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Correct*Spinal*Posture/Position*

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Correct*Posture*
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Common%Conditions%

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Common%postural%conditions%and%dysfunction%(continued)!
Cervical!spine!

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Red$Flags$–$When$to$refer$to$Osteopath$or$GP$
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Acute!pain!during!movement!–!high!level!of!int...
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Postural Assessment and Correction Workshop

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Presentation for Active Lifestyle / News Victoria Trainers.
Postural Assessment and Correction Workshop.
Presenters from Melbourne Osteopathy Sports Injury Centre

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Transcript of "Postural Assessment and Correction Workshop"

  1. 1. ! ! ! ! ! ! ! ! ! ! ! ! ! M cPhe rson ’s Buildin g Suite 308, 546-566 Collins Stree t `! ! ! ! ! ! ! M elbourne VIC 3000 ! (03) 9939 1289 w ww .m elb ourneosteop athy cent re .c om .a u in fo@m elb ourneosteop athy cent re .c om .au ! ! ! Presentation*for*Active*Lifestyle*/News*Victoria*Trainers* * Postural*Assessment*and*Correction*Workshop* ! ! Presenters!from!Melbourne!Osteopathy!Sports!Injury!Centre:!! • Dr!Jessica!Fetterplace!–!Senior!Osteopath/Exercise!Rehabilitation!Consultant! • Dr!Shane!Buntman!–!Director/Senior!Osteopath! ! ! ! !
  2. 2. ! Correct*Spinal*Posture/Position* * Correct*Posture* Anatomical*Body*Part* Correct*Position* Number*of*Parts* Movement*Patterns* Cervical!Spine!! Lordosis! 7!Vertebrae! Flexion/Extension/Sidebending/Rota tion! Thoracic!Spine! Kyphosis! 12!Vertebrae! Flexion/Extension/Sidebending/Rota tion! Lumbar!Spine! Lordosis! 5!Vertebrae! Flexion/Extension/Sidebending/Rota tion! Sacrum/Pelvis! Nutation! 1! Nutation!(flex),!Counternutation!(ext)! Upward/Downward!Rot,! Elevation/Depression,! Adducted/Abducted,!Anterior!Tilt,! Winging! Scapula! Neutral! 2! Shoulder!Girdle!(SC!jt,! AC!jt,!clavicle,!scapula)! Neutral! 2! Humerus! Neutral! 2! Internal/External!Rot! Forearm!(ulnar/radius)! Neutral! 2! Supination/Pronation! Hand/Wrist! Neutral! 2! Flex/Ext,!Ulnar/Radial!Deviation,! Supination/Pronation! Fingers! Neutral! 10! Flexed,!Adducted/Abducted! Femur! Slight!external! rotation! 2! External/Internal!Rot,!Flex/Ext,! Adducted/Abducted! Lower!leg! (tibia/Fibula)! Neutral! 2! Ankle/Foot! Neutral! 2! * Protracted/Retracted! !External/Internal!Rot! Pronation,!Supination!
  3. 3. ! Common%postural%conditions%and%dysfunction% ! ! Anatomical% Body%Part% Movement% Dysfunction% Common%Conditions% Lumbar!(lx)!spine! Flat!–!Flexed! Ligament!sprain,!Disc! bulge,!Lx!erector!spinae! strain! Hypertonic%muscles% (need%to%stretch)% Hamstrings,!Rectus! Abdominus,!Diaphragm,! QL! Lumbar!spine! Extension!C! hyperlordotic! Facet!joint!sprain,!SIJ! sprain! Quads,!hip!flexors,!Lx!ES,! latissum!dorsi!(lats),!gluts! Thoracic!spine! Flat!C!Extended! Facet!joint!sprain! Thoracic!spine! Flexed!C Hyperkyphotic! Ligament!sprain,!!Rib! sprain,!Disc!bulge,!Tx! erector!spinae!strain! Tx!erector!spinae,! rhomboids,!middle/lower! traps,!Lats! Rectus!Abdominus,! Diaphragm,!QL,!pecs,!sub! scapularis,!obliques! Weak%Muscles% (need%to%strengthen)% Gluts,!multifidus,!Lumbar! extenors!Lx!ES),!latissum! dorsi! Transverse!Abdominus! (TA),!!posterior!obliques,! hamstring! Mobilisation% Position% Serratus!Anterior! flexion! multifidus,!Tx!extenors,! latissum!dorsi,! extension! extension! flexion!
