Sunday, November 15, 2009

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Fomes sudden and strange


Back to the topic of certifications, specializations or certificates of special training in the general area of health.

Yesterday a colleague physiotherapist saw the three volumes of re-editions of books by Joseph Pilates at my desk. It is part of an automated operation of my professional access the original source of information on any subject on which I should have an opinion, explain or summarize the subject. But it is not just an automatic behavior: it is something that I believe is the basis of good practice in any field. It is the basis of meritocracy - the planning system based on professional merit and competence. This is how I teach my students.

When a particular practice codified knowledge requires a few generations, it is essential that the practitioner knows this route. It is not essential that every biologist has read Darwin's work. It is expected that a specialist in evolutionary biology, however, has read at least important parts of On The Origin of Species . Do not cross my mind ask a therapist if he studied concepts of psychoanalysis by reading the original texts of Freud: I assume you've done so.

Pilates books were there at my desk because I write about a subject related. The colleague then asked how I got these copies, because they would be inaccessible. Now just get on Amazon and buy - all that is required is an international credit card. He then commented that another colleague physiotherapist went to the States, without any practical knowledge of English, gave a crash course in Pilates and currently teaches a program or whatever that a wealthy district of Sao Paulo. In couple of hours dedicated to this week, making five thousand dollars. Shocked, I replied: "wow, burning desire to give the diploma." My colleague said that on the contrary, approved of the conduct of the third and that was the rule in our country.

Had an epiphany of acute pessimism that, in health practices with more hype, the world divides between those who know the thing, and who earns money with the thing. Without overlapping. I must be wrong, of course. It is quite possible that a small minority of those who earn money know what they're talking (and doing). It is also possible that a small minority of those dedicated to studying (a thing) will eventually win some money with it. But overall, what I have seen is that the rule is fraud.

mesmsa I've been pinch a couple of times. I know other colleagues who work alongside the "know how and what" (as opposed to "earn with, whatever it takes") that laugh of his own misery by admitting the number of times that gave them a hat, they took the method without acknowledging the source, among other equally disgusting practices of the ethical point of view.

Então dei um google em “curso pilates” e descobri centenas de programas oferecidos por instituições rigorosamente desconhecidas, cobrando fortunas para certificar alunos em poucas semanas a “dar aula de pilates”.

É evidente que há um componente de conhecimento tácito – aquele não codificado, transmitido de praticante experiente para novato – body in any practice. Well now, who can be naive enough to believe that hundreds of these courses have "experienced practitioners"?

Another colleague reported the situation where a company requested class of tai-chi-chuan in the office. That's right: between the tables. People who know this martial art heritage, though not original, ancient, they know perfectly well that's impossible. They also know that is only able to teach tai chi chuan, the person who has traveled a long training program and followed a strict code of ethics.

However, in the opinion of fellow physiotherapist and possibly the vast majority of healthcare professionals today do not meet the request of the company's demonstration of naivete and lack of commercial vision.

Case Pilates teacher fast food and the dilemma of the master of tai-chi-chuan demonstrate the tragic situation that fitness industry has created for professional education of bodily practices, therapeutic or not. It's an anything goes, where the first victim is the ethics and morality, is the second-practitioner "client", submitted to which I can only describe as intellectual larceny, and third is the public health.

Saturday, November 14, 2009

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Security Indoor sports - PART 1: The Cage (power rack) and other equipment in a free course on


November 10, Tuesday, I was finally underwent surgery for anterior cruciate ligament reconstruction planned months. This surgery was a corrective measure for an accident that occurred in training on June 8 this year. Before anyone raises the stupid argument that sport and health that is not exaggerating in some parameter of activity, go forward to make sure the accident was caused by my carelessness. It occurred during a light warm up in the squat, without equipment, with only 120kg. It is precisely in light weights and with whom we have security that most accidents occur. The athlete gets less attention, which is a mistake. Although there is no systematic study on the subject, in conversations with friends, we conjecture that injuries often occur in times of stress unrelated to sports. During these periods, we have lapses in focus during the workout. The glitches and problemões who should be admitted to the party of our sport invade our minds and steal our attention during those lighter weights and times of heating. It happened to me: to return the bar to support, not noticed that both sides of the bar were properly secure. The left side was not. Once dropped the bar on his supposed support, the left side, loose, turned my body violently. The feet firmly fixed on the floor, who was turned to the left knee joint, instant suffering ruptured ligament, amputation of the meniscus, cartilage and bone to the owners.

In a month of rehabilitation work, I was squatting again with an interesting weight (monkey with no support band and soft , 150kg) and planned to keep the colendário competitive. However, looking at the best adaptations Motion to support monkey - one I had not tested yet - I thought wiser to stay competitive and land squats until they did the surgery, the joint was unstable. Any movement of the knees inward or forward, often at high loads and failure would be catastrophic.

Surgery for ACL reconstruction currently has a high success rate in athletes. Mine was done with the tendon graft patellar. The insertion was accurate and mechanically perfect motion. I was discharged on Wednesday. That same day I had a physical therapy session at Hospital Oswaldo Cruz and learned to walk with crutches supporting feet. Immobiliser to sleep.

Thursday respected the orders and did another physiotherapy session, with Bernardo (Aron). The problem is that Thursday I had no pain whatsoever. The "pain threshold" for bending does not exist.

Friday crutches turned ornament. Especially after that one fell on my foot and decided that they were an encumbrance. Caetano and consulted, since I cops as the rotation of the joint, which can not occur under any circumstances, I was released (or forced the bar?).

Today I am here on a sweltering heat, putting up with life. It's hard to think straight with so many off days. Rain or the blazing sun that nobody deserves, I'll train Monday. I speak ill of both machines, but second will do a tribute to them, detonating them.

Here below are some references of what I liked about the surgery. Further comments in the coming days, training log and rehabilitation in http://bodyspace.bodybuilding.com/marilia05/ , log of mental training in http://www.istadia.com/go/marilia05 and anything extra will appear there.

than that, post-surgical recovery is always very boring. I favor a certain isolation, good food and hyper-protein, something guaranteed by Marcão who sent me jars and jars of whey. Vitamin C, glucosamine and chondroitin ... but that is for another post, another day.

THE HISTORY OF ACL SURGERY - P. Colombet, M. ALLARD, V. BOUSQUET, C. FOR LAVIGNE, PH FLURIN

http://books.google.com.br/books?id=L6MNXIC7x0AC&pg=RA6-PA602&dq=ACL+reconstruction+surgery onepage & # v = q =% ACL% 20reconstruction 20surgery & f = false

http://books.google.com.br/books?id=WpciU74pRWAC&dq=ACL+reconstruction+surgery&source=gbs_navlinks_s