PosturalEvaluationSpinalColumn.pptVIP

Postural Evaluation: Spinal Column Orthopedic Assessment III – Head, Spine, and Trunk with Lab PET 5609C Postural Evaluation Hyperlordotic Posture: Joints involved: Lumbar spine, pelvis, hip Possible cause: Tightened or shortened hip flexor muscles Weakened or elongated hip extensors or abdominals Poor postural sense Adverse effects: ↑ lumbar lordosis Anterior pelvic tilt Hips assuming a flexed position Postural Evaluation Hyperlordotic Posture: Pathological conditions: ↑ shear forces on lumbar vertebral bodies secondary to psoas tightness ↑ compressive forces on facet joints Adaptive shortening of posterior lumbar spine ligaments and anterior hip ligaments Elongation of anterior lumbar spine ligaments and posterior hip ligaments Narrowing of lumber intervertebral foramen Postural Evaluation Kypholordotic Posture: Similar to hyperlordotic posture: ↑ total lumbar lordosis Differences: Compensatory ↑ in thoracic kyphosis: Attempt to maintain spine in position of equilibrium Cervical spine: ↑ in lordosis (Forward head posture) Joints involved: Pelvis, hip joint, lumbar spine, thoracic spine, cervical spine Postural Evaluation Kypholordotic Posture: Possible causes: Poor postural sense Muscle imbalance: Tightened/shortened hip flexors Weakened or elongated hip extensors or trunk flexors Adverse effects: Anterior pelvic tilt Hip joint flexion ↑ lumbar lordosis ↑ thoracic kyphosis Postural Evaluation Kypholordotic Posture: Pathological conditions: Adaptive shortening of anterior chest muscles Elongation of thoracic paraspinal muscles ↑ compressive forces on anterior thoracic vertebrae and posterior lumbar vertebrae ↑ tensile forces on ligamentous structures in posterior thoracic spine and anterior lumbar spine ↑ facet joint compression Forward head posture Forward shoulder posture Postural Evaluation Swayback Posture: Key: ↑ reliance on ligaments for postural stability Joints at end ROM (excessive stress on ligaments) Joints involved: Knees, hips, lumbar spine, lo