1. Postural Considerations HS 349L

2. Level Landmarks Shoulders Shoulders Hips Hips Finger tips Finger tips Inferior angle of scapulae Inferior angle of scapulae Arms equi-distant from trunk Arms equi-distant from trunk 2:1 Ratio- medial malleoli: medial femoral condyle 2:1 Ratio- medial malleoli: medial femoral condyle

3. Wolf’s Law of Bone Growth Bone has a tendency to grow according to the stress and strain placed upon it. Bone has a tendency to grow according to the stress and strain placed upon it.

4. Stretching and Strengthening a Postural Curvature Stretch the concave side of the curve Stretch the concave side of the curve Strengthen the convex side of the curve Strengthen the convex side of the curve

5. Plumb Line Side View Side View Through middle of the ear Through middle of the ear Through middle of the shoulder Through middle of the shoulder Through middle of the hips (greater trochanter) Through middle of the hips (greater trochanter) Through middle of the knee Through middle of the knee Slightly anterior to lateral malleolus Slightly anterior to lateral malleolus Frontal plane (posterior view) Frontal plane (posterior view) Divide the right and left half of the body-midline Divide the right and left half of the body-midline

6. Good Posture

7. Lordosis An exaggerated anterior curvature of the spine An exaggerated anterior curvature of the spine Usually in the lumbar region Usually in the lumbar region Big Five Exercise Routine Big Five Exercise Routine Strengthen abdominals Strengthen abdominals Stretch lumbar area Stretch lumbar area Strengthen the Hamstring muscles Strengthen the Hamstring muscles Stretch the Quadriceps Stretch the Quadriceps Pelvic Roll Pelvic Roll

8. Kyphosis An exaggerated posterior curvature of the spine An exaggerated posterior curvature of the spine Usually in the thoracic region of the spine Usually in the thoracic region of the spine Emphasize the convex/concave curve concept Emphasize the convex/concave curve concept Strengthen the upper back muscles Strengthen the upper back muscles Stretch the chest muscles Stretch the chest muscles

9. Scoliosis Lateral curvature of the spine Lateral curvature of the spine Simple “C” curve Simple “C” curve Compound “S” curve Compound “S” curve Identification techniques Identification techniques Scoliometer Scoliometer Meter stick Meter stick Vertebral Spinous Process (mark) Vertebral Spinous Process (mark)

10. Scoliosis

13. Progressive Static Stretch Routine PSSR (Make sure the body part is warm before beginning the stretch routine) PSSR (Make sure the body part is warm before beginning the stretch routine) Static stretch-15 seconds Static stretch-15 seconds Release- 15 seconds Release- 15 seconds Static stretch- 30 seconds Static stretch- 30 seconds Release- 15 seconds Release- 15 seconds Static stretch- 45 seconds Static stretch- 45 seconds Release- 15 seconds Release- 15 seconds Static stretch- 60 seconds Static stretch- 60 seconds Release- 15 seconds Release- 15 seconds