Hi my name is Dr. Shaboo and I am from PhysioChiroWellness and today we're going
to talk about different types of postures and how we can treat it and what
of the characteristics from that. OK so the first one - I have my assistant going
to exaggerate the forms just so you can understand really what's going on.
So the first form that we're going to see is something called upper crossed with
a little bit of anterior head carriage. So what that does mean is that the neck
has been pulled forward and the shoulders are rounded which creates a
kind of like a slouch in the upper back. And what that does is that creates the
muscles in the back - a muscle imbalance. The muscles in the back starts to
be pulled and they're over stretched out and aggravated. Inside where the chest is
all those muscles are again shortened and contracted. The neck muscles in the
back they're compressed and contracted and then the muscles in the front are
elongated and also aggravated and inflamed. It's called upper crossed
because it's elongated here as well as here it's contracted in here as well as
into the chest, so it forms a little bit of an X. From a muscular standpoint
that's not good. It creates a muscle imbalance that can cause problems.
From a postural joint as well it's not good. The transitions zone between the
neck and the mid-back, that transition zone, is accelerated arthritis because it
creates a lot of pressure, instead of the neck taking all - the vertebrae of the
neck taking all the pressure that transition zone is taking most of the
grunt of the pressure. As well right in here I'm gonna say the levels but it's
T4 to T6 so right in your mid-back that creates a lot of the pressure. Now I'm
going to fix this posture to more of an aligned posture so you can see the
difference. So the shoulders will come back the head goes back in now from a
muscular point of view to keep this posture you would need to strengthen
this area, you would need to stretch out the chest
the neck needs to come back in and you just strengthen the back of the
neck as well as stretch out the front of the neck. That also being said the
transition zone now is not there's not a lot of pressure because the neck every
vertebrae has taken pressure the neck is straight the middle of the back doesn't
have all that pressure either. Every vertebrae in the middle of the mid-back
is now taking pressure of the of the of the mid-back. So this is the proper
alignment, now how do we get there? The way we actually get there
is working with an integrated approach. First you need to
start to learn the exercises to create the stretching and strengthening so that
would be physiotherapy. You would need the chiropractor to work on those joints
to create movement in the joints to allow for this new posture and you would
need massage to go in there break up the scar tissue because this is not
something that you just get overnight this is taking years of bad posture to
become where you are so you need to break the scar tissue allowing for that
proper alignment. OK so that is upper crossed syndrome now we're gonna move it a
little bit lower and we're gonna go toward its lower crossed syndrome. Now
there is a little bit of a different form I'm going to
just get you to jut out and exaggerate the form. For lower cross syndrome is again a
posture where the lower back is contracted, and this is
irritated and inflamed as well. The core is now elongated and it's
weakened so it's not a good thing, it doesn't allow for the flexors and the
psoas to have enough strength to bring that knee up. In terms of the joints
there's a lot of pressure into the spine as well which creates a lot of problems
into the spine as opposed to every vertebra taking again
the weight of the lower back. The glutes are also overworked and
weakened at that point as well so to fix this posture we're going to try to bring
that all the way back, we're gonna have to stretch the lower back, and we're
going to learn stretches through that. Activate the core so a lot of the core
muscles need to work, start to strengthen the psoas, and stretch out the glutes so
this is again a muscle imbalance that we need to work on with chiropractic to
adjust the joints to help to create that that good alignment and to stabilize it
and massage to get in there to break the scar tissue and again this is something
that you don't just develop overnight this is over years. Now what I did not
discuss with both of these she was where how does this happen what kind of jobs
what kind of positions create this with upper crossed you're looking at your
corporate type. A lot of prolonged sitting can create this type of position
we even actually call it students syndrome because a lot of students that
go through school they sit in a proper posture and all of a sudden they slouch
so that creates that is what happens and then from school you go into a corporate
job and you're again with this posture. A lot of looking down to if you're looking
to text or you're looking to read a lot will create that forward anterior head
carriage with your lower back a lot of prolonged sitting creates this - I'm
sorry prolonged standing would create that and especially if they have are
flat-footed that would also create that kind of impact as well. Now we've talked
about upper crossed we've talked about lower crossed I'm going to get my
assistant to turn her face that way we're going to talk about a scoliosis so
she is now gonna form a scoliosis for you. There's two different
types there's a functional and a structural. Structural is something that
I've addressed in another video but structural is something that is
congenital, functional is something which we actually can work on it is temporary
pressure to the spine. So in this example it means that the spine is done a
lateral curvature in some way. There's a couple of different types one which my
assistant is doing right now is that she's going it's called an s-curve the
spine is instead of going nice and straight it's making a curvature to
the left and then another curvature to the right. Now that creates an imbalance
in different muscles. The muscles on this side are contracted, they're
shortened. The muscles on the outside of the curvature are elongated and also
both are inflamed, both are have trigger points that need to be taken
care of. Again with this curve at the top all the muscles on the outside here are
also elongated and all the muscles on the inside are contracted. So exercises
are going to be separated exercises for the inside are working to stretch the
muscles out exercises on the outside of the curve are working just to strengthen
the muscles to contract them all putting pressure towards bringing that spine to
the centre. Chiropractic works on the spine and moving the
joints to help with that proper alignment, physiotherapy works
actually with the exercises alignment, and massage works on those scar tissues
to break down that area break the inflammation and get rid of the trigger
points. With functional if we catch it at an adolescent age were able to help not
delay or make worse of the actual degree of the scoliosis so adolescent age is the
perfect way to see that a characteristic for this would be
different shoulder blade lengths, protruding scapula, uneven hips, so those
are certain signs that something is going wrong. So again you would have to
get an x-ray as well but we can help with the degree of it, so adolescence is
a perfect time for us to work on this and we do specialize with it. When you
reach adulthood this is just delaying the process what we don't want is there
to become chronic aggravation of those muscles and the joints so we're really
working towards a better improvement of your life. Orthotics actually help as
well because if there is a leg length discrepancy if one leg is longer than
the other which is creating this uneven hip, with a functional scoliosis we're
able to actually put orthotics in to help align it, so she'll go right back in
and that will help lower the help even out the lower curvature. Sometimes the
different scoliosis could be straight and then a C curve, some could be a C
curve on one side and then straight some it might not even be called
scoliosis but just a movement to the side a little more of a movement, we call
it a list to the side and wouldn't be defined as a scoliosis, it would just be
a little bit of a turn curvature. That is the easiest to solve because we just
work on releasing that pressure to the spine and again work on exercise for
strengthening and stretching. OK any other questions please come in the
first step is to get an assessment where one of our chiropractors are able to
assess the structure and the function of the joints and then our physiotherapists
are able to look at the muscles as well and based on that we would basically
tell you a program that would be integrated that would help you for your
specific posture okay if you have any other questions give us a call at
PhysioChiroWellness clinics. thank you so much
you