Posture

Front 1

Benefits of Ideal Posture

Back 1

1. Minimizes joint stress
2. Requires less muscle activity, thus less energy
3. Prevents tissue creep
4. Optimizes tissue perfusion and fluid exchange
5. Improves Respiratory efficiency

Front 2

Consequences of Faulty Posture

Back 2

With faulty postures creep occurs - overtime this may result in permanent tissue deformation. Traction spurs may result from excessive loading

Front 3

Benefits of Dynamic Postures VS Static Postures

Back 3

1. Static postures may impeded circulation
2. Position should change to allow for periods of high and low stress on a structure
3. Promotes fluid exchange for nutrition for cartilage and discs

Front 4

Factors Affecting Posture

Back 4

1. Bone Structure
2. Awareness
3. Muscle Imbalance
4. Pain
5. Respiratory conditions
6. Psychosocial problems
7. Excess Weight
8. Neurologic impairment
9. Muscle guarding
10. Joint hypomobility
11. Ligamentous laxity
12. Fatigue

Front 5

Postural examination findings help the therapist form hypotheses regarding the condition of the patient:

Back 5

1. Myofascial shortening
2. Capsular and ligamentous shortening
3. Muscular weakness
4. Ligamentous laxity
5. Joint stress
6. Antalgia
7. Body awareness
8. Psychological state

Front 6

Standard Posture: Lateral View

Back 6

1. Slightly anterior to lateral malleolus
2. Slightly anterior to a midline thorough the knee
3. Through greater trochanter of the femur
4. Sacral promontory
5. Pelvic Alignment
6. Approximately midway through the trunk
7. Through the shoulder joint
8. Through the bodes of the cervical vertebrae
9. Through odontoid process of C2
10. Through the lobe of the ear (external auditory meatus)
11. slightly posterior to apex of coronal suture

Front 7

Standard Posture: Posterior View

Back 7

Midline of body
extension of sacral spinous processes should lie between each heel
Iliac crest heights symmetrical
Transverse plane: Each hemipelvis over each ankle

Front 8

Forward Head

Back 8

Poor postural awareness
Bifocals
Fatigue
Mouth breathers from sinus condition

Front 9

Protracted Shoulders/Increased Thoracic Kyphosis/Depressed Rib Cage

Back 9

Poor postural awareness
Fatigue
Large breast development
Habitual occupation or sport
Thoracic wedge fracture

Front 10

Increased Lumbar Lordosis

Back 10

Genetics
Obesity
Tight iliopsoas from prolonged sitting
Spondylolisthesis
Congenital problems, i.e. congenitcal dislocation of hips

Front 11

Decreased Lumbar Lordosis

Back 11

Age
High heels
Acute low back pain
Extreme contracture of hamstrings
Tight hamstring effects more likely in sitting

Front 12

Lateral Curve - Scoliosis

Back 12

1. Short leg (failure of equal growth, old fracture, pronated foot)
2. Hip deformity (faulty angle of neck of femur, slipped femoral epiphysis)
3. Pelvis (asymmetry of growth, SI dysfunction)
4. Lateral pelvic tilt due to imbalance betwee hip abductors and adductors

Front 13

Level Sacral Base

Back 13

1. Bony anomalies or defect
2. Subcranial side bending or ratational fualt
3. Unilateral muscle contracture
4. Pain or inflammation in lumbar spine (radiculopathy)
5. Structural scoliosis

Front 14

Functional Scoliosis

Back 14

A reversible lateral curve of teh spine that tends to be positional or dynamic in nature. Correction of the curve is possible with forward bending or side bending

Front 15

Structural Scoliosis

Back 15

irreversible lateral curvature with fixed rotation of the vertebrae