  4. 4. ! Common%postural%conditions%and%dysfunction%(continued)! Cervical!spine! Flat!/!Flexed! Cervical!spine! Extension!–! hyperlordotic! Pelvis/Sacrum! Nutation!/!flexion! Pelvis/Sacrum! Counter/nutation!/! extension! Shoulder!Girdle! Protracted!–! rounded!shoulders! Shoulder!Girdle! Retracted! Humerus! Humerus! Humerus! Ligament!sprain,!Disc! bulge,!Cx!erector!spinae! Anterior!Cx!muscles,!SCM! strain,!headaches,! upper!trap!strain! Facet!joint!sprain,! Upper!traps,!Cx!Ext! headache! SIJ!sprain,!Lx!facet!joint! Hip!flexors,!quads,! sprain! satorius! Ligament!sprain,!Disc! bulge,!Lx!erector!spinae! hamstring! strain! Ligament!sprain,!!Rib! sprain,!Disc!bulge,!Tx! Pecs,!biceps,!sub! erector!spinae!strain,! scapularis,! shoulder!impingement,! Facet!joint!sprain,! costochondritis,!bicep! Tx!erector!spinae,! tendinitis,!labral!tears,! rhomboids,!middle/lower! posterior!shoulder! traps,!Lats! impingement,!anterior! GH!instability! Internal!rotation! Shoulder!impingement,! (pronation!forearms,! biceps!impingement,! flexion!of! bursitis! wrist/elbow)! External!rotation! Biceps!tendinopathy,! (supination! posterior!GH! forearms,!extension! impingement,!labral! of!wrist/elbow)! tears! Abducted! Bursitis,!impingement! Upper!traps,!Cx!Ext! extension! Anterior!Cx!muscles,!SCM! flexion! Hamstring,!TA! Counter/nutation!/! extension! Quads,!multifidus,!gluts! Nutation!/!flexion! Rhomboids,!rotator!cuff! (external),!traps! extension! Sub!scapularis! flexion! Biceps,!pec,!lats,!sub! scapularis! External!rotators!of!GH,! rhomboid,!middle/lower! trap! External!rotation! External!rotators!of!GH,! Biceps,!pec,!lats,!sub! scapularis! Internal!rotation! Deltoid,!upper!trap! Lats! Adduction,!inferior! glide!
  5. 5. ! Common%postural%conditions%and%dysfunction%(continued)! Femur! Femur! Femur! Femur! ! ! ! ! Internal!rotation! (anterior! Hip!labral!tear,!hip! innominate,!internal! impingement,!glut! rotated!tibia,! strain! pronated!foot)! External!rotation! (posterior! Anterior!hip!capsule! innominate,!external! sprains,!hip!ligament! rotated!tibia,! sprain,!hip!flexor!strain! supinated!foot)! SIJ!sprain,!TFL!strain,! glut!med!strain,!lateral! Adducted! knee!pain!(runners! knee)! Hip!bursitis,!adductor! Abducted! strain! ! Hip!adductors,!TFL,!ITB,! medial!quad,!!medila! hamstring! Deep!hip!external!rotators,! glut!max! External!rotation! and!extension! Piriformis,!glut!max,!deep! hip!external!rotators,! hamstring! Adductors,!glut!med!(in! flexion)! Internal!rotation! and!flexion! TFL/ITB,!adductors! Glut!med/min! abduction! Glut!med/min! adductors! adduction!
  6. 6. ! Red$Flags$–$When$to$refer$to$Osteopath$or$GP$ ! • • • • • • • • • • • • Acute!pain!during!movement!–!high!level!of!intense!pain.! Pain!not!alleviating!after!a!week!of!rest!i.e.!disc!injury!presenting!as!a!calf!strain!or!hamstring! strain.! Client!complaining!of!neurological!signs!and!symptoms!i.e.!pins!and!needles,!numbness,! tingling.! Pain!getting!worse!during!exercise.! Heart!palpations.! Shortness!of!breath.! Client!unable!to!lumbar!flex!with!out!pain.! Noticeable!swelling!at!peripheral!joints,!lower!limbs!(legs)!or!on!the!spine!i.e.!knee,!ankle,! wrist,!elbow.! Marked!reduction!in!range!of!motion!at!a!joint.! Reoccurring/repetitive!injury.! Muscle!pain!not!improving!with!stretching!or!strengthening.! Fever,!chill,!increased!temperature.! ! This!is!a!list!of!the!most!common!red!flags!that!may!present!in!your!clients!–!this!is!not!a!complete!list.!!! ! If!you!ever!have!any!concerns!about!your!client!or!you!feel!they!are!presenting!with!unusual! symptoms!refer!them!to!their!GP!as!soon!as!possible.! ! ! ! ! ! ! M cPhe rson ’s Buildin g Suite 308, 546-566 Collins Stree t `! ! ! ! ! ! ! M elbourne VIC 3000 ! (03) 9939 1289 w ww .m elb ourneosteop athy cent re .c om .a u ! ! in fo@m elb ourneosteop athy cent re .c om .au

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