Chapter 5 - Static Postural Assessment Flashcards
define Static Posture
how an individual physically present themselves in stance; ones posture while standing still
define Dynamic Posture
how an individual is able to maintain posture while perform functional tasks; one posture while performing any movement
Benefits of Postural Assessments
Allows us to get to the root cause of the issue instead of just band-aiding the symptoms (crack in the wall vs foundation of house analogy)
what are the 5 main factors that cause Postural Imbalances
Habitual movement patterns
Altered movement patterns from repetitive movement
Altered movement patterns from injury
Altered movement patterns from surgery
Altered movement patterns from incompletely rehabilitated injuries
Three types of postural distortion syndromes
Lower crossed
Upper crossed
Pronation Distortion
Lower crossed syndrome Tight Muscles
gastrocenemius Soleus Adductor complex Hip flexor complex Lats Erector Spinae
What muscles create the Hip Flexor Complex
Psoas
Rectus femoris
Tensor Fascia Latae(TFL)
Upper crossed syndrome Tight Muscles
Pec major Pec minor subscapularis lats levator scapulae upper traps teres major sternocleidomastoid scalenes
Pronation Distortion Syndrome Tight Muscles
peroneals gastroc soleus iliotibial band hamstrings adductor complex psoas
Upper Crossed syndrome Lengthened Muscles
rhomboids lower traps teres minor infraspinatus serratus anterior deep cervical flexors
Upper Crossed syndrome Possible Injury Patterns
rotator cuff impingement shoulder instability biceps tendinitis thoracic outlet syndrome headaches
Pronation Distortion Syndrome Lengthened Muscles
posterior tibialis anterior tibialis vastus medialis gluteus medius gluteus maximus hip external rotators
Pronation Distortion Syndrome Possible Injury Patterns
plantar fasciitis
posterior tibialis tendinitis(shin splints)
patellar tendonitis
low-back pain
Pronation Distortion Syndrome Possible Injury Patterns
plantar fasciitis
posterior tibialis tendinitis(shin splints)
patellar tendonitis
low-back pain
5 major Kinetic Chain Checkpoints
foot and ankle knees LPHC shoulders and thoracic spine head and cervical spine
5 major Kinetic Chain Checkpoints
foot and ankle knees LPHC shoulders and thoracic spine head and cervical spine
Proper alignment from an Anterior View of Kinetic Chain Checkpoints
foot/ankles: straight and parallel, not flattened or externally rotated
knees: in line with toes, not adducted or abducted
LPHC: Pelvis level with both posterior superior iliac spines in same transverse plane
shoulder: Level, not elevated or rounded
head: Neutral position neither tilted nor rotated
Proper alignment from a Lateral View of Kinetic Chain Checkpoints
foot/ankle: Neutral position, leg vertical at right angle to sole of foot
knees: Neutral position, not flexed nor hyperextended
LPHC: Pelvis in neutral position, not anteriorly or posteriorly rotated
shoulders: Normal Kyphotic curve, not excessively rounded
head: Neutral position, not in excessive extension (jutting foward)
Proper alignment from a Posterior View of Kinetic Chain Checkpoints
foot/ankle: Heels are straight and parallel, not overly pronated
knees: Neutral position, neither adducted nor abducted
LPHC: Pelvis level with both posterior superior iliac spines in same transverse plance
shoulders/scapulae: Level, not elevated or protracted (medial borders essentially parallel and approximately three to four inches apart)
head: Neutral position neither tilted nor rotated
Typically Shortened Muscles
gastroc soleus adductors hamstrings psoas tensor fascia latae rectus femoris piriformis quadratus lumborum erector spinae pec major/minor lats teres major upper traps levator scapulae sternocleidomastoid scalenes
Typically Lengthened Muscles
anterior tibialis posterior tibialis Vastus medialis oblique(VMO) gluteus maximus/medius transverse abdominis internal oblique multifidus serratus anterior middle/lower traps rhomboids teres minor infraspinatus posterior deltoid deep cervical flexors
