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…
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.
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.
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.
Vladimir Janda’s lower crossed syndrome is characterized by increased anterior tilt of the pelvis and a hyperlordotic lumbar spine.