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Just to attempt to be thorough, and reiterate that honestly I don't know the answer, but good grip strength may be something comes from good overall muscular an

by redmen 5y ago

Just to attempt to be thorough, and reiterate that honestly I don't know the answer, but good grip strength may be something comes from good overall muscular and nervous system health, not the other way around. It interests me how far we have come in technology, but how little we know how to apply it to certain kinds of medicine. Just as an anecdote, I have been spending thousands of hours in physical therapy, and have visited doctors all over. One thing I have learned is that many great doctors used to read tonnes of research papers early in their career, but over time gravitated more towards their clinical experience in building their tree of knowledge. From what I have heard, the science is just too vague and difficult in this field and so as tempting as it is to want to apply the scientific framework around this field (I'm talking specifically about physical therapy here, not necessarily other areas of medicine where I know far less about), it ends up being more effective to build up ones intuition off of a strong clinical practice and then to look at the science afterwards in order to calibrate and filter through those experiences. A bit of a tangent, but something I also find to be interesting is how poor the feedback mechanisms are in a lot of medicine. Most patients don't follow their prescribed homework, and many surgeons don't even get to see the long-term outcomes of their patients' surgery. Or when they do they are measuring some variables that don't give enough of an overall view of the person's body or overall health. Anyways, I'm done rambling for now :P. I hope we can curtail the upcoming health crisis we are going to have with our and our childrens' postures and poor body mechanics.

hutzlibu 5y ago
"Most patients don't follow their prescribed homework, and many surgeons don't even get to see the long-term outcomes of their patients' surgery." I had some problems after sports accidents and after an odysee to different surgeons and co. and an operation, I came to the conclusion, that the lowly, but very experienced physical therapists, offered the best advice for me. Because they actually work closely with the patients in the long run and see what works. But since they are not academics, it seems their opinions are usually not very well regarded and do not move up the chain (at least here in germany, but I can imagine it is the same all around the world).
- inglor_cz 5y ago
  To be frank, most doctors don't perform the same exercise that they recommend to their patients themselves. Leading by example should be a thing. I am now in care of a fit doctor who, though being over 50, is slim and obviously active. It is a huge difference from my previous doctor who was visibly overweight even though 10 years younger than me, and from the yet previous doctor who tipped the scale at at least 350 pounds. (That one died of Covid after spending 6 weeks in the ICU. Wasn't yet sixty.) If the fit doctor recommends me something from her own experience (in her case, the Sun Salutation), I will know that it works.
inglor_cz 5y ago
" good grip strength may be something comes from good overall muscular and nervous system health" There probably is a circular relationship. Enough physical activity leads to better cardovascular health and stronger muscles. Those lead to good grip strength, which is just the best measurable element of overall physical strength. Stronger people have more capacity for exercise and will engage in more physical activity, which leads to better health etc. One day, some equilibrium is reached, but this equilibrium is much better than in sedentary people. This equilibrium lowers your risk of heart disease, the worst of modern age killers. Also, if you spend time outdoors (and a lot of physical activity is done outdoors in favorable climates), your immune system gets training, too. And immune system is what seems to be protecting us from cancer, the second worst of modern age killers.

by redmen 5y ago

hutzlibu 5y ago

"Most patients don't follow their prescribed homework, and many surgeons don't even get to see the long-term outcomes of their patients' surgery." I had some problems after sports accidents and after an odysee to different surgeons and co. and an operation, I came to the conclusion, that the lowly, but very experienced physical therapists, offered the best advice for me. Because they actually work closely with the patients in the long run and see what works. But since they are not academics, it seems their opinions are usually not very well regarded and do not move up the chain (at least here in germany, but I can imagine it is the same all around the world).

inglor_cz 5y ago
To be frank, most doctors don't perform the same exercise that they recommend to their patients themselves. Leading by example should be a thing. I am now in care of a fit doctor who, though being over 50, is slim and obviously active. It is a huge difference from my previous doctor who was visibly overweight even though 10 years younger than me, and from the yet previous doctor who tipped the scale at at least 350 pounds. (That one died of Covid after spending 6 weeks in the ICU. Wasn't yet sixty.) If the fit doctor recommends me something from her own experience (in her case, the Sun Salutation), I will know that it works.

inglor_cz 5y ago

" good grip strength may be something comes from good overall muscular and nervous system health" There probably is a circular relationship. Enough physical activity leads to better cardovascular health and stronger muscles. Those lead to good grip strength, which is just the best measurable element of overall physical strength. Stronger people have more capacity for exercise and will engage in more physical activity, which leads to better health etc. One day, some equilibrium is reached, but this equilibrium is much better than in sedentary people. This equilibrium lowers your risk of heart disease, the worst of modern age killers. Also, if you spend time outdoors (and a lot of physical activity is done outdoors in favorable climates), your immune system gets training, too. And immune system is what seems to be protecting us from cancer, the second worst of modern age killers.