Emily Raber, ATS and Brian Greene, ATS A position of a person’s body when sitting or standing. The alignment of the body to properly function with regard to kinematics. Functionality Minimizing risk of injury (acute and chronic) Increase quality of life Effects on Gait • Walking • Running • Performance in activities Alignment: • Upper (Above belly button) • Low Back and Core • Lower (Below belly button) Congenital Discrepancies Gait • Components Corrections • Posture • Gait Anatomy / Proper Alignment • Head and Neck • Shoulder Girdle • Upper Trunk Ways anatomy affects posture… • Muscle Imbalance • Congenital Head and Neck • Forward head posture • Crooked neck Shoulder Girdle • Alignment Rounded shoulders Unleveled shoulders Winging scapula Scoliosis Kyphosis Anatomy • Connection Vertebral Column Ribs Abdominals Low Back Muscles Hips Ways anatomy can • Muscle Imbalance • Congenital affect posture… Abnormalities • Scoliosis • Lordosis • Kyphosis Importance of Core Stability • Provides good base for everything else to move around Anatomy • Hip • Knee • Ankle and Foot Ways • • • • anatomy can affect posture… Muscle Imbalance Neuromuscular Shutdown Congenital Alters gait Lower Cross Syndrome This cross can be seen in multiple configurations. Hip • Pelvic tilt Anterior Posterior Unilateral tilt • Hip hikes https://www.youtube.com/watch?feature=pl ayer_detailpage&v=z47XH91hkeQ Knee • Genu Valgus • Genu Varum • Genu Recurvatum • Patella Position Squinting Frog-eyed Q-Angle Ankle and Foot • Pronation • Supination • Toe-in / toe-out • Toe walkers • Limited ROM Dorsiflexion Great Toe Extension Gait: mechanics and technique of ambulation (walking and running) Problems with one will effect the other • Increases likelihood of injury Cannot have one without the other • Decrease performance Mechanics of ambulation • Phases Heel Strike Stance Toe-off Swing https://www.youtube.com/watch?feature=player _detailpage&v=5j4YRHf6Iyo Walking vs. Running https://www.youtube.com/watch?feature=player _detailpage&v=Zepb-m9HoQQ Individual body awareness • Instruction is Key Congenital • Some things we will not be able to fix. Rehabilitation • Goals • Expectations Emphasis • Heel Strike • Toe-Crinkle Scap pinches/push up • Emphasis on relaxing upper traps • Progressional 4 way arm • Emphasis on correct shoulder posture YTW’s • Emphasis on pinching in back Rows • Emphasis pinching in back Stretches: Pectorals • Straight arm on the wall, bent arms in corner, Foam roller back stretch Deadbugs Nike Touches SL Toe Touches Spidermans Bosu Core Planks • Progression Penguins • Emphasis on the “pop” of mid-foot Straight Leg Lunge • Emphasis on hip extensor activation Hip Bridging • Emphasis on terminal hip extension High knee marching • Emphasis on mid-foot position Walking RDL • Emphasis on balance and hip extensor activation Emily Raber, ATS & Brian Greene, ATS Castleton State College Any Questions?