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…
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.
One precaution is that when we do need to use the thumb or fingers, it is a good guideline to always try to contact the client with the pad of the thumb or fingers, instead of the tips of the fingers. In other words, do not lead with the fingertips.
The spine is an incredible structure, with both great stability but also tremendous mobility in all three cardinal planes.
Structural groups of muscles largely determine functional groups—that is, the structural location of a muscle largely determines its mover function.
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.