Figure 13. The Backward Stretch on the Ladder Barrel Pilates Apparatus Exercise. Permission Simona Cipriani. The Art of Control Pilates Studio, Stamford, CT, USA.

How Pilates Can Treat Thoracic Hyperkyphosis, also known as Rounded Back

When a client presents with thoracic hyperkyphosis (rounded back), there are many approaches for how Pilates can treat thoracic hyperkyphosis. And for each of these approaches, many Pilates exercises can be utilized. Before addressing these approaches, let’s briefly review thoracic hyperkyphosis…

body language and teaching

Body Language – From Commons Signs to Spotting Lies

Here is a fun exercise to help you practice your body language reading skills. Turn on a movie or tv show, but turn the sound off. It is amazing when there are no words to distract us, how much better we can read the body language and understand the feelings and emotions of the communication.

workplace physical activity

Physical Activity Linked to Healthier and Longer Life, but Highly Physically Active Workers Die Early

When working, we place a demand on the body and the body responds by adapting to meet those demands. However, every tissue, has a limit to the mechanical stress that it can accept during physical activity without injury. It would seem likely that the demands of some professions are too great for the human body.

Iliotibial Band. Permission Joseph E. Muscolino. The Muscular System Manual - The Skeletal Muscles of the Human Body, 4th ed. (Elsevier 2017).

Differences in Knee and Hip Adduction in Runners with Iliotibial Band Syndrome

This study seems to show a relationship between iliotibial band (ITB) syndrome and knee adduction (genu varum) and the activation of the TFL. A relationship can be two incidents that occur together, termed a “coincidence.” Or there can be a causal relationship between them; i.e., one causes the other to occur.

Genu Knee Valgus

Decreased Ankle Dorsiflexion is Associated with Dynamic Knee Valgus

A proposed biomechanical explanation is that restricted ankle joint dorsiflexion directly results in overpronation of the foot, which causes internal rotation of the lower extremity, which strains the external/abductor musculature, which can then no longer prevent femoral adduction; hence genu valgus.

Tight hip abductor and/or adductor musculature can change the frontal plane posture of the pelvis, resulting in a scoliosis. Permission Joseph E. Muscolino. Kinesiology - The Skeletal System and Muscle Function, 3ed (Elsevier, 2017)

How Can Tight Muscles of the Hip Joint Cause a Scoliosis?

So, if hip abductor group on one side is tighter at baseline tone than the hip adductor group on that side, the pelvis will be pulled into depression on that side, resulting in a lumbar scoliosis that is convex on that side. Similarly, tight opposite-side hip adductor musculature can cause the same scoliotic curve.

backpack and adolescent back pain article by Joseph Muscolino.

Does Carrying a Backpack Cause Back Pain in Adolescents?

And perhaps the biggest problem I have with this study about backpacks and adolescent back pain is that an overuse syndrome usually does NOT cause pain in the early stages. When the body is physically stressed by something like carrying a backpack, it often requires many years before the overuse results in pain.

Upper and Lower Crossed Syndromes. Permission Joseph E. Muscolino. Artwork: Giovanni Rimasti.

Thoracic Hyperkyphosis – The Critical Component of Upper Crossed Syndrome

For most of our clients who present with the postural distortion pattern known as upper crossed syndrome, it is important, perhaps absolutely necessary, to include thoracic spinal joint mobilization technique into extension as part of the treatment plan to address the thoracic hyperkyphosis.

FREE DCOMT video – One Handed Towel Traction for the Neck with Shoulder Girdle Stabilization

Traction for the cervical spine is indicated for the client with a pinched nerve in the neck because it opens up the intervertebral foramina to decompress the spinal nerves. Dr. Joe Muscolino demonstrates how to easily perform neck traction using a towel.

Back Postures. Permission Joseph E. Muscolino. Manual Therapy for the Low Back and Pelvis - A Clinical Orthopedic Approach (2013).

Deep Pressure Massage to the Low Back – Use Body Weight

An excellent demonstration of the force that can be generated by using body weight is to lean down onto a bathroom weight scale that is placed on a table that is positioned as various heights. Simply relax and lean into the scale with your body weight and notice the force that you generate.

Permission Joseph E. Muscolino. Manual Therapy for the Low Back and Pelvis - A Clinical Orthopedic Approach (2013).

Deep Pressure Massage to the Low Back – Support Your Treatment Contact

Bracing the contact means that the two hands must work together instead of each contacting the client separately. Less area of the client’s body will be covered this way, but stronger and more efficient pressure will be created at the area that is being worked, which is more important when deep pressure is needed.

Permission Joseph E. Muscolino. Manual Therapy for the Low Back and Pelvis - A Clinical Orthopedic Approach (2013).

Deep Pressure Massage to the Low Back – Apply Pressure Perpendicularly

Maximal pressure for the effort used is achieved if the angle of your force into the client is perpendicular to the contour of the region being worked. To apply this concept of working perpendicularly, the client’s back and pelvis can be divided into separate regions based on the curve of each region.

Permission Joseph E. Muscolino. Advanced Treatment Techniques for the Manual Therapist: Neck (2013).

Neck Deep Pressure Massage: Step by Step – Engage the Tissues

Being able to feel tissue tension barrier is the one most crucial aspect for a clinical orthopedic manual therapist performing deep pressure massage. From a mechanical standpoint, it is only pressure beyond the tissue tension barrier that effects therapeutic change (this is not necessarily true neurally).

Permission Joseph E. Muscolino. Advanced Treatment Techniques for the Manual Therapist: Neck (2013).

Neck Deep Pressure Massage: Step by Step – Deep Stroking Massage

When performing deep pressure massage, deep stroking massage must originate from your core by further rocking your pelvis and extending your spine forward. Short deep strokes to the neck between 1 and 2 inches (2-5 centimeters) in length allow you to preserve optimal body mechanics.