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

max@correctiveexerciseaustralia.com

@iNformMaxMartin Corrective Exercise Australia