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Tag Archive

Below you'll find a list of all posts that have been tagged as “postural assessment”

Postural assessment of the low back and pelvis

Postural Assessment of the Low Back and Pelvis

Good posture is defined as a balanced posture that is symmetrical and does not place excessive stress on the tissues of the body.

anterior tiltbad posturegood posturehyperlordosishyperlordoticIliac crestJandalow backlower crossed syndromelumbarpelvisPosturalpostural assessmentPostural Distortionpostural dysfunctionposture
A dropped arch drops the iliac crest height on that side, resulting in a compensatory scoliosis.

Scoliosis

Scoliosis is a lateral flexion deformity of the spine. The spine should have curves in the sagittal plane, but a frontal plane curve is a scoliosis.

C curvedeformityDouble S curveidiopathicIliac crest heightpostural assessmentPostural Distortionpostural distortion patternpostural dysfunctionS curvescoliosisscolioticSpine
frontal plane postural assessment showing a high right shoulder girdle caused by carrying a bag on that side causing tight musculature

Postural Assessment of the Neck

Postural assessment: Good posture is balanced and symmetrical & does not place excessive stress on the body. Bad posture is asymmetrical and/or imbalanced.

Cervical spineergonomicsneckplumb linepostural assessmentposturesitting posturesleeping posturestanding posture
physical examination motion palpation (joint play) assessment of the cervical spine

Overview of Physical Examination Assessment of the Neck

If a physical examination assessment test creates signs/symptoms of the condition, it is positive and the therapist knows that tissue is unhealthy.

active range of motionjoint playmanual resistancemotion palpationneck cervical spineorthopedic assessmentpalpationpassive range of motionphysical examphysical examinationpostural assessmentrange of motionROMspecial orthopedic assessment tests
manual therapy treatment of lower crossed syndrome includes massage to the muscles of the low back

A manual therapy case study on lower crossed syndrome.

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.

anterior tilt of the pelviscase-study high-heeled shoesExercisefacet syndromeFascial adhesionshyperlordosisJandaLordosislower crossed syndromelumbar spinePelvic tiltpilatespostural assessmentpostural distortion patternposturestretchingUpper crossed syndrome
A seated stretch for the low back extensor musculature is beneficial for lower crossed syndrome

What are the self-care and medical approaches to lower crossed syndrome?

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.

anterior tilt of the pelvisExercisefacet syndromeFascial adhesionshigh-heeled shoeshyperlordosisJandaLordosislower crossed syndromelumbar spinePelvic tiltpilatespostural assessmentpostural distortion patternpostureself-carestretchingUpper crossed syndrome
manual therapy double knee to chest stretch for lower crossed syndrome is beneficial

How do we treat lower crossed syndrome with manual therapy?

If consistent manual therapy care is given, including heat, massage, and stretching, lower crossed syndrome responds very well to treatment.

anterior tilt of the pelvisfacet syndromeFascial adhesionshyperlordosisJandaLordosislower crossed syndromelumbar spinemanual therapymassagemoist heatPelvic tiltpin and stretchpostural assessmentpostural distortion patternposturestrengtheningstretchingUpper crossed syndrome
lower crossed syndrome is seen in Figure A

Signs, symptoms, and assessment (diagnosis) of Lower Crossed Syndrome

Assessment of lower crossed syndrome is made by the characteristic postural dysfunction of increased anterior pelvic tilt with hyperlordotic lumbar spine.

anterior tilt of the pelvis. pelvic tiltfacet syndromehyperlordosisJandaLordosislower crossed syndromelumbar spinepostural assessmentpostural distortion patternpostureUpper crossed syndrome
overpronation involves excessive eversion of the foot, in other words a dropped arch

Signs, symptoms, and assessment (diagnosis) of overpronation

The first and most obvious sign of overpronation is a flat foot / dropped arch. A supple flat foot loses the arch only when weight bearing.

Collapsed archflat footOverpronationpalpationpostural assessmentpronationrigid flat footsubtalar jointsupple flat foot
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