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.
What is Upper Crossed Syndrome and what are its causes?
Upper crossed syndrome describes the characteristic pattern of dysfunctional tone of the musculature of the shoulder girdle/cervicothoracic region of the body.
Michael Phelps’ Forward Head Posture and Swimmer’s Shoulder
Swimmer’s shoulder can include several different pathologies, including rotator cuff tendinitis, shoulder instability, and shoulder impingement.
How Pilates Can Treat Thoracic Hyperkyphosis, also known as Rounded Back
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…
Thoracic Hyperkyphosis – The Critical Component of Upper Crossed Syndrome
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.
How Can Tight Hip Flexors Give You a Headache?
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.
Six Causes of Shoulder Impingement Syndrome – Part 1
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.
Deep Pressure Massage to the Low Back – Forward Head Posture
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.
Manual Therapy Case Study for Upper Crossed Syndrome
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.
Self-Care and Medical Approaches to Upper Crossed Syndrome
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.
How do we Treat Upper Crossed Syndrome with Manual Therapy?
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.
Signs, Symptoms, and Assessment of Upper Crossed Syndrome
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.
Self-Care and Medical Approaches to Slumped Spinal Posture
An excellent self-care exercise is to recommend that the client/patient lie supine on an exercise ball to help move the thoracolumbar spine into extension.
The Price of Smart Phones – Ten Conditions Caused by Smart Phone Use
Following are ten of the most common dysfunctional postural patterns and injuries that may occur with smart phone (cell/mobile phone) use.
Lower Crossed Syndrome
The lumbosacral spine should have a healthy anterior pelvic tilt and lumbar lordosis. If they are excessive, the client has lower crossed syndrome.
Assessment and Treatment of Specific Musculoskeletal Conditions of the Neck
This blog post introduces and explains how the manual therapist can perform assessment and treatment for specific musculoskeletal conditions of the neck.
Tension Headaches
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
Forward head posture is extremely common, especially as we age. It is part of a larger posture dysfunctional pattern known as upper crossed syndrome.
Locked Short Muscles – Locked Long Muscles
Two opposing muscle groups, the “facilitated” muscles that are locked short and the “inhibited” muscles that are locked long.
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.
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.
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.
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.
What is lower crossed syndrome and what are its causes?
Vladimir Janda’s lower crossed syndrome is characterized by increased anterior tilt of the pelvis and a hyperlordotic lumbar spine.