💥 ACL Tear Anniversary(附中文)
“ No Surgery: Function > Structure “
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6th May 2020 marks the day of my right ACL anniversary playing 🏈. It has been one o...
💥 ACL Tear Anniversary(附中文)
“ No Surgery: Function > Structure “
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6th May 2020 marks the day of my right ACL anniversary playing 🏈. It has been one of the most devastating injuries by far as I still remember I heard a “snap” when I was trying to go past the offensive line
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I decided not to have surgery. Nothing was more difficult than walking stairs after the tear. But I looked on the flip side as being a physical therapist myself, I read all the journals I could find and designed my own rehab program. Day in and day out of the gym now I can squat 160 KG again
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If you went to a doctor after an injury like this they would 10/10 suggest a surgery. After a year of research and working with ACLR clients , I have made a conclusion of 3 scenarios where you should consider Rehab before surgery:
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1️⃣ Isolated full ACL tear : No complications on meniscus or lateral ligaments. No pain after acute swelling
2️⃣ Grade 2 partial-tear : No acute swelling after injury. Still remnants of ACL ligament can be strengthened with strength training to stimulate ligamental growth
3️⃣ Unidentified : No acute swelling after injury, nor pain. Unclear to reach diagnosis on MRI
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🎯 As long as you can maintain good “function” of your leg, like day to day commute, full squat without pain. There is not an urgent need for surgery, and instead, rehab training should be prioritized to maximize “function“
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🧠 Function + Movement > Structural Damage
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💥前十字韌帶斷裂滿一週年
“沒有十字韌帶不可怕"
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這週是我因為打美式足球時右腳前十字韌帶斷裂的一週年。這一年來,從走樓梯都有困難,到現在可以深蹲回到160公斤,真的花了很長一段時間。很幸運自己是一位物理治療師,復健自己做,為自己設計課表,從開立十字韌帶訓練團課,到現在一對一的術後訓練,把學過的看過的,融會貫通,幫助那些像我一樣,走出傷痛,重回運動的懷抱
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可以不開刀嗎? 這是我常被問的問題,受傷後我並沒有開刀
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如果你去看骨科,醫生一定叫你開刀。好像沒了韌帶,就不能跑,不能跳,不能回去正常生活,不過事實是如此嗎?
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綜合了我這一年的經驗,與病人的交談,看過的學術文獻,得出以下3種情況,可以先不做十字韌帶重建手術:
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1️⃣ 只有前十字韌帶斷裂,沒有合併半月板受傷(Isolated ACL tear): 我的狀況就是這樣,我只有斷前十字韌帶,沒有半月板或其他軟組織受傷,所以也不會疼痛
2️⃣ 前十字韌帶第二級拉傷(Grade 2 Tear): 第二級的意思是指斷了一些,沒有全斷,可以透過物理治療做訓練,加強膝關節周邊肌肉,增加膝蓋穩定度
3️⃣ 不清楚是不是斷裂(Unidentified): 受傷後沒有腫脹,沒有痛,也沒有聽到「啪」一聲,照核磁共震也看不太清楚,我建議先不要急著開刀,先自我訓練,或找物理治療師評估
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🎯 重點是,只要功能是可以的,不影響日常生活,能繼續上健身房,打球不會痛不會覺得不穩,那就不用急著去開刀,當然這跟病人自身的目標也有關。假如是在打社會組,競技性比賽,一般還是建議直接選擇開刀,術後趕快做物理治療
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🧠 功能+動作 > 結構性損傷
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#jamesthephysio signing out
isolated意思 在 晞。觀影記事 Facebook 的最佳貼文
【荒島一人電影節,本身係咪一套戲嚟?😂】
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疫情之下咩都要轉營,連電影節都要轉營。喺瑞典嘅一個電影節就搞搞新意思,將放映場地移到一個與世隔絕無人荒島上進行「The Isolated Cinema」,為期七日,冇電話冇手機冇電視甚至連書都冇,但有60套戲俾你慢慢睇,除咗參加者,只有一位工作人員喺島上。呢個咁有噱頭嘅電影節,起碼先食話題,好快廣為全球影迷談論。
老老實實,呢個本身就係一套戲情節嚟?
