Vidal Melendez

COACHES DE Volley en PR.

Porqué todos cobran lo mismo, si tienes certificaciones diferentes, peritaje y años de experiencia diferentes? 🤔

Hoy!!!!

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El Hijo de Boriken Discover Los Pleneros De La Cresta's top songs & albums, curated artist radio stations & more. Listen to Los Pleneros De La Cresta on Pandora today!

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Los Extrañamos... 🩷 Pero Recuerden que nos vemos el Jueves 22 de Junio a las 8:00pm en Casa para el Comienzo de la Post-Temporada.

Más que Nunca, Vamo Arriba Bayamón 🩷🤍💙

🩷🤍💙

Llegaron al a luna??? Donde esta Ada???

Las impresionantes banderas de Puerto Rico hechas por Héctor Collazo El fundador del Proyecto "78 pueblos 1 bandera" está a punto de terminar su iniciativa.

27 de noviembre 2002 San Salvador – Hace 20 años el equipo femenino de PUR de tenis de mesa ganó su 1ra medalla en los Juegos CAC al quedarse con el bronce. Estuvo integrado por Glenda Reyes, Johana García, Darlyn García, Enerys García, el oro lo ganó Venezuela, la plata El Salvador y el otro bronce Colombia.

Solo Ketchup!!!!!! 😉

Definitivo

Don Sixto Febus (1918-2010)

El Dr. Sixto Febus Rivera es conocido mundialmente como un extraordinario pintor y restaurador de obras de arte. El artista es natural de Corozal, donde nació el 18 de agosto de 1918. Por los pasados 35 años a residido en Bayamón. En ambas comunidades ha sido incluido en la Galería de Hombres Ilustres.El día 13 de octubre de 2010, falleció en su
hogar en Bayamón.

Sus estudios especializados en restauración de obras de arte, le permitió cualificar para trabajar de restaurador de obras de arte para el Museo del Louvre, en París, Francia. Allí restauró obras de los grandes pintores clásicos. También trabajó como restaurador de obras de arte para el Museo del Prado en España.

Don Sixto fue contratado por la Familia Real de Inglaterra para restaurar obras de arte del palacio de Buckingham, pertenecientes a la colección privada de la Familia Real. Allí conoció personalmente y compartió amistad con la reina madre, Majestad Isabel I, y con la reina hija, Majestad Isabel II y su esposo. También conoció y compartió su amistad con los principes Carlos y Eduardo, y las princesas Ana y Margarita. Su trabajo incluyó el realizar las pinturas de la Familia Real..

Don Sixto Febus fue alojado, mientras trabajaba para los Reyes, en una casa-mansión conocida como "Clarence House", ubicada en los jardínez del palacio real. En otra de esas casas-mansiones, como ilustrísimo vecino, vivía el Primer MInistro Británico, Sir Winston Churchil, a quien Don Sixto tuvo la oportunidad de conocer personalmente. Sixto Febus realizó cuatro viajes desde Puerto Rico a Inglaterra, durante su trabajo para restaurar y pintar cuadros en el palacio de la Familia Real. Por su amistad con los reyes, el Dr. Febus fue uno de los invitados especiales, seleccionados para asistir a la boda de la Princesa Margarita, hermana de la Reina Isabel II.

Sixto Febus fue el único puertorriqueño invitado a esta grandiosa actividad, donde los invitados fueron limitados y cuidadosamente escogidos! Los periódicos de Puerto Rico de esa época, además de reseñar el alto honor recibido por el Dr. Febus con dicha invitación, reseñaron que tanto el Hon. Don Luis Muños Marín, Gobernador de Puerto Rico, así como La Alcaldesa de San Juan, la Hon. Doña Feliza Rincón de Gautier, se mostraron algo recelosos por no haber sido invitados.

Entre las obras restauradas por Don Sixto para el Museo del Louvre se encuentran las siguientes:

En 1958 restauró la obra titulada Apolo y Marcyas, pintada en 1490 por Pietro Perugino.

En 1966 restauró la obra titulada La Lección de Música, pintada por Jean-Honoré Fragonard en 1806.

En 1968 restauró la obra conocida como La Enferma, obra pintada por el francés Philippe de Champaigne, en 1647.

Además de visitar países extranjeros para restaurar obras, Don Sixto recibía obras en su casa que les enviaban de los museos para la restauración.

En la foto Don Sixto Febus junto a su Majestad, la Reina Isabel II de Inglaterra. Foto tomada como invitado especial de los Reyes a la boda de la Princesa Margarita, hermana de la Reina.

HOY PUR 🇵🇷 vs CRO 🇭🇷

2:00pm (hora 🇵🇷)

Ver 📺 en StreamVolley en Facebook y Youtube

Great visual of what happens with the nerve roots during a Straight Leg Raise (Lasegue's Test)
Do you always use this test in your exam for radiculopathy?

Should We Abandon the Concept of the Subtalar Joint Neutral Position?

An interesting debate on subtalar joint (STJ) neutral position was posted on the Podiatry Today website a few years ago which I thought might be helpful to revisit.

https://www.hmpgloballearningnetwork.com/site/podiatry/should-we-abandon-concept-subtalar-neutral-joint-position

Involved in the debate were my friends and colleagues, Drs. Eric Fuller and Daryl Phillips. I encourage you all to read their opinions regarding the benefits and problems associated with our continued use of the STJ neutral position. I thought it might be helpful for me to make some comments on some of what was written in the article.

Dr. Fuller's first main point was "This circular definition is the first problem with neutral position. A position somewhere in the middle of the range of motion is picked and all points on one side of that range of motion are considered pronated and all points on the other side of that point are considered supinated. This will be true for any arbitrarily chosen location within the available motion of the subtalar joint."

I agree here. Even though there must be a neutral position of the STJ, if we are to also be able to still use the terms "pronated" or "supinated", we also need to have a better definition for STJ neutral than "neither pronated nor supinated" which Root et al suggested. Root's definition of STJ neutral as "neither pronated nor supinated" is tautologic and non-scientific.

To show you how nebulous the concept of STJ neutral was for me when I was being trained as a podiatrist, I was taught six different ways to find STJ neutral position while I was a podiatry student and Biomechanics Fellow at the California College of Podiatric Medicine from 1979-1985. These included using the "flat spot within the STJ range of motion", using the "1/3rd-2/3rds method, using the relaxed skin lines within the sinus tarsi, using the curves superior and inferior to the lateral malleolus and palpating the margins of the talo-calcaneal joint.

I was also taught to use talo-navicular congruence to find STJ neutral position by a few of my CCPM biomechanics faculty, even though both Drs. Mert Root and John W**d specifically taught that using this method was unreliable. I never saw anyone use the talo-calcaneal joint palpation method that Dr. Root said should be done instead of palpating the talo-navicular joint. I don't think that palpating the talo-calcaneal joint is practical in most patients due to the soft tissue surrounding these joints so I consider this method recommended, but never demonstrated by Dr. Root, to be invalid.

With that said, I never felt any of these methods were reproducible, even in the best hands, to be within 1-2 degree of accuracy. With the definition of STJ neutral being "neither pronated or supinated", and five different methods being taught as being perfectly acceptable to find STJ neutral, then no wonder I have observed so much variability from one examiner to another in finding a consistent and accurate STJ neutral position in all feet. In other words, due to its variability and number of ways to locate STJ neutral, the STJ neutral position should be considered as a non-scientific clinical approximation of a mid-range position of the STJ, since it is not reproducible and is ill-defined. As a result, and this is very important for all of you, any previous scientific research using STJ neutral must be suspect and should not be taken seriously.

Dr. Phillips attempts to discredit those who are advocating "vague concepts" such as Tissue Stress Theory in their search for an improvement on STJ neutral theory as advocated by Root et al. He states "In another classic article, Lovett and Cotton added concepts about symptomatic feet, including that pronation can occur in a normal foot but past a certain point is pathologic and likely painful. They refer several times to a corrected foot position and advocated for measuring the degree of pronation. One must then consider the question: where is the zero point from which they are measuring this pronation? Failure to define such a point means no measurement is possible."

I don't agree the claim from Dr. Phillips that "no measurement is possible". Why do we need to even need to say that the foot is pronated or supinated from neutral in order to treat feet with orthoses? Answer - we don't need to even measure STJ neutral to heal patients with foot orthoses.

