This document summarizes the postural assessment and treatment plan for a patient presenting with upper crossed syndrome and forward head posture. Key findings include a right shoulder elevated and shifted forward, and hips tilted posteriorly. The treatment plan focuses on stretching tight muscles like the upper trapezius and levator scapulae, while strengthening weakened muscles like the serratus anterior and lower trapezius to restore normal scapular motion. Specific exercises target each muscle imbalance, and use of a posture brace is recommended to reinforce correct positioning during daily activities.
Physiotherapy aims at correcting movements. But how do we correct them if we don't know the measurement of these movements?
Movements occur in a particular range that is measured in degrees with the help of GONIOMETER.
So in this presentation, we are going to discuss about goniometry!
Physiotherapy aims at correcting movements. But how do we correct them if we don't know the measurement of these movements?
Movements occur in a particular range that is measured in degrees with the help of GONIOMETER.
So in this presentation, we are going to discuss about goniometry!
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Goniometry of lower limb joints/ROM of lower limb jointsShalu Thariwal
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Spinal Decompression Techniques With Yoga7 Pranayama
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This workshop is designed to help teach a variety of abdominal and core exercises with little or no equipment! The workshop focuses on identification of common misalignment and effective cueing to facilitate proper alignment to maximize effective results and prevent injury. Learn a sequence of yoga poses that can be used as a class warm-up or cool-down stretch, lower body strength class, or in the development of a yoga unit.
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Yoga and Spinal Health - yoga teacher training course project work karuna yog...Karuna Yoga Vidya Peetham
What is the spine?
Your spine, or backbone, is your body's central support structure. It
connects different parts of your musculoskeletal system. Your spine helps
you sit, stand, walk, twist and bend.
The column of bone known as the vertebral column surrounds and
protects the spinal cord. The spine can be categorized according to level of
the body: i.e., cervical spine (neck), thoracic spine (upper and middle
back), and lumbar spine (lower back).
Back injuries, spinal cord conditions and other problems can damage the
spine and cause back pain
What are the spine segments?
The 33 vertebrae make up five distinct spine segments. Starting at the
neck and going down toward your buttocks (rear end), these
segments include:
8. • Upper
Trapezius is too
tight
• Lower
Trapezius and
Serratus
Anterior are
over-stretched
• Poor upward
rotation during
shoulder
flexion
• Upper
Trapezius
stretched
• Lower
Trapezius and
Serratus
Anterior
strengthened
• Healthy
scapular ROM
restored
9. Decrease lordosis of cervical spine
Retract and depress pectoral girdle (right)
Increase lordosis of lumbar spine (not too
much!)
Restore more favorable center of gravity
Decrease external forces
10. To stretch levator
scapulae (and upper trap)
Stabilize shoulder (hold
onto chair)
Laterally flex the head
to the contralateral side
(hold here to stretch
upper trap)
Rotation of the neck
(Look down like you are
looking in your pocket)
▪ Stretches levator
scapulae
11. This would be beneficial because:
Stretching the upper trapezius and levator
scapulae muscles will help to depress the resting
position of the right shoulder back to normal
12. Stand in the center of an
open doorway placing arm
next to doorjamb
Step forward with ipsilateral
leg and rotate to the
contralateral side (in this
case to the left, stretching
the right shoulder)
Keep your hips facing
forward while the shoulder
is rotating back to maximize
the stretch
13. This stretch will lengthen the tight pectoralis
major and minor muscles
This will help to get rid of forward rolled shoulder
Retract the resting right shoulder posture
By stretching these overly tight shoulder muscles will
help to fix and further prevent a protracted, forward
rolled shoulder
14. Lay FLAT on foam roller –
support from head to
tailbone
Perform chin-tuck to
flatten neck against
foam roller
Important to stabilize
shoulder blades (retract &
depress)
Arms OUT, palms UP
15. Chin-tuck helps to reverse forward head
posture
Also helps to strengthen overstretched neck
flexors
Light isometric contraction of overstretched
rhomboids and middle trapezius to stabilize
shoulders
Stretches tight pectoralis major and minor
16. To strengthen serratus
anterior:
Push up position – arms
straight and hands shoulder
width apart
Go down until chest is a few
inches off floor
Push back up, straighten
arms, then push upper back
toward ceiling.
This extra movement is
minimal
Stabilize shoulders! DO NOT shrug
shoulders toward ears
17. If unable to perform
this exercise with
good form, perform
an easier version
instead:
INCLINE Push-
Up Plus
WALL Push-Up
Plus (easiest)
18. Strengthening the serratus
anterior will help to stabilize the
scapula against the thorax, which
will reduce winging of the
scapula
The combination of stretching
the upper trapezius (look-in-
pocket stretch) and
strengthening the serratus
anterior will help restore proper
functioning of the scapular
upward rotation during shoulder
abduction and flexion
19. Keep back straight, pull elbows back while
squeezing shoulder blades down and
together
Palms facing each other,
exhale as you pull back
keeping elbows close to torso
20. This rowing exercise mainly works the upper
back muscles, specifically the middle trapezius
and rhomboids
Doing this and other rowing exercises will help
to strengthen those muscles to help stabilize
(retract & depress) the scapula
21. Start with arms no higher
than shoulders
Pull straight down to sides,
squeezing shoulder blades
down and together
This exercise will help to
strengthen the
overstretched middle and
lower traps
22. Hamstring stretch and
Strengthen iliopsoas
Decrease posterior pelvic tilt
Increasing lordosis of lumbar spine
Stretching the hamstrings will also decrease
knee flexion postural deviation
Help to bring knees closer to COG
23. Decrease lordosis of cervical spine
Retract and depress pectoral girdle (right)
Increase lordosis of lumbar spine (not too
much!)
Restore more favorable center of gravity
Decrease external forces
24. Still a slight forward
head posture
0.74” forward shift
compared to 1.17” shift
without brace
Making head weigh
23.9 lb. Compared to
29.7 lb without brace
Center of gravity
closer to normal
25. Brace helps to retract
and depress right
shoulder
Hopefully, with time,
doing these exercises
will allow him to lose
the brace and be able
to maintain proper
posture on his own
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Physical Therapist Assist (2nd
Ed.). St. Louis, Missouri: Elsevier Mosby.
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dysfunction provides a classification system guiding diagnosis and therapeutic care
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