Rectus Femoris: Get it Straight!

As a hip flexor, it is an extremely important muscle, both functionally and dysfunctionally. When tight, its pull is exerted in closed-chain function with anterior tilt of the pelvis; excessive anterior tilt can then create excessive lumbar lordosis (a postural distortion pattern known as lower crossed syndrome), which often predisposes toward low back pain.

Transversospinalis in the Laminar Groove

The transversospinalis musculature is extremely important functionally, and important with pain and dysfunction. It includes the multifidus, the thickest muscle of the low back; and the semispinalis capitis, the thickest muscle in the back of the neck. When working this musculature, it is extremely important to work very far medially, over the laminar groove of the spine.

Pectineus – Hip Flexor/Adductor Transitional Muscle

As a hip flexor, the pectineus is an extremely important muscle because of its involvement in the postural distortion pattern known as lower crossed syndrome. Because of the location of the pectineus medially, it is also considered to be part of the adductor group. As such, the pectineus is an excellent example of a transition muscle, being located within two functional groups.

brain-3168269_1280 - pain neuroscience

How Can Tight Hip Flexors Give You a Headache?

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.

Locked short muscles / locked long muscles in upper crossed syndrome and lower crossed syndrome

Locked Short Muscles – Locked Long Muscles

Two opposing muscle groups, the “facilitated” muscles that are locked short and the “inhibited” muscles that are locked long.

extension mobilization stretch for the thoracic spine on an exercise ball

The Thoracic Spine… The Silent Saboteur

There is an old saying that no posture is bad unless you get stuck in it. The problem is that the thoracic spine often does get stuck in bad posture.

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…