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

PowerPostureMonth 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. Ligamentsb. Fasciac. Bonesd. Jointse. Musclesf. Tendons

•What can be the causes??

causes

• Very common in:• office workers, students, whiplash injuries/accidents

Poor eyesight (need glasses)Muscle fatigue/weaknessPoor 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)

PowerPostureMonth 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

PowerPostureMonth 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