Introduction to POSTURE –Better understanding to get clients from rehab
to performance.PRESENTED BY:
Max MARTIN BAppSc (Hons) AEP
Creating a road map
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Posture is susceptible to adaptation to the environment it experiences.
Modern Western requirements (work and home) highly repetitious and/or inert in nature.
Our posture adapts to these requirements.
EXAMPLE………
Postural Adaptation
The IT animal!
Characterised by (?):Kyphotic thoracic spineForward head posture Shoulders rolled forwardStrong and short cervical extensorsShortened hip flexors that act as stabilisers
A crystal Ball?
Postural analysis can help us explain current injuries, or predict future injuries.Many common chronic injury presentations can be closely linked to joint misalignment.We have a duty of care as Health Care Providers to consider posture in our exercise prescription.
Prescription Paradigms
Movement is a behaviourDeveloped, learned and adapted.
Faulty Posture or Movement is a SYMPTOM of dysfunction
Stabilisers typically become hypotonic/inhibited (weak) – ‘allowing’ faulty posture
Gross movers typically become hypertonic/facilitated (tight) – ‘driving’ faulty posture
Why weakness?
Muscle inhibition due to pain/injury
Muscle susceptibility – eg. VMO vs VL atrophy post surgery
Muscle inactivity in chronic postures – eg. Sedentary behaviours
CNS driven protection
Why tightness?Joint ROM can be limited by the following factors
1. Joint constraints
2. connective tissue (40%) – protective, inactivity,
hypertonicity
3. Neurogenic constraints (voluntary and reflexive) -
protective
4. Myogenic constraints
tightness?
Or
gaining stability??
tightness weakness
antagonist
synergist
Upper Cross Syndrome
Lower Cross Syndrome
tightness weakness
antagonist
synergist
Clinical/Practical findings
Downward rotators of scaps!
Pec MinorLevator ScapulaRhomboids
Serratus AnteriorTraps
Upward rotators of scaps!
tightness weakness
antagonist
synergist
Hamstrings
Glute max
Hip Flexors• Psoas• Iliacus• TFL• Rec femLumbar Erectors
Glute max
TrA (+core)
Clinical/Practical findings
Pronation
Weakness!!
PRESENTED BY:Max MARTIN BAppSc (Hons)AEP
@iNformMaxMartin Corrective Exercise Australia
