muscle to overcome a given resistance Golgi tendon organs Proprioceptors located in the tendons that are activated when the tendon attached to active muscle is stretched. Heavy loads activate GTO which relays signal to inhibit muscle activation. , , , , #HumanMovementScience #Education #HumanMovementProfessional #HumanMovementSpecialist #EvidenceBased #EvidenceBasedPractice #EvidenceBasedMedicine #EBP #physicaltherapy #personaltraining #personaltrainer #athletictrainer #athletictrainingstudent #physiotherapist #physicaltherapist #physicaltherapyassistant #PTA #physiotherapy #ATC #LMT #DPT#dptstudent #massagetherapist #LMT #occupationaltherapy #OT #lowbackpain
  • @Regran_ed from @vancouvertrainer - The mind is just like a muscle: the more you exercise it, the stronger it gets and the more it can expand. IK Only YOU and you ONLY have the power to open your soul and your heart. Listen to it as it speaks to you and follow its guidelines. • Find what supports YOU, BE YOU. Find what helps YOU BE BALANCED. Be the best version of YOU there will ever be. • . . . . . . . #feet on the ground #head to the skies, #heart open, #shining soul, #peaceful mind. #expandingbrain #soulful_moments #balancedlife #openyourheart #workoutoftheday #everyday #jumprope #listentoyourheart #listentoyoursoul - #regrann
  • Fail to prepare, prepare to fail. So much simpler to prepare a weeks worth of food ahead of time than it is to prepare food for each meal as they come. Give it a go and you won’t regret . .. . . . #nutrition #gym #cleaneating #healthyeating #nutrition #weightloss #getfit #gains #meals #healthyliving #healthylifestyle #vancouver, #personaltrainer, #personaltraining, #canfitpro, #bcrpa, #acefit, #acsm, #nasm, #nsca, #cscs, #infofit, #cfes, #ubc, #fitness, #yaletown, #kitsilano,

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