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What is hyperlordosis

An increase in the normal lumbar lordotic curve with increased anterior pelvic tilt and hip flexion

Describe pelvic crossed syndrome

Shortened hip flexors and lumbar muscles inhibit the muscles that are antagonists across from them

Which muscle increases the normal lumbar lordotic curve in a standing position

Contraction of the iliopsoas

Which muscles are short and tight with someone that has hyperlordosis

Iliopsoas, retus femoris, TFL, QL, Lumbar erctor spinae

Which muscle is a postural muscle that shortens with foot pronation

Piriformis

Which muscles are stretched weak and taught

Rectus Abdominus, Internal/external obliques, Glute Max, Hamstrings

What other postural dysfunctions might there be with hyperlordosis

Forward head carriage, Protracted and internally rotated shoulders, protruding abdominals, hyperyphosis, anterior pelvic tilt, hyperextended knees, hips/legs externally rotated, weighted centered forward on feet

What may be a pathology present with hyperlordosis

Spondylolisthesis - a defect in the neural arch consisting of anterior slippage of the lumbar vertebrae following a bilateral fracture of the pes interarticularis. Most common between L5 and S1

What are some causes of hyperlordosis

Sustained poor posture, prolonged standing, bilateral IT band contraction and pes planus, weak ab muscles from either disuse or surgery, pregnancy or obesity

What are some symptoms present with hyperlordosis

Pain may arise from tight ischemic tissue, overstretched tissue or trigger points, ROM is at the hip is reduced, facet joint pain

In women the anterior curve should be no more than how much

10%.

In males what should the pelvis tilt be

5% or less

What are some non-postural signs and symptoms for hyperlordosis

Deep dull ache in ischemic muscles, multiple trigger points, decreased lumbar AROM in extