2. Upper Cross Syndrome and Postural Distortions

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Wall angel

Keep chin retracted T/L junction flattened against the wall arms pressed against the wall

Disc space narrowing of how much results in how much reduction of formainal area?

Disc space narrowing of 2 mm results in 30-40% reduced foraminal area

Horizontal foam roller mobilization

Don't let the chin poke roll back and forth for 30 sec

Stenosis

11 mm or less

What is the average canal diameter at C5? Normal spinal cord diameter at C5? Soft tissues occupy how much space?

14 mm (average canal diameter) 7 mm (spinal cord diameter) 3 mm (soft tissues)

Brugger's sternosymphseal syndrome (SSS)

Posterior pelvic tilt tight hamstrings weak gluts and abdominals

Lower Cross Syndrome - tight vs weak muscles

Tight: hip flexors (iliopsoas, rectus femoris, TFL/ITB), T/L, hamstrings, and erector spinae Weak: glut max, glut min, glut med and abdominals

What are the tight vs weak muscles in lower cross syndrome?

Tight: hip flexors (iliopsoas, rectus femoris, TFL/ITB), T/L, hamstrings, and erector spinae Weak: glut max, glut min, glut med and abdominals

Upper Cross Syndrome

Tight: pecs, upper trap, levator scapula, and suboccipital muscles Weak: deep neck flexors, lower trap, serratus anterior, and rhomboids

What are the weak vs tight muscles in upper cross syndrome?

Tight: pecs, upper trap, levator scapula, and suboccipital muscles Weak: deep neck flexors, lower trap, serratus anterior, and rhomboids

Effects of Upper Cross Syndrome

Overstrain at C0-C1, C/T, TMJ and GH impingement respiration may also be affected vertebral subluxation/joint dysfunction and myofascial trigger points may result from or cause these muscle imbalances

Vladimir Janda

Upper and lower crossed syndrome

What are the quadriceps muscles?

rectus femoris, vastus lateralis, vastus medialis, vastus intermedius

Muscle imbalances in LCS are commonly associated with what?

Anterior pelvic tilt (jutted butt)

What are the effects of lower cross syndrome?

Anterior pelvic tilt (jutted butt)

Vertical foam roller mobilization

Back of hands on the floor adding in chest press activates shoulder stabilizers

Layer syndrome

Combination of UCS and lCS alternating layers of tightness and weakness often happens after failed back surgery

Forward Down Syndrome (FDS)

Due to tight hip flexors and weak glut muscles inclined forward with center of mass over the forefoot due to prolonged sitting in slumped postures

Push up Test

Have the patient go against the wall and mimic a pushup check for scapular winging which indicates weak serratus anterior muscles

Neck flexion endurance test

Male= 39 sec female= 29 sec

Adam's sign

To test for scoliosis

What muscle weakness causes scapula winging?

Weakness of the serratus anterior

What are the hamstring muscles?

biceps femoris, semitendinosus, semimembranosus


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