Thoracic dishing is a postural distortion pattern in which a part of the thoracic spine has a reverse curve of lordosis (extension) instead of the usual kyphosis (flexion). In this free Digital COMT video, Dr. Joe Muscolino explains this condition and how to treat it with manual therapy. Enjoy!
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?
Proper posture isn’t just about standing up straight. You also need to monitor your posture while sitting and lying down.
A proposed biomechanical explanation is that restricted ankle joint dorsiflexion directly results in overpronation of the foot, which causes internal rotation of the lower extremity, which strains the external/abductor musculature, which can then no longer prevent femoral adduction; hence genu valgus.
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.
Shoulder impingement syndrome is a condition in which the distal tendon of the supraspinatus and the subacromial bursa become impinged between the head of the humerus and the acromion process of the scapula. Following are the six major causes of shoulder impingement syndrome.
With any imbalanced posture (postural distortion pattern), including text neck posture, asymmetrical pathomechanical forces are placed into the tissues of the body. These forces have to have an effect. I believe it is impossible to argue that pathomechanics do not lead to dysfunction.
The neck and head do not contribute to the generation of pressure, so head and neck posture should be whatever is most comfortable and least stressful. Forward head posture, a common postural distortion imbalance pattern that occurs is caused by a flexion of the head and neck.
An excellent demonstration of the force that can be generated by using body weight is to lean down onto a bathroom weight scale that is placed on a table that is positioned as various heights. Simply relax and lean into the scale with your body weight and notice the force that you generate.
That people aged 18-21 in this study have not yet begun to experience pain as a result of text neck posture does not surprise me at all. They are simply still too young to experience what the physical stress of the overuse of text neck posture will eventually do to them.
Upper crossed syndrome describes the characteristic pattern of dysfunctional tone of the musculature of the shoulder girdle/cervicothoracic region of the body.
The therapist performed a static assessment of the client’s posture and noted the typical upper crossed syndrome with a hyperkyphotic thoracic spine, a hypolordotic lower cervical spine, a hyperlordotic upper cervical spine, protracted head, protracted scapulae, and medially (internally) rotated arms.
When stretching the pectoralis musculature in a doorway, it is helpful to place the hand/forearm against the doorframe at various heights so that different aspects of the pectoralis musculature are preferentially stretched.
Especially effective for the pectoralis musculature is to use pin and stretch technique. With the client/patient supine and positioned toward the side of the table, pin the musculature with your finger pads as you bring the client/patient’s abducted arm off the side of the table and down into horizontal extension.
The first and most obvious sign of upper crossed syndrome (named by Vladimir Janda) is the characteristic postural dysfunction of protracted scapulae, medially (internally) rotated humeri, hyperkyphotic (overly flexed) upper thoracic spine, and a protracted (anteriorly held) head.
Where does muscle memory for baseline resting tone reside? It resides in the nervous system, the grand master controller of muscular function.
We often blame digital devices for bad posture, but before the advent of computers, typical postures for reading and writing were often far from ideal.
Following are ten of the most common dysfunctional postural patterns and injuries that may occur with smart phone (cell/mobile phone) use.
Following are the seven most common postural self-care advice tips for the neck that we should give our clients/patients.
Good posture is defined as a balanced posture that is symmetrical and does not place excessive stress on the tissues of the body.
Facet syndrome is a condition in which the facet joints of the spine (usually lumbar spine) are overloaded and become irritated, inflamed, and painful.
Neural Plasticity explains how the nervous system learns and patterns our postures and movement patterns, as well as our memories and sensitivity to pain.
Muscle memory describes the concept that musculature contracts in patterns for both posture and motion, and these patterns reside in the nervous system.
Postural assessment: Good posture is balanced and symmetrical & does not place excessive stress on the body. Bad posture is asymmetrical and/or imbalanced.
A tension headache is caused by excessive pulling force of tight muscles in the back of the neck that exert tension on their attachments on the head.
Forward head posture is extremely common, especially as we age. It is part of a larger posture dysfunctional pattern known as upper crossed syndrome.
Self care for a herniated disc: avoid postures/activities that increase stress upon the disc and stretching/strengthening the musculature around the disc.
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.
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.
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