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What does the analysis of standing posture help determine?
- guide for developing therapeutic exers that will correct any deviations from the norm
- provide record to which to evaluate
- make person aware of alignment
What are the 3 major factors that influence adult posture?
- inheritance-congential deformities
- disease or trauma
- habit or occupational requirements
What is a large-boned, stout body type?
What is a medium body build, muscular or athletic body type?
What is a small-boned, thin fragile body type?
What can poor/faulty posture cause?
- compromised joint integrity
- increased energy costs
- decreased internal organ function/respiratory capacity
What are some benefits to good posture?
- promote efficient mvmts with min. energy
- make vital functions more efficient
- prevent fatigure in weight bearing
- create better balance by taking stress off mm. and ligs. and placing on bones and jts
- improve appearance
- establish foundation in which complex skills and mvmts are performed
When the anteroposterior gravity line is viewed laterally, how should it look?
- middle of earlobe
- front of alanto-occipital jt
- bisecting the acromion process
- bisecting the greater trochanter
- post. to patella, ant. to jt
- slightly ant. to lateral malleolus
What are the head/neck deviations seen in the anteroposterior gravity line viewed laterally?
- forward head
- flattened lordotic curve
What are the shoulder region deviations seen in the anteroposterior gravity line viewed laterally?
What are the thoracic region deviations seen in the anteroposterior gravity line viewed laterally?
- pectus excavatum or funnel chest(sternum in)
- barrel chest (sternum rounded)
- petcus cavinatum or pigeon chest (sternum ant.)
What are the lumbar region deviations seen in the anteroposterior gravity line viewed laterally?
- ptosis of abdomen (saggy belly)
- flat back-post.
What are the lower extremity deviations seen in the anteroposterior gravity line viewed laterally?
- genu recurvatum
- knee flexed
- flattening of longitudinal arch (flat feet)
When viewing the lateral gravity line posteriorly, what should it look like?
- bisects occipital protuberances
- bisects spinous process of C7
- bisects gluteal cleft (butt crack)
- lies equidistant between the knees
- midway between the medial malleoli
What are the head/neck deviations seen in the lateral gravity line viewed posterior?
- head tilt
- head rotated from midline
- mandibular asymmetry
What are the shoulder region deviations seen in the lateral gravity line viewed posterior?
- unequal height of shoulders
- scapulae adducted/abducted
- winging of scapulae
What are the trunk region deviations seen in the lateral gravity line viewed posterior?
- lateral pelvic tilt
- pelvic rotation
What are the lower extremity deviations seen in the lateral gravity line viewed posterior?
- hips abd/add/rotated
- genu varum - bow legged
- genu valgum - knock kneed
- ext/int tibial torsion
- hallux valgus (bunion)
- claw toes (all phalanx flexed)
- hammer toes (dital phalanx flexed)
- pes cavus (high arch)
- pes planus (flat feet)
Who is known for extension exers to increase lordosis?
does flex and ext now
Who is known for flexion exers to decrease lordosis?
What are some dx you would use extension therapy for?
- HNP (herniated nucleous pulposis)-bulgin disc
What are some dx you would use flexion exers for?
- facet jt impingment
- subacute mm. strain
If a pt has more pain with increased trunk flexion, what position do you use to treat them?
If a pt has a laterally bulging disc, what way should you treat them?
laterally SB into a wall
What are the most common causes of LBP?
- disc (mckenzie)
- asymmetry -pelvic/lumbar (MET)
What is centralizing?
bring pt pain to one central area, such as the low back
What is another name for chin tucking?
Mid-range position of the spine can also be called what?
- resting position
- neutral spine
What are Houghston's exers?
- pt lays prone and uses a weight to work different angles
- good for posture