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What is today’s expectation?
What do you think??????
Let’s analyze it,,
Forward head posture
Hari subedi
BPT first year
KUSMS , KU
Contents
• Introduction
• Causes
• Consequences
• Intervention
PowerPosture Month 00, 2003
Forward Head Posture
It is one in which the head is positioned anteriorly
and the normal anterior cervical convexity that is
cervical lordosis is increased in comaparision
with optimal posture
It is often accompanied by protracted scapulae
and increased thoracic kyphosis.
Research basis
• Number of person: 100
• Year group: 20-70
• Plumb line : odontoid process to Cervical 7
• Finding: 16mm anterior to centre of cervical 7
• Greatest lordosis at C1 TO C2
• Little lordosis at rest of other
• Kyphotic at occipit and C1 (5 degree)
Factors Maintaining Posture
a. Ligaments
b. Fascia
c. Bones
d. Joints
e. Muscles
f. Tendons
• What can be the causes??
causes
• Very common in:
• office workers, students, whiplash injuries/accidents
Poor eyesight (need glasses)
Muscle fatigue/weakness
Poor postural sense
What happens?
• Shortened suboccipital muscles, scalenes, upper
trapezius, levator scapula
• Hypomobile upper cervical region
• Abnormal GH biomechanics
• TMJ dysfunction
• Thoracic outlet syndrome (scalene involvement)
• Forward shoulder posture
• Myofascial pain (posterior cervical muscles)
PowerPosture Month 00, 2003
Joints Affected Short Muscles Weak Muscles
_______________________________________________________________________
Atlanto-occipital Levator scapulae Hyoid
Cervical spine Sternocleidomastoid Lower cervical and
thoracic erector spinae
Temporomandibular Scalenes Middle and low
trapezius
Scapulothoracic Suboccipital Rhomboids
Glenohumeral Upper Trapezius
Pectoralis major
Pectoralis minor
PowerPosture Month 00, 2003
50 Years Later
Postural correction exercise
Factors Affecting Posture: Mattresses and
Pillows
How to Correct Office Posture
• Adjust seat so that hips, knees and ankles are
at roughly 90°(knees at level of seat, you may
need a footrest).
• Allow 2-3 fingers space behind knees.
• Rest back against backrest.
• Constantly change positions.
• Sit close to work.
• Reduce time seated to 75% of workday. Try
to alternate sitting, standing and walking
every 30 minutes.6
• Adjust lumbar support so that it is in small of
back.
• Keep chin, shoulders and low back aligned
(don’t slump).
So; let’s not follow it?
References
• C norkin , joint structure and function, 4th
edittion
• www google com/pictures

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Forward head posture

  • 1. What is today’s expectation?
  • 2. What do you think??????
  • 4. Forward head posture Hari subedi BPT first year KUSMS , KU
  • 5. Contents • Introduction • Causes • Consequences • Intervention
  • 6. PowerPosture Month 00, 2003 Forward Head Posture It is one in which the head is positioned anteriorly and the normal anterior cervical convexity that is cervical lordosis is increased in comaparision with optimal posture It is often accompanied by protracted scapulae and increased thoracic kyphosis.
  • 7. Research basis • Number of person: 100 • Year group: 20-70 • Plumb line : odontoid process to Cervical 7 • Finding: 16mm anterior to centre of cervical 7 • Greatest lordosis at C1 TO C2 • Little lordosis at rest of other • Kyphotic at occipit and C1 (5 degree)
  • 8.
  • 9.
  • 10.
  • 11. Factors Maintaining Posture a. Ligaments b. Fascia c. Bones d. Joints e. Muscles f. Tendons
  • 12. • What can be the causes??
  • 13. causes • Very common in: • office workers, students, whiplash injuries/accidents Poor eyesight (need glasses) Muscle fatigue/weakness Poor postural sense
  • 14. What happens? • Shortened suboccipital muscles, scalenes, upper trapezius, levator scapula • Hypomobile upper cervical region • Abnormal GH biomechanics • TMJ dysfunction • Thoracic outlet syndrome (scalene involvement) • Forward shoulder posture • Myofascial pain (posterior cervical muscles)
  • 15.
  • 16.
  • 17. PowerPosture Month 00, 2003 Joints Affected Short Muscles Weak Muscles _______________________________________________________________________ Atlanto-occipital Levator scapulae Hyoid Cervical spine Sternocleidomastoid Lower cervical and thoracic erector spinae Temporomandibular Scalenes Middle and low trapezius Scapulothoracic Suboccipital Rhomboids Glenohumeral Upper Trapezius Pectoralis major Pectoralis minor
  • 18. PowerPosture Month 00, 2003 50 Years Later
  • 19.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26. Factors Affecting Posture: Mattresses and Pillows
  • 27. How to Correct Office Posture • Adjust seat so that hips, knees and ankles are at roughly 90°(knees at level of seat, you may need a footrest). • Allow 2-3 fingers space behind knees. • Rest back against backrest. • Constantly change positions. • Sit close to work. • Reduce time seated to 75% of workday. Try to alternate sitting, standing and walking every 30 minutes.6 • Adjust lumbar support so that it is in small of back. • Keep chin, shoulders and low back aligned (don’t slump).
  • 28.
  • 29. So; let’s not follow it?
  • 30.
  • 31. References • C norkin , joint structure and function, 4th edittion • www google com/pictures