Posture: Assessment And Reeducation

Front 1

Passive control of posture

Back 1

-ligaments, bones, capsules
-provide low-load passive tension
-provide input to CNS through receptors
-assist maintaining stability with good posture
-will creep if excessively loaded(one leg longer than the other)

**always providing feedback to CNS-when you assume a posture a lot this becomes your normal posture
-intervention-reset neural impulses to bring back to neutral

Front 2

active control of posture-multisegmental muscles

Back 2

muscles: multisegmental

-longer moment arms
-responds to movement
-little segmental stability
-abdominals, quadratus lumborum, Erector spinae, illiopsoas, SCM, Levator Scap, Upper trap

**superficial further away from joints of spine-help maintain posture and help with movement in and out of posture

Front 3

neural control of posture

Back 3

feedforward control-
muscle response/activation in anticipation of an imposed load, e.g.. extremity movement.
-transversus abdominus
-multifidus-anticipate this and contract before action

Front 4

Control of posture-Elements

Back 4

1passive control-ligaments, bones, capsules
2active control-muscles, multi segmental and intersegmental
3neural control

Front 5

active control of posture-intersegmental muscles

Back 5

shorter moment arms
-provide segmental stability
-transversus ab, multifidus, deep quad lumb, deep rotators, rectus captious anterior and laterals, longs collie

deep active control
segment to segment

Front 6

Breathing affect on posture and posture control

Back 6

transversus, intercostals, and diaphram,
-creating intraabdominal pressure
-valsalva

Front 7

poor posture
hyperlordotic posture

Back 7

anterior pelvic tilt and lumbar extension
-increased L-5 Angle
-Increased anterior shear lower lumbar spine
-->spondylolisis and spondylolisthesis

Front 8

poor posture:
slouched posture (swayback)

Back 8

variable pelvic tilt
-hip extension
--hanging on hip ligaments
Upper thoracic flexion
forward head

Front 9

Poor posture:
Rounded back and forward head

Back 9

increased thoracic kyphosis
-scapular protection
-lower cervical flexion
-subcranial extension--?region becomes tight
**swimmers and weightlifters
-headaches come up over top of head
interactions-nodding exercises traction of occiput on C-1
--soft tissue

Front 10

Postural re-education:
Multi-faceted
-no single solution
--requires

Back 10

no single solution
--requires constant reminding
-replaceing old habits with new habits
---Will take time
---That was NOT easy
_treat the 3 legged stool(strength, stretch, cardio)

--***reminders-little red sticky dots
-every time see one they sit up straight

--driving -get seat back where it belongs and adjust the rearview mirror for that position

Front 11

Elements of Postural re-education
-

Back 11

Postural awareness and spinal control
-relationship between posture, movement, and function
-tissue impairments
-muscle performance
-body mechanics and ergonomics
-stress and relaxation

Front 12

Postural awareness and spinal control

Back 12

whole-part-whole
--lean individuals postural movements
--axial extension
---scapular retraction
---pelvic tilt
*exaggerate normal posture, and then settle into new posture

Front 13

Relationship between posture, movement, and function

Back 13

recognize pain changes with posture changes
-demonstrate extremity function with posture changes

**good posture then exercise feeds neural feedback loop