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In July 2008, the British Medical Journal published a landmark study which established an association between muscle strength and mortality unrelated to fitness or exercise levels. You can see the study here: http://www.bmj.com/content/337/bmj.a439 They found that men in the weakest third were 33% more likely to die from all causes than men in the middle...
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Muscle tone is vital for health. It might be even more important than diet and exercise. But it’s poorly understood. Have you listened to your patients’ definition of health? My patients often get through telling me about their 6 worst health problems and their 8 different medications, but they always finish with “I’m quite healthy...
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The Gold Standard of Patient-Centred Evidence-Based Medicine Good science measures the outcome of an intervention on a subject and a control. The less identical the subject and control, the less reliable will be the outcome. An engineer can compare outcomes on identical subjects, which is why your mechanic can give you a money-back guarantee. A...
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Chronic Pain
The Afferent Input Masterclass Chronic pain affects between one-third and one-half of the population of the UK, corresponding to just under 28 million adults. The causes are multifactorial and are therefore largely overlooked in favour of pain management. We advertised locally for 7 chronic pain patients and had 30 applicants. We chose 7 because they were...
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Here are the 5 most useful Ankle Tests. Why give patients orthotics when all they really need is better muscle tone?
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60 Studies These studies firmly establish the link between muscle weakness and early death. Some measure handgrip strength, others use the large axial and limb muscles but all reach basically the same conclusion. The stronger you are, the longer you live and the less disability you suffer. This effect is independent of age, fitness, exercise...
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Statistics tell us the probability of throwing a 2 with a regular die, is one in 6 – something we can easily verify by throwing the die repeatedly to see whether our prediction matched reality. We can also predict that rolling one die ten times would give us the same result, on average, as rolling 10 dice just once.  Again, we...
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P-values are the gold medal of research. Finding a p-value less than .05 in your clinical trial is the pinnacle of achievement. Even though there is virtually no difference between p=.047 and p=.053, get the former and your research is a success, the latter and it is consigned to the wastepaper basket of history. The reason...
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Muscle Tone
Muscle tone is a NEUROLOGIC phenomenon. It depends on the nervous system working without interference. The basic unit of neurological function is the neurological impulse which leads to axonal depolarisation. It mostly originates in the muscle spindle cells and periodontal ligaments, tissues which, uniquely, spontaneously generate afferent input. At least 90% of our muscular activity...
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