In addition, if you are intent on measuring a reference position of the STJ, why not measure the foot in its maximally pronated position and use the much more reproducible maximally pronated STJ position as the reference position for STJ rotational position?

For example, a foot which is "3 degrees pronated from the neutral position" could just as easily be measured to be 4 degrees supinated from the STJ maximally pronated position". At least most examiners could easily agree on the maximally pronated position, the maximally pronated position can be easily defined (i.e. when the lateral process of the talus abuts firmly against the floor of the sinus tarsi of the calcaneus). With STJ neutral position no two examiners can agree with great accuracy on where the STJ neutral position is from one foot to another.

Dr. Phillips continues with his praise for the STJ neutral position, "Elftman first discussed this relationship, noting when the STJ moved from fully supinated to fully pronated that the midtarsal joint became more mobile and the arch can flatten. Most Root critics fail to acknowledge the one truly innovative postulate: that the normal foot should stand with the midtarsal joint pronated to its end range of motion. In his paradigm then, a perfect foot is one in which the person stands with the STJ in neutral position and the midtarsal joint fully pronated."

Again, I disagree with Dr. Phillips that the midtarsal joint (MTJ) can even be "fully pronated". First of all, the MTJ does not have a pronation-supination axis and may allow motion that is not pronation-supination motion. Secondly, the midtarsal joint has a variable, spring-like end range of motion which is dependent on the external loads being placed on the forefoot and rearfoot. In other words, where the MTJ is within its range of motion with only 4 pounds of force from the examiner's hand on the individual's plantar forefoot may be totally different from the position of the MTJ when the individual is running with 400 pounds of ground reaction force on the plantar forefoot. There is no "perfect foot" or "ideal foot", no matter how much Dr. Root, Dr. Phillips or any of his disciples believed, and still believe, this concept.

Finally, Dr. Phillips states "Science without measurement is philosophy. To measure anything, one must have a starting position. Without the STJ neutral position, foot treatment specialists of the world would take a step back from making clinical practice the science that it should be and decrease their ability to quantify normal and abnormal function."

Contrary to the opinion of Dr. Phillips, there are very many measurements that can be made in a foot that don't involve STJ neutral position. One can measure supination resistance and measure the number of degrees from the maximally pronated STJ position. One can measure the STJ axis location and perform the lunge test or non-weightbearing ankle dorsiflexion measurement.

In addition, one can perform the Coleman block test and measure the amount the lateral forefoot can lift from the ground in the weightbearing position. One can do a 2D video or 3D video gait examination of the patient and one can measure either in-shoe pressures or the 3D forces acting on the plantar foot with a force plate. One may also measure navicular drop, navicular drift and measure the force required to dorsiflex the hallux (Hubscher maneuver, Jack's test).

Therefore, as opposed to the contentions of Dr. Phillips, STJ neutral position is not necessary to understand how the foot functions, why pathologies are created and, most importantly, how we can make our patients better with foot orthoses, other conservative therapies or even surgery. Yes, STJ neutral position can be clinically useful if we could only all decide where STJ neutral is in every foot and could come up with a better definition for STJ neutral other than Root's "neither pronated nor supinated" definition which is a classic podiatric tautology. Even as a podiatry student, when I first heard this definition "neither pronated nor supinated" for STJ neutral, it made me cringe.

However, until that time comes when STJ neutral position is more scientifically defined, and is more reproducible from one examiner to another (if that day ever comes in the future), then STJ neutral position is best left as a convenient clinical mid-range-of-STJ-range-of-motion measurement that allows us to be able to use the terms "pronated" or "supinated" when discussing STJ rotational position, and allows us to explain positioning the foot in a midrange STJ position during foot orthosis casting. Otherwise, the STJ neutral position, as it is currently, and has been for the past five decades, is non-scientific, not reproducible, ill-defined and should not be used in any scientific research as a reference position within the range of motion of the STJ.

Science Explains 5 Things That Happen To Your Body When You Try Cupping Cupping has been around since ancient times. When you learn about the 5 ways cupping works to improve your health, you may even want to try it for yourself.

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Conoce todos los beneficios de las hojas de romero para tu salud Las hojas de romero poseen nutrientes como fibra, calcio, hierro magnesio, zinc, potasio, ácido rosmarínico, etc.