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.