Elongation of the spine is often spoken of by Pilates instructors. But what exactly is elongation of the spine and how is it achieved biomechanically?
Tight hip flexor musculature causes excessive anterior tilt of the pelvis… hyperlordosis of the lumbar spine… hyperkyphosis of the thoracic spine… hypolordosis of the lower neck with hyperextension of the head at the atlanto-occipital joint… forward head carriage… tight posterior neck muscles… headache.
The following is a brief overview that links the low back condition with its corresponding assessment procedure and its corresponding treatment.
Good posture is defined as a balanced posture that is symmetrical and does not place excessive stress on the tissues of the body.
The lumbosacral spine should have a healthy anterior pelvic tilt and lumbar lordosis. If they are excessive, the client has lower crossed syndrome.
The psoas major’s sagittal plane lumbar spine joint action is by far its most controversial function. The term “psoas paradox” describes this controversy.
Two opposing muscle groups, the “facilitated” muscles that are locked short and the “inhibited” muscles that are locked long.
Case Study: Kori is a 30-year-old store clerk. Her low back has been tight for as long as she can remember, but she never had any pain until recently.
For the client with lower crossed syndrome, it is also important to recommend moist heat followed by stretching of the low back and hip flexor musculature.
If consistent manual therapy care is given, including heat, massage, and stretching, lower crossed syndrome responds very well to treatment.
Assessment of lower crossed syndrome is made by the characteristic postural dysfunction of increased anterior pelvic tilt with hyperlordotic lumbar spine.
Vladimir Janda’s lower crossed syndrome is characterized by increased anterior tilt of the pelvis and a hyperlordotic lumbar spine.