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PostureMentoring Conference Call
DPTI 2014
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Why?
• Structure governs function
• Most often the things that we do on a daily basis are what ends of being the cause of pain.
• Structural changes occur
• Postural Adaptation exist with length and strength
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Examples: Upper and Lower Crossed Syndromes
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Treat Cause Not just the Source of the Symptoms
• Source: Anatomical Structure
• Cause: contributing factors
Examples:
Rotator Cuff Tendonitis
Source: Impingement RTC Tendon
Cause: Tight Pectoralis, deceased scapular stability, flat t/s
Patellafemoral Pain
Source: Fat Pad Irritation
Cause: Hyperextension, inhibited quads, decreased gluteal strength
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Posture tells you a story…
• The big picture…
• Helps guide your objective testing.
• Usually what sticks out the most is your biggest contributing factor.
• Example: HUGE paraspinals: compression on the spine
• Paraspinal tone needs to be addressed
• Step two: why are they so tonic? Abs weak? Hip flexors tight?
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Static Posture Assessment
• Guide Your Objective Testing
• Objective Testing will Confirm Observations made in standing (or sitting)
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Getting Started
• Use dominate eye in midline
• Compare symmetry and shadows
• Hypertrophy= rounded and convex
• Hypotrophy= flat, hollow and concave
• Standing vs. sitting
• Primary complaints
• Body region
• Occupation
• Shoes off
• Body region exposed
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Dynamic Postural Assessment
• Subcortical function CNS
• Reactive muscle firing
• SLB
• Squat SL Squat
• OH Reach
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Pelvic Position
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Buttocks
Gluteal toneAtrophyGluteal Fold
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Hamstring tone/ Adductor Buldge
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Single Leg Balance
• Dynamic Assessment
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Knee Position
• Hyperextension
• Femoral Rotation
• Popliteal Crease
• Medial Hamstring
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Soleus Muscle Belly/ Foot Position
• Heel Shape
• Quadratic
• Pointed
• Foot
• Pronated
• Cavus Toes
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Re-supination test
• Dynamic Assessment
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ThoracoLumbar Paraspinals
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Scapular Position/ Thoracic Spine
Scapula
• Protracted/ Retract
• Elevated/ Depressed
• Upward/ Downward
Rotated
• Winging
• Tilted
Thoracic Spine
• Kyphosis/ Flattened
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Scapular Position/ Thoracic Spine
Scapula
• Protracted/ Retract
• Elevated/ Depressed
• Upward/ Downward
Rotated
• Winging
• Tilted
Thoracic Spine
• Kyphosis/ Flattened
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Upper Trap/ Levator Notch
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Deltoid/ Supraspinatus Atrophy
• Shadows
• Asymmetry
• Concave/ flat
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Glenohumeral hypermobility
• Dynamic Assessment
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Abdominals
• Lateral Line
• Pseudohernia
• Hollowing
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Quad Dominance
• Dynamic assessment
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Tibialis Anterior Symmetry
• ??Early L5 NR Lesion
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Pectoralis
• Muscle Bulk
• Anterior Humerus
• IR of Humerus
• sideview
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Rib Cage Position
• Rib Angle
• Rib Flare
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Head/ Neck Position
• SCM
• Chin- Neck Angle
• Forward Head