Scapular Position

The spine is one of the most important structures in the human body. The spine is located in the dorsal cavity and consists of 24 bones, called vertebrae. These vertebrae play a crucial role in protected the body’s command center, the spinal cord. But what happens when a disorder prevents the spinal column from functioning correctly? Scoliosis is a musculoskeletal disorder that causes abnormal lateral curvature of the spine and it effects millions of people in the US per year. I have chosen this disorder because I am aspiring to become a chiropractor and scoliosis is a typical condition that chiropractors help treat on a daily basis.

Six standing trials include 1) single dominant leg stance on a firm surface (SDFS), 2) single non-dominant leg stance on a firm surface (SNDFS), 3) double leg stance on a firm surface (DFS), 4) single dominant leg stance on a wobble board (SDWB), 5) single non-dominant leg stance on a wobble board (SNDWB), and 6) double leg stance on a wobble board (DWB). The order of the standing trials will be randomized. A two minute testing period will be recorded for each standing condition. During testing, participants will be instructed to position barefoot with the hands akimbo for as still as possible for both a firm surface and a wobble board conditions. During all one leg stance trials, participants will be instructed to flex the knee of the contralateral

Proper positioning of patient is one of the most significant components of physical therapy. Safe and comfortable position is recommended by health care professional. This process should apply immediately after accident and continue during all phases of recovery. Suitable positioning assists in stimulating motor function, raises sensory awareness, improve respiration and can help normal range of motion in trunk and extremities. One of the most important effects of positioning is to prevent pressure ulcers. Mostly patients lie on back, involved side of non-affected side. The body points that should be considered are shoulder and pelvis. Gluteus maximus and rhomboid muscles become stiff retract shoulder and pelvis. Due to this, shoulder and pelvis must be positioned in a bit protraction in order to decrease spasticity and tightness.(Mehrholz, 2012)

For shoulder flexion 61% of the variance could be accounted for by the sit-and-reach. A correlation was also found between the modified sit-and-reach test and both the shoulder extension and hip flexion tests. For shoulder extension 33% of the variance was accounted for by the modified sit-and-reach and for hip flexion 22% of the variance was accounted for by the modified sit-and-reach.

As suggested by Kwon, Song, Baek, and Lee (2015), spinal changes were observed in the course of their simulation of LLDs in healthy adults. Kwon et al. (2015) reported that these spinal changes created a compensatory positioning on the pelvis. Similar findings were affirmed by Raczkowski, Daniszewska, and Zolynski (2010) in their retrospective observational study. Raczkowski et al. (2010) mentioned that LLDs of greater than 3cm usually have noticeable effects on posture and gait. As you have pointed out in your initial post, a study conducted by D’Amico et al. (2012) claimed that 135 of their 143 patients demonstrated an

Scapular fracture is uncommon in horses. Because of the appropriate protection of scapula by muscles, fractures mostly occur through the acromion process near the shoulder joint (1,2,3,4). Fractures can occur as a result of direct damage such as falling heavily to one side or not often as a result of a misstep. Fracture of the blade or body of scapula is rare (1) and can occur in racehorses as stress fractures of the scapula. Frequency of fractures is equal in both forelimbs of horses (5). Due to the significant role of scapular fractures in lameness and poor performance in horses, early diagnosis is highly desirable. . Scapular fractures involving acromion process can be recognized by radiography. Because of the superimposition of the thorax

There was also an altered cervical spine extension ROM by an average of +3.360 ± 6.850 for AP compared to -1.640 ± 5.730 for LAT [(r)= ?, p = 0.07], a trend favoring AP and met the MDC of 50 swing. There were no other between-group comparisons (NDI, NPRS, GROC, & ROM) that have statistical significance. As for the within-group comparisons, the one-week significant improvement in NDI (24% for AP and 37% for LAT) surpassed the minimal clinically important difference and/or the minimal detectable change (MDC) of 20% change. The improved mean NPRS “at worst” for AP is -1.82 ± 2.93 (out of 10); this approaches MCID/MDC of 2; for LAT is -1.45 ± 2.16 (out of 10). In addition, some statistical and clinically noteworthy CR were found: (1) in the AP group, the HR diminished by an average of 3.55 ± 2.84 beats per minute (bpm) from time point #1 to time point #3; and (2) in the LAT group, the mean DBP reduction is 2.18 ± 1.54 mmHg from time point #2 to time point #4. Finally, within the LAT group, the mean increase in shoulder elevation ROM was 11.550 ± 9.650 [(r)=0.?, p < .05] exceeding MDC of 50. And there were no reported adverse

Scoliosis is a three-dimensional deformity of human spine in which there is one or more lateral curvature away from the vertical direction in the thoracic or lumbar region. The analysis of scoliosis is required through clinical and radiographic evaluation in order to present a thorough assessment of this three dimensional deformity (1). The absence of timely diagnosis causes problems in appearance, manner of sitting, and, in severe cases, lung problems, respiratory, and cardio complications.