兩個人孤獨相處,一係搞埋一齊、一係互相殘殺,七日後得返一個,或者兩個死曬;
睇段片個島四圍咁大浪,如果係真,都係絕境困難鬥災難片,上咗個島第一晚就雷電交加驚濤駭浪,兩條友要捱到最後一刻;
再唔係個島咁神秘,打開度門原來唔係戲院,而係去咗另一個平行時空,或者地心探險記,打怪物是常識吧;
個島嘅燈塔建於1868年,據聞都係隱世酒店,可能又有恐怖傳說,話說參賽規則要位觀眾自拍每日生活,拍吓戲驚見午夜靈異錄像又得;
樂觀諗,浪漫啲嘅,兩個人相對七日,最終變成疫境下愛情故事,又得姐。
喂其實呢單嘢係咪偽紀錄片嚟,幾個月後Netflx有得睇?😂登登~🎶
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isolated意思 在 Eric's English Lounge Facebook 的精選貼文
[翻轉視界 8]逃離禁錮之地:離開北韓我學會自由與憐憫
“If you don't know the words, that means you don't understand the concept, and therefore, you don't even realize that concept is even a possibility.” —— human rights activist Yeonmi Park。
「如果你不知道某些詞彙,那就意味著你並不了解某些概念,因此你也不會意識到,那些概念可以是一種可能。」——人權鬥士朴延美
對出逃前的她而言,自由與溫飽是很奢侈的理念,更無法了解「愛」的全貌。當我們無法得知世界發生了什麼,無法想像那超越自身認知的世界,我們便無法真正地同理他人。今天我想邀請大家,以不同的角度,重新感受自由、溫飽與愛的可貴。
★★★★★★★★★★★★
I was born in 1993 in the northern part of North Korea, in a town called Hyesan, which is on the border with China. I had loving parents and one older sister. Before I was even 10 years old, my father was sent to a labor camp for engaging in illegal trading. Now, by "illegal trading" -- he was selling clogs, sugar, rice and later copper to feed us. In 2007, my sister and I decided to escape. She was 16 years old, and I was 13 years old.
1. on the border with 鄰近邊界
2. labor camp 勞改營
3. illegal trading 非法的交易
1993年我出生在北韓的北部,一個名叫惠山的小鎮,鄰近中國邊界。我有愛我的父母與一位姐姐。在我10歲大的時候,父親就被送去勞改營,因為他非法買賣一些東西。所謂的非法買賣,其實他是賣一些木鞋、糖、米,之後還賣了銅,只為了餵飽我們。2007年,姐姐和我決定逃跑。她當時16歲,而我13歲。
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I need you to understand what the word "escape" means in the context of North Korea. We were all starving, and hunger means death in North Korea. So it was the only option for us. I didn't even understand the concept of escape, but I could see the lights from China at night, and I wondered if I go where the light is, I might be able to find a bowl of rice. It's not like we had a grand plan or maps. We did not know anything about what was going to happen. Imagine your apartment building caught fire. I mean, what would you do? Would you stay there to be burned, or would you jump off out of the window and see what happens? That's what we did. We jumped out of the house instead of the fire.
4. in the context of 在⋯⋯的情境中
5. concept 概念;觀念;思想
6. a grand plan 一個遠大的計畫
7. catch fire 著火
你們要知道,「逃跑」這兩字在北韓意味著什麼。我們天天挨餓,而飢餓在北韓意味著死亡。所以逃跑是我們唯一的選擇。我當時還不了解逃跑是什麼意思,但晚上我能看見中國那邊的燈光,我想著如果我能到有光的地方,也許就能找到一碗飯。我們沒有什麼遠大的計畫或地圖。我們完全不知道,接下來會發生什麼事。想像一下,你的公寓失火了,你會怎麼辦?你會坐以待斃,還是跳窗然後再看著辦?我們就是那樣。我們從大樓上跳了下來, 而不是等火燒上來。
★★★★★★★★★★★★
North Korea is unimaginable. It's very hard for me when people ask me what it feels like to live there. To be honest, I tell you: you can't even imagine it. The words in any language can't describe, because it's a totally different planet, as you cannot imagine your life on Mars right now. For example, the word "love" has only one meaning: love for the Dear Leader. There's no concept of romantic love in North Korea. And if you don't know the words, that means you don't understand the concept, and therefore, you don't even realize that concept is even a possibility.
8. unimaginable 無法想像
9. no concept of... 沒有⋯的概念
10. romantic love 浪漫愛
北韓是難以想像的。對我來說,要回答住在北韓是什麼感覺,非常困難。老實說,我可以告訴各位——你無從想像。沒有任何語言可以描述,因為那是個截然不同的星球,就像你現在無法想像自己在火星上的生活一樣。比如說,「愛」只有一個意思:愛偉大的領袖。在北韓沒有那種浪漫之愛的概念。如果你不知道某些詞彙,那就意味著你並不了解某些概念,因此你也不會意識到,那些概念可以是一種可能。
★★★★★★★★★★★★
Let me give you another example. Growing up in North Korea, we truly believed that our Dear Leader is an almighty god who can even read my thoughts. I was even afraid to think in North Korea. We are told that he's starving for us, and he's working tirelessly for us, and my heart just broke for him. When I escaped to South Korea, people told me that he was actually a dictator, he had cars, many, many resorts, and he had an ultraluxurious life. And then I remember looking at a picture of him, realizing for the first time that he is the largest guy in the picture. And it hit me. Finally, I realized he wasn't starving. But I was never able to see that before, until someone told me that he was fat.
