Presentation for Active Lifestyle / News Victoria Trainers. Postural Assessment and Correction Workshop. Presenters from Melbourne Osteopathy Sports Injury Centre

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M cPhe rson ’s Buildin g
Suite 308, 546-566 Collins Stree t
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M elbourne VIC 3000
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(03) 9939 1289
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in fo@m elb ourneosteop athy cent re .c om .au
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Presentation*for*Active*Lifestyle*/News*Victoria*Trainers*
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Postural*Assessment*and*Correction*Workshop*
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Presenters!from!Melbourne!Osteopathy!Sports!Injury!Centre:!!
• Dr!Jessica!Fetterplace!–!Senior!Osteopath/Exercise!Rehabilitation!Consultant!
• Dr!Shane!Buntman!–!Director/Senior!Osteopath!
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Correct*Spinal*Posture/Position*
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Correct*Posture*
Anatomical*Body*Part*
Correct*Position*
Number*of*Parts* Movement*Patterns*
Cervical!Spine!!
Lordosis!
7!Vertebrae!
Flexion/Extension/Sidebending/Rota
tion!
Thoracic!Spine!
Kyphosis!
12!Vertebrae!
Flexion/Extension/Sidebending/Rota
tion!
Lumbar!Spine!
Lordosis!
5!Vertebrae!
Flexion/Extension/Sidebending/Rota
tion!
Sacrum/Pelvis!
Nutation!
1!
Nutation!(flex),!Counternutation!(ext)!
Upward/Downward!Rot,!
Elevation/Depression,!
Adducted/Abducted,!Anterior!Tilt,!
Winging!
Scapula!
Neutral!
2!
Shoulder!Girdle!(SC!jt,!
AC!jt,!clavicle,!scapula)!
Neutral!
2!
Humerus!
Neutral!
2!
Internal/External!Rot!
Forearm!(ulnar/radius)!
Neutral!
2!
Supination/Pronation!
Hand/Wrist!
Neutral!
2!
Flex/Ext,!Ulnar/Radial!Deviation,!
Supination/Pronation!
Fingers!
Neutral!
10!
Flexed,!Adducted/Abducted!
Femur!
Slight!external!
rotation!
2!
External/Internal!Rot,!Flex/Ext,!
Adducted/Abducted!
Lower!leg!
(tibia/Fibula)!
Neutral!
2!
Ankle/Foot!
Neutral!
2!
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Protracted/Retracted!
!External/Internal!Rot!
Pronation,!Supination!

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Common%postural%conditions%and%dysfunction%
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Anatomical%
Body%Part%
Movement%
Dysfunction%
Common%Conditions%
Lumbar!(lx)!spine!
Flat!–!Flexed!
Ligament!sprain,!Disc!
bulge,!Lx!erector!spinae!
strain!
Hypertonic%muscles%
(need%to%stretch)%
Hamstrings,!Rectus!
Abdominus,!Diaphragm,!
QL!
Lumbar!spine!
Extension!C!
hyperlordotic!
Facet!joint!sprain,!SIJ!
sprain!
Quads,!hip!flexors,!Lx!ES,!
latissum!dorsi!(lats),!gluts!
Thoracic!spine!
Flat!C!Extended!
Facet!joint!sprain!
Thoracic!spine!
Flexed!C
Hyperkyphotic!
Ligament!sprain,!!Rib!
sprain,!Disc!bulge,!Tx!
erector!spinae!strain!
Tx!erector!spinae,!
rhomboids,!middle/lower!
traps,!Lats!
Rectus!Abdominus,!
Diaphragm,!QL,!pecs,!sub!
scapularis,!obliques!
Weak%Muscles%
(need%to%strengthen)%
Gluts,!multifidus,!Lumbar!
extenors!Lx!ES),!latissum!
dorsi!
Transverse!Abdominus!
(TA),!!posterior!obliques,!
hamstring!
Mobilisation%
Position%
Serratus!Anterior!
flexion!
multifidus,!Tx!extenors,!
latissum!dorsi,!
extension!
extension!
flexion!

