Corrective Exercises Posture

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The exercises below are designed to help correct some common postural faults. Additional corrective exercises are located at the end of chapters that follow. Specific exercises are done to improve muscle balance and restore good posture.To be effective they should be done every day for a period of weeks, plus daily practice in assuming and maintaining good posture until it becomes a habit.

While working to correct muscle imbalance, it is usually advisable to AVOID the following exercises: Lying on the back and raising both legs at the same time; lying on the back and coming up to a sitting position with the feet held firmly down; lying on the back with most of the weight resting on the upper back and doing "bicycling" exercise; standing or sitting with knees straight, reaching forward to touch toes; and (for those who have an increased forward curve in the low back) the exercise of raising the trunk to arch the back from a face-lying position.

Posterior Neck Stretch

In back-lying position, bend knees and place feet flat on floor. With elbows bent and hands up beside head, tilt pelvis to flatten low back. Press head back, with chin down and in, trying to flatten neck.

Shoulder Adductor Stretching With knees bent and feet flat on floor, tilt pelvis to flatten low back. Hold the back flat, place both arms overhead, and try to reach arms to the table with elbows straight. Bring upper arms as close to sides of head as possible. (Do NOT allow the back to arch.)

Wall-Standing Postural Exercise Stand with back against a wall, heels about 3 inches from wall. Place hands up beside head with elbows touching wall. If needed, correct feet and knees as in above exercise below, then tilt to flatten low back against wall by pulling up and in with the lower abdominal muscles. Keep arms in contact with wall and move arms slowly to a diagonally overhead position.

Wall-Sitting Postural Exercise Sit on a stool with back against wall. Place hands up beside head. Straighten upper back, press head back with chin down and in, and pull elbows back against wall. Flatten low back against wall by pulling up and in with lower abdominal muscles. Keep arms in contact with wall and slowly move arms to a diagonally overhead position.

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Correction of Pronation, Hyperextension and Internal Rotation

Stand with feet about 4 inches apart and toeing-out slightly. Relax knees into an "easy" position, i.e., neither stiff nor bent Tighten buttock muscles to rotate legs slightly outward (until kneecaps face directly forward). Tighten muscles that lift the arches of the feet, rolling the weight slightly toward outer borders of feet.

O 2005 Florence P. Kendall and Patricia G. Provance. Authors grant permission to reproduce for personal use but not for sale,

References

1. Karahan A, Bayraktar N. Determination of the usage of body mechanics in clinical settings and the occurrence of low back pain in nurses. Internationaljournal of Nursing Studies 2004;41:67-75.

2. Sharma L, Song J, Felson D, Cahue S, Shamiyeh E, Dunlop D. The role of knee alignment in disease progression and functional decline in knee osteoarthritis. j Am MedAssoc 2001 ;286(2): 188-195.

3. Hales T, Sauter S, Peterson M, et al. Musculoskeletal disorders among visual display terminal users in a telecommunications company. Ergonomics 1994:37(10): 1603-1621.

4. Elahi S, Cahue S, Felson D, Engelman L, Sharma L. The association between varus-valgus alignment and patellofemoral osteoarthritis. Arthritis Rheum 2000;43(8): 1874-1880.

5. Marcus M, Gerr F, Monteilh C, et al. A prospective study of computer users: II. Postural risk factors for musculoskeletal symptoms and disorders. Am JInd Med 2002;41:236-249.

6. Posture and its relationship to orthopaedic disabilities. A report ofthe Posture Committee ofthe American Academy of Orthopaedic Surgeons 1947.

7. Matheson G, Clement D, McKenzie D, Taunton J, Lloyd-Smith D, Macintyre J. Stress fractures in athletes. A study of 320 cases. Am J Sports Med 1987;15(l):46-58.

8. Macintyre J, Taunton J, Clement D. Lloyd-Smith D, McKenzie D, Morrell R. Running injuries: A clinical study of 4173 cases. Clin JSport Med. 1991; 1(2): 81-87.