In 1991, NIOSH reported that there is a high level of neck/shoulder girdle discomfort in Video Display Terminal office worker (Sauter 1991). In individuals with no neck pain, even just 20 minutes of typing seems to depress AND displace the scapula away from midline and posture re-education of the scapula appears to correct this (Park 2013). Office workers with more severe neck pain seem to have more protracted acromion (suggesting a tight pectoralis minor), and some postural deficits in head-neck side flexion and rotation angles during the performance of their occupational tasks may imply that levator scapula and/or upper trapezius may be tight as well (Szeto et al 2002, and Szeto et al 2005a and 2005b).

It forces me to constantly stir up the desire to sprint the last 50 meters, remain steady on the last few seconds of the plank, and bring my knees as high as possible for the remaining burpees. The onerous past few weeks forged a resilient mindset. Instead of letting emotions of weariness, frustration, and pain dictate my actions, I dug deep to focus on improvement. I convinced myself that each extra ounce of effort will place me that much higher than an instant

To obtain direct measures of ROM, I would perform the goniometer test and based on her findings, I believe that indirect methods would be useful to assess the flexibility of her lower back and hamstrings. The Sit- and - Reach Test is useful to assess the “static flexibility of lower back and hamstring muscles” (Heyward, p. 273, 2010). The Standard Sit-and -Reach test evaluates lower back and hamstring flexibility. I would perform the Back Saver Sit-and –Reach test because it relieves some of the discomfort when measuring flexibility of the hamstring muscles. Also, the skin distraction test is useful in assessing low back flexibility. Furthermore, based on the results of the flexibility tests, I will design a flexibility program for her and

Scoliosis is a complex deformity or curvature of the spine and entire torso and has been recognized clinically for centuries (Asher, Marc A.). “For a few of the patients an underlying cause can be determined, including congenital changes, secondary changes related to neuropathic or myopathic conditions, or later in life from degenerative spondylosis. However, the cause of most scoliosis is not known and since about 1922 such patients have been diagnosed as having idiopathic scoliosis (Asher, Marc A.).”

A. Ideal postural alignment could be described in many ways. For the purposes of fitness instructing a simple way to describe ideal postural alignment is to have the body in a standing position, with the head erect, the ears in line with the shoulders, shoulders in line with the hips, hips in line with the anterior aspect

“It's estimated that scoliosis affects roughly 3% of the population - that's well over 200 million people worldwide” (1). It is an ailment condition extended from the ancient century to the 21 century. Alexander the Great, one of the history's greatest conquerors, and Richard III, the King of England, have suffered from this ailment. The first Greek physician who has treated and addressed this malady was Hippocrates. He performed the treatment by several phases starting with stretches then extensions by using devices such as the Hippocratic board, the Hippocratic ladder, and the Hippocratic bench. Some of these primitive devices have been developed and presently know as gym machines. After that, he finished the treatment by using supplies tools to help in the recovery.

If asked to demonstrate poor posture, many people will slouch over and become hunched. If asked to demonstrate proper posture many people will stand up tall, shoulders back and chin up. However, this conceived idea of posture is only one aspect of the whole picture. “Good posture is the state of muscular and skeletal balance which protects the supporting structures of the body against injury or progressive deformity irrespective of the attitude in which these structures are working or resting. Under such conditions, the muscles function most efficiently, and the optimum positions are afforded for the thoracic and abdominal organs.” (Posture Committee of the American Academy of Orthopedic Surgeons, Evanston, IL AAOS; 1987:1947:1) In combination with training and nutrition, proper posture is very important to help achieve peak athletic performance as an athlete is sure to fail without proper form and technique. Poor posture can be detrimental for an athlete and can greatly impact their performance as it has an established effect on your heart and other organs as well as causing muscle and joint damage, negatively affecting one’s life. For an athlete trying to improve in their sport, or someone trying to better their lifestyle, correcting posture is a good place to start. It is important to understand the relevance of good postural alignment and it’s benefits, how poor postural alignment comes about and how it impacts sport, and how an athlete can train to improve or correct