4. !
Common%postural%conditions%and%dysfunction%(continued)!
Cervical!spine!
Flat!/!Flexed!
Cervical!spine!
Extension!–!
hyperlordotic!
Pelvis/Sacrum!
Nutation!/!flexion!
Pelvis/Sacrum!
Counter/nutation!/!
extension!
Shoulder!Girdle!
Protracted!–!
rounded!shoulders!
Shoulder!Girdle!
Retracted!
Humerus!
Humerus!
Humerus!
Ligament!sprain,!Disc!
bulge,!Cx!erector!spinae!
Anterior!Cx!muscles,!SCM!
strain,!headaches,!
upper!trap!strain!
Facet!joint!sprain,!
Upper!traps,!Cx!Ext!
headache!
SIJ!sprain,!Lx!facet!joint!
Hip!flexors,!quads,!
sprain!
satorius!
Ligament!sprain,!Disc!
bulge,!Lx!erector!spinae!
hamstring!
strain!
Ligament!sprain,!!Rib!
sprain,!Disc!bulge,!Tx!
Pecs,!biceps,!sub!
erector!spinae!strain,!
scapularis,!
shoulder!impingement,!
Facet!joint!sprain,!
costochondritis,!bicep!
Tx!erector!spinae,!
tendinitis,!labral!tears,!
rhomboids,!middle/lower!
posterior!shoulder!
traps,!Lats!
impingement,!anterior!
GH!instability!
Internal!rotation!
Shoulder!impingement,!
(pronation!forearms,!
biceps!impingement,!
flexion!of!
bursitis!
wrist/elbow)!
External!rotation!
Biceps!tendinopathy,!
(supination!
posterior!GH!
forearms,!extension!
impingement,!labral!
of!wrist/elbow)!
tears!
Abducted!
Bursitis,!impingement!
Upper!traps,!Cx!Ext!
extension!
Anterior!Cx!muscles,!SCM!
flexion!
Hamstring,!TA!
Counter/nutation!/!
extension!
Quads,!multifidus,!gluts!
Nutation!/!flexion!
Rhomboids,!rotator!cuff!
(external),!traps!
extension!
Sub!scapularis!
flexion!
Biceps,!pec,!lats,!sub!
scapularis!
External!rotators!of!GH,!
rhomboid,!middle/lower!
trap!
External!rotation!
External!rotators!of!GH,!
Biceps,!pec,!lats,!sub!
scapularis!
Internal!rotation!
Deltoid,!upper!trap!
Lats!
Adduction,!inferior!
glide!

5. !
Common%postural%conditions%and%dysfunction%(continued)!
Femur!
Femur!
Femur!
Femur!
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Internal!rotation!
(anterior!
Hip!labral!tear,!hip!
innominate,!internal!
impingement,!glut!
rotated!tibia,!
strain!
pronated!foot)!
External!rotation!
(posterior!
Anterior!hip!capsule!
innominate,!external!
sprains,!hip!ligament!
rotated!tibia,!
sprain,!hip!flexor!strain!
supinated!foot)!
SIJ!sprain,!TFL!strain,!
glut!med!strain,!lateral!
Adducted!
knee!pain!(runners!
knee)!
Hip!bursitis,!adductor!
Abducted!
strain!
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Hip!adductors,!TFL,!ITB,!
medial!quad,!!medila!
hamstring!
Deep!hip!external!rotators,!
glut!max!
External!rotation!
and!extension!
Piriformis,!glut!max,!deep!
hip!external!rotators,!
hamstring!
Adductors,!glut!med!(in!
flexion)!
Internal!rotation!
and!flexion!
TFL/ITB,!adductors!
Glut!med/min!
abduction!
Glut!med/min!
adductors!
adduction!

6. !
Red$Flags$–$When$to$refer$to$Osteopath$or$GP$
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Acute!pain!during!movement!–!high!level!of!intense!pain.!
Pain!not!alleviating!after!a!week!of!rest!i.e.!disc!injury!presenting!as!a!calf!strain!or!hamstring!
strain.!
Client!complaining!of!neurological!signs!and!symptoms!i.e.!pins!and!needles,!numbness,!
tingling.!
Pain!getting!worse!during!exercise.!
Heart!palpations.!
Shortness!of!breath.!
Client!unable!to!lumbar!flex!with!out!pain.!
Noticeable!swelling!at!peripheral!joints,!lower!limbs!(legs)!or!on!the!spine!i.e.!knee,!ankle,!
wrist,!elbow.!
Marked!reduction!in!range!of!motion!at!a!joint.!
Reoccurring/repetitive!injury.!
Muscle!pain!not!improving!with!stretching!or!strengthening.!
Fever,!chill,!increased!temperature.!
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This!is!a!list!of!the!most!common!red!flags!that!may!present!in!your!clients!–!this!is!not!a!complete!list.!!!
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If!you!ever!have!any!concerns!about!your!client!or!you!feel!they!are!presenting!with!unusual!
symptoms!refer!them!to!their!GP!as!soon!as!possible.!
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M cPhe rson ’s Buildin g
Suite 308, 546-566 Collins Stree t
`!
!
!
!
!
!
!
M elbourne VIC 3000
!
(03) 9939 1289
w ww .m elb ourneosteop athy cent re .c om .a u
!
!
in fo@m elb ourneosteop athy cent re .c om .au