9. Norkin C, Levangie P. Joint Structure & Function. Philadelphia: FA. Davis, 1992.

10. Rodgers M, Cavanagh P. Glossary of biomechanical terms, concepts, and units. Phys Ther 1984;64(12): 1886-1902.

11. Basmajian J, DeLuca D. Muscles Alive. 5th Ed. Baltimore: Williams & Wilkins, 1985, pp. 255, 414.

12. Levine D, Whittle MW. The effects of pelvic movement on lumbar lordosis in the standing position. J Orthop Sports Phys Ther 1996;24(3): 130-135.

13. McLean I, Gil Ian G, Ross J, Aspden R, Porter R. A comparison of methods for measuring trunk list. Spine I996;21 (14): 1667-1670.

14. Fedorak C. Nigel A, Marshall J, Paull H. Reliability of the visual assessment of cervical and lumbar lordosis: How good are we? Spine 2003;28(16):1857-1859.

15. Griegel-Morris P, Larson K, Mueller-Klaus K, Oatis C. Incidence of common postural abnormalities in the cervical, shoulder, and thoracic regions and their association with pain in two age groups of healthy subjects. Phys Ther I992;72(6):425-431.

16. Soderberg G. Kinesiology—Application to Pathological Motion. Baltimore: Lippincott Williams & Wilkins, 1997.

17. Whitmore M, Berman A. The Evaluation ofthe Posture Video Analysis Tool (PVAT). NASA Technical Paper 3659. Lockhead Martin Engineering & Science Services, Houston Texas. 1996.

18. Norkin C, Levangie P. 1992; Philadelphia. Posture. Joint Structure & Function. Baltimore: Williams and Wilkins; 1992:428-432.

19. Nissinen M. Spinal posture during pubertal growth. Acta Paediatr 1995;84:308-312.

20. Buschang P. Differential long bone growth of children between two months and eleven years of age. Am J Phys Anthropol 1982;58:291-295.

21. Nissinen M, Heliovaara M, Seitsamo J, Kononen M, Hurmerinta K, Poussa M. Development of truck asymmetry in a cohort of children ages 11 to 22 years. Spine 2000;25(5):570-574.

22. Willner S. Johnson B. Thoracic kyphosis and lumbar lordosis during the growth period in children. Acta Paediatr Scand 1983;72:873-878.

23. Einkauf DK, Gohdes ML, Jensen GM, Jewell MJ. Changes in spinal mobility with increasing age in women. Phys Ther 1987;67(3).

24. Hein V. A method to evaluate spine and hip range of motion in trunk forward flexion and normal values for children at age 8-14 years. Med Sport 1996;49:379-385.

25. Widhe T. Spine: posture, mobility, and pain. A longitudinal study from childhood to adolescence. Eur Spine J 2001:118-123.

26. Kendall HO, Kendall FP. Normal flexibility according to age groups. JBone Joint Surg I AM J 1948;30:690-694.

27. Combleet SL, Woolsey NB. Assessment of hamstring muscle length in school-aged children using the sit-and-reach test and the inclinometer measure of hip joint angle. Phys Ther 1996;76:850-855.

28. Kendall F. A criticism of current tests and exercises for physical fitness. Phys Ther 1965;45:187-197.

29. Nissinen M, Heliovaara M, Seitsamo J, Poussa M. Trunk asymmetry, posture, growth, and risk of scoliosis. Spine 1993:18(1):8-13.

30. Licht S. History. In: Basmajian J, ed. Therapeutic Exercises. 4th ed. Baltimore: Williams & Wilkins; 1984:30.

31. Risser JC: Scoliosis, Past and Present. In: Basmajian JV, ed. Therapeutic Exercise. 4th ed. Baltimore: Williams & Wilkins; 1984:469.

32. American Academy of Orthopedic Surgeons (AAOS). Instructional course lectures. St. Louis: CV Mosby; 1985.

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