11. an almighty god 一個全能的神
12. tirelessly 不屈不撓地;堅忍地
13. a dictator 獨裁者
14. it hit me 突然想到、意識到 
15. resort 度假地(此處係指北韓獨裁者有很多度假別墅)
16. ultraluxurious 極其奢華的
17. have a…life 過著⋯⋯的生活
讓我再舉一個例子。在北韓長大,我們真心相信我們偉大的領袖是全能的神,他甚至能看穿我在想什麼。我在北韓甚至不敢思考。我們聽說他為我們挨餓、不眠不休地為我們工作,而我為此感到心痛。我逃到南韓後,有人跟我說他其實是獨裁者,他有很多車、很多很多渡假別墅,他的生活極為奢華。我記得自己看著一張有他的照片,第一次意識到他是照片裡體型最大的那個。這件事讓我大受打擊。那時我才終於了解,他沒有挨餓。但我以前總無法看清這些,直到有人跟我說他很胖,我才恍然大悟。
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Really, someone had to teach me that he was fat. If you have never practiced critical thinking, then you simply see what you're told to see. The biggest question also people ask me is: "Why is there no revolution inside North Korea? Are we dumb? Why is there no revolution for 70 years of this oppression?" And I say: If you don't know you're a slave, if you don't know you're isolated or oppressed, how do you fight to be free? I mean, if you know you're isolated, that means you are not isolated. Not knowing is the true definition of isolation, and that's why I never knew I was isolated when I was in North Korea. I literally thought I was in the center of the universe.
18. critical thinking 批判性思考
19. revolution 革命
20. dumb 愚蠢的*
21. oppression 壓迫;壓制;欺壓
22. isolated and oppressed 與世隔絕的與被壓迫的
真的,要有人教我,他這樣叫做胖。如果你沒學過批判性思考,你看到的就只會是別人跟你說的。其他人對我提出的大哉問還有:「為何北韓沒有革命?我們傻嗎?為何歷經70年的壓迫,卻沒人發動革命?」我回答:「如果你不知道自己是奴隸,不知道自己被與世隔絕、壓迫,你要如何為自由而戰?我的意思是,如果你知道自己被與世隔絕,那就表示你並非真的與世隔絕。與世隔絕的真正定義是無知,所以我從不知道,在北韓的我與世隔絕。我真的以為我們是宇宙的中心。
*dumb: https://bit.ly/3fG5XOk
★★★★★★★★★★★★
So here is my idea worth spreading: a lot of people think humans inherently know what is right and wrong, the difference between justice and injustice, what we deserve and we don't deserve. I tell them: BS. Everything, everything must be taught, including compassion. If I see someone dying on the street right now, I will do anything to save that person. But when I was in North Korea, I saw people dying and dead on the streets. I felt nothing. Not because I'm a psychopath, but because I never learned the concept of compassion. Only, I felt compassion, empathy and sympathy in my heart after I learned the word "compassion" and the concept, and I feel them now.
23. inherently 與生俱來地
24. justice and injustice 正義與不義
25. psychopath 精神病患者
26. compassion, empathy and sympathy 憐憫、同理與同情*
我覺得值得分享的想法是:很多人以為,人類生來就能分辨是非對錯,懂得正義與邪惡的差別,我們值得被怎樣對待。我跟他們說:放屁。所有的事,所有的事都得經過教導,包含憐憫。如果我現在看見有人在路邊奄奄一息,我會不顧一切來救他。但我在北韓的時候,會眼睜睜看著有人橫死街頭,卻沒有任何感覺。並非因為我是心理病態,而是我從未學過憐憫的概念。只有在我的內心感受到憐憫、同理與同情,我才學會「憐憫」一詞與其概念,而如今我已能感受到這些。
*compassion: a strong feeling of sympathy and sadness for the suffering or bad luck of others and a wish to help them
empathy: the ability to share someone else's feelings or experiences by imagining what it would be like to be in that person's situation
sympathy: (an expression of) understanding and care for someone else's suffering
★★★★★★★★★★★★
Now I live in the United States as a free person.
現在我以自由人的身分住在美國。
★★★★★★★★★★★★
And recently, the leader of the free country, our President Trump, met with my former god. And he decided human rights is not important enough to include in his agendas, and he did not talk about it. And it scares me. We live in a world right now where a dictator can be praised for executing his uncle, for killing his half brother, killing thousands of North Koreans. And that was worthy of praise. And also it made me think: perhaps we all need to be taught something new about freedom now. Freedom is fragile. I don't want to alarm you, but it is. It only took three generations to make North Korea into George Orwell's "1984." It took only three generations. If we don't fight for human rights for the people who are oppressed right now who don't have a voice, as free people here, who will fight for us when we are not free? Machines? Animals? I don't know.
27. agenda 議程
28. be praised for 因⋯⋯獲得讚揚
29. execute (v.) 處決
30. worthy of sth 適合某物或具有某物的特徵
31. fragile 脆弱
最近,自由國度的領袖,我們的川普總統,和我以前的神會面。他認定,人權沒那麼重要,不需排進議程中,所以對此他隻字不提。這嚇壞我了。我們竟身在一個獨裁者處決伯父還能獲得讚揚的世界裡,他殺害同父異母的哥哥、殺害成千上萬的北韓人民,竟還能得到讚揚。這不禁使我開始思考,也許我們現在都要學習自由的新涵義。自由很脆弱。我不想嚇你,但事實如此。短短三個世代,就讓北韓淪為喬治.歐威爾筆下的《1984》。只花了三個世代。如果我們不為人權而戰,不為受壓迫、不為無法發聲的人而戰,當身為自由人的我們不自由時,誰還願意為我們而戰?機器嗎?動物嗎?我不知道。
★★★★★★★★★★★★
I think it's wonderful that we care about climate change, animal rights, gender equality, all of these things. The fact that we care about animals' rights, that means that's how beautiful our heart is, that we care about someone who cannot speak for themselves. And North Koreans right now cannot speak for themselves. They don't have internet in the 21st century. We don't have electricity, and it is the darkest place on earth right now. Now I want to say something to my fellow North Koreans who are living in that darkness. They might not believe this, but I want to tell them that an alternative life is possible. Be free.
32. speak for oneself 為某人發聲
33. alternative life 另一種生活
我覺得我們能關心氣候變遷、動物權益、性別平等諸如此類之事,真的很美好。因為,我們關心動物權益,就代表了我們的心地有多善良,也代表我們關心無法為自己發聲的對象。北韓人民現在無法為自己發聲。身處21世紀的他們,沒有網路可用。我們沒有電,那裡是當今地球上最暗的地方。現在我想告訴那些生活在北韓黑暗中的同胞。也許他們不會相信我,但我想告訴他們,生命仍有其他可能——意即自由的生活。
★★★★★★★★★★★★
From my experience, literally anything is possible. I was bought, I was sold as a slave. But now I'm here, and that is why I believe in miracles. The one thing that I learned from history is that nothing is forever in this world. And that is why we have every reason to be hopeful. Thank you.
34. slave 奴隸
35. miracle 奇蹟
就我的經驗,真的什麼事都有可能發生。我被人買走,賣給別人當奴隸。但我現在在這裡,這也就是為什麼我相信奇蹟。我從歷史上學到的一件事,就是世上沒有什麼是永恆的。而這也是我們無論如何都能懷有希望的原因。謝謝大家。
資訊出處:https://bit.ly/32p5HiK
圖片出處:https://bit.ly/32n2zEe
★★★★★★★★★★★★
如何增進同理心:https://bit.ly/34qSKnC
#ChangingPerspectives
#翻轉視界
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翻轉視界系列文章: https://bit.ly/3fPvKUs
isolated意思 在 鹿境plants Facebook 的最佳解答
剛剛閱讀了則新聞,是關於台灣交了個同為國際邊緣人的新朋友 ---索馬利蘭.
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內容蠻有意思,解釋了他們與國際海盜 / 人口販賣猖獗的索馬利亞不同之處,特別是報導中提到 "東非索馬利蘭(Somaliand),為全世界最後一處野生原始的「乳香木」(frankincense)森林。" 讓我去找了這篇2017年的國外文章來看,裏頭簡單解釋了關於索馬利蘭當地乳香木被運用的現實狀況.
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與奇摩那篇新聞(連結我會貼在留言區)交叉閱讀挺有趣,喜歡乳香橄欖的你或許能花點時間看看,認識一下這個與台灣國際處境雷同的準邦交國🖤