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ideal standing posture in coronal plane
Center (Mid) gravity line
-midway between the feet
-extend superiorly up midline of spine
-divides body into 2 equal parts
-no rotation in horizontal plane
-no sidebending in the coronal plane
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Ideal posture alignment in sagittal plane
Center of gravity/weight bearing line travels through:
-just anterior to lateral malleolus
-just behind mid-knee
-femoral head
-ant 1/3 of sacral base
-middle of body of L3 vertebra
-external auditory meatus
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Kypholordotic posture
- -head forward, cervical lordotic, thoracic kyphotic,
- scapulae abducted, lumbar spine lordotic, anterior pelvic tilt, hip joint
- slightly flexed, knee joints extended, plantar flexion of ankle joints in
- relation to angle of legs
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swayback posture
- head forward, cervical spine lordotic, thoracic spine
- kyphotic, dec. lordosis of lumbar spine, post. tilt of pelvis, hips & knee
- joints hyperextended
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flatback posture
- -head forward, cervical spine slight inc. lordosis, thoracic
- spine slight kyphotic in upper portion, then flattens in lower segments, lumbar
- lordosis flattened, hips/knees extended
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components of visual screening exam
SActive ROM
SGait analysis
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posture
- Sbodies weight
- in relation to gravity over a base of support (structures from feet to skull)
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optimal posture depends on
- SBalanced
- configuration of the body
- SVertical
- alignment of ankles
- SHorizontal
- orientation of sacral base
- SEqual
- distribution of body mass around the center of gravity
- SCompressive
- force on spinal discs is balanced by ligamentous tension
- SMinimal energy
- expenditure
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functional scoliosis
- Spinal curves
- occurring from unilateral muscle contractions
- Curve
- disappears when muscle hypertonicity resolves
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fixed/structural scoliosis
- Involves long
- term adaptation associated with positional changes
- Over time
- tissues associated with this curve change
- Tissues
- lengthen/shorten and resist change to the neutral position
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scoliotic curves
*rotoscoliotic
Rotation & sidebending are occurring together
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