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.
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.
Slumped spinal posture is characterized by slumped postural dysfunction from the pelvis to the head. Assessment is made upon static postural examination.
The longer we allow ourselves to sit in a slumped posture, the more imbalanced is our spine and the more gravity pulls our trunk toward flexion.
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.
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.