Term
Four types of postural alignment |
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Definition
1) Ideal alignment
2) Kyphotic-lordotic posture
3) Flat-back posture
4) Sway-back posture |
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Term
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Definition
Head: Neutral position, not tilted forward or back
Cervical Spine: Normal curve, slightly convex anteriorly
Scapulae: In good alignment, flast against upper back
Thoracic Spine: Normal curve, slightly convex posteriorly
Lumbar Spine: Normal curve, slightly convex anteriorly.
Pelvis: Neutral position, anterior-superior spines in the same vertical plane as the symphysis pubis
Hip Joints: Neutral position neither flexed nor extended.
Knee Joints: Neutral position, neither flexed nor hyperextended
Ankle Joints: Neutral position, leg vertical and at a right angle to the sole of the foot |
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Term
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Definition
-Anterior and posterior muscles attached to the pelvis maintain it in ideal alignment.
-Anteriorly, the abdominal muscles pull upward, and the hip flexors pull downward
-Posteriorly the back muscles pull upward, and the hip extensors pull downward
-The anterior abdominal and hip extensor muscles work together to tilt the pelvis posteriorly: the low back and hip flexor muscles work together to tilt the pelvis anteriorly |
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Term
Kyphotic-Lordotic Posture |
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Definition
Head: Forward
Cervical Spine: Hyperextended
Scapulae: Abducted
Thoracic Spine: Increased flexion (kyphosis)
Lumbar Spine: Hyperextended (lordosis)
Pelvis: Anterior tilt
Hip Joints: Flexed
Knee Joints: Slightly hyperextended
Ankle Joints: Slight plantar flexion because of backward inclination of the leg |
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Term
Kyphotic - lordosis posture muscles
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Definition
Elongated and weak:
Neck flexors, upper back erector spinae, external oblique. Hamstrings are slightly elongated but may or may not be weak
Hip flexors are in a shortened position in both the sitting posture and the lordotic posture in standing
Low back muscles may or may not be tight
Back will flatten while sitting
Low back muscle shortness is less prevalent than hip flexor shortness
Short and strong:
Neck extensors and hip flexors
The low back is strong and may or may not develop shortness |
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Term
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Definition
Head: Neutral Position
Cervical Spine: Normal Curve (slightly anterior)
Thoracic Spine: Normal Curve (slightly posterior)
Lumbar Spine: Hyperextended (lordosis)
Pelvis: Anterior tilt
Knee Joints: Slightly hyperextended
Ankle Joints: Slight plantar flexed |
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Term
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Definition
Elongated and weak:
Anterior abdominals
Hamstring muscles are somewhat elongated but may or may not be weak
Short and strong:
Low back and hip flexor muscles |
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Term
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Definition
Head: Forward
Cervical Spine: Slightly extended
Thoracic Spine: Upper part, increased flexion: lower part straight
Lumbar Spine: Flexed (straight)
Pelvis: Posterior tilt
Hip Joints: Extended
Knee Joints: Extended
Ankle Joints: Slight plantar flexion |
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Term
Flat Back Posture Muscles |
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Definition
Elongated and weak:
One-joint hip flexors
Short and strong:
Hamstrings
Frequently, abdominal muscles are strong
Although back muscles are slightly elongated when the normal anterior curve is eliminated, they are not weak
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Term
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Definition
Head: Forward
Cervical Spine: Slightly extended
Thoracic Spine: Increased flexion (long kyphosis) with posterior displacement of the upper trunk
Lumbar Spine: Flexion (flattening) of the lower lumbar area
Pelvis: Posterior tilt
Hip Joints: Hyperextended with anterior displacement of the pelvis
Knee Joints: hyperextended
Ankle Joints: Neutral. Knee joint hyperextension usually results in plantar flexion of the ankle joint, but that does not occur here becasue of anterior deviation of the pelvis and thighs |
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Term
Sway Back Posture Muscles |
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Definition
Elongated and Weak:
One-hip joint flexors
External oblique
Upper back extensors
Neck flexors
Short and Strong:
Hamstrings
upper fibers of the internal oblique
Strong but not Short:
Low back muscles
The pelvis is in posterior tilt and sways forward in relation to the stationary feet, causing the hip joint to extend. The effect is equivalent to extending the leg backward with the pelvis stationary. With posterior pelvic tilt, the lumbar spine flattens. Hence, there is no lordosis, although the long curve in the thoracolumbar region (caused by the backward deviation of the upper trunk) is sometimes mistakenly referred to as lordosis. |
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