Hyperlordosis Flashcards
What is the condition Hyperlordosis?
It is an increase in the normal Lumbar lordotic curve with increased anterior pelvic tilt and hip flexion.
What are the Muscles that are shortened / Tight bilaterally in the body to increase or inhibit the increases Lordotic curve?
These muscle include:
Iliopsoas, Rectus Femoris, Tensor Lata, QL, Lumbar Errectors.
What is a Muscle that shortens with Pronation?
Piriformis.
What are Muscles that are stretched, Weak and Taut with Hyperlordosis?
This includes:
Rectus Abdominus, Internal & External abdominal Obliques and Gluteus Max.
These are muscles responding to stress by fatiguing.
What is a Postural Muscle that is stretched by the Anterior pelvic tilt?
The anterior pelvic tilt of the Hyperlordosis pulls the (O) and (I) of the Hamstrings away from each other and Stretches them.
What are the Other conditions Hyperlordosis May contribute to?
It may increase the risk of developing Hyperkyphosis & Head forward posture.
What are Conditions that may contribute to developing Hyperlordosis?
IT band contracture & Hyperkyphosis may contribute to developing Hyperlordosis.
What are Factors that can cause Hyperlordosis?
Sustained Poor posture, Prolonged Standing, Other Postural Conditions, Weak Abdominal Muscles, Pregnancy, Obesity.
What is the Symptom Picture for a Client with Hyperlordosis?
There may be an increased lordotic curve with Associated bilateral Anterior pelvic tilting.
Other posible altered Biomechanics.
Pain may arise from Ischemic tissue, Overstretched tissue or Trigger point.
Poor Postural patterns are present.
ROM at the Hip is reduced in Extension.
What is Swayback / Slouched posture?
There is no Specific definition for this term.
It is generally noted in the lateral view the pelvis is projected anteriorly with Associated head forward and Hyperkyphosis posture.
It is important for the MT to make his own Assessment.
What are Health History Questions for a client with Hyperlordosis or Suspected Hyperlordosis?
How long has the condition been present or has it worsened with pregnancy? What areas are painful? What makes it worse or better? how is the clients general health? What are the clients postural habits?
What are Observations to make about the client in respect to Hyperlordosis?
Lateral View:
Slight Ankle planter flexion.
Slight knee hyperextension.
Bilateral Anterior pelvic tilt Greater than 10* for females and 0-5* for males.
Increased lordotic curve.
Often compensatory Hyperkyphosis and head forward posture.
What can you palpate on a client that has Hyperlordosis or suspected?
Tenderness, Hypertonicity and Trigger points may be present in the lumbar erectors, QL, Iliopsoas, Tensor Lata fascia & Rec Fem.
Texture of the lumbar and iliotibial tract is thickened.
What are other sources of low back pain that may be associated with the Hyperlordosis?
Space occupying lesion.
Facet joint irritation.
SI joint Dysfunction and Mobility issues.
Visceral Pathologies.
What is a Space occupying lesion?
This could be something such as a herniated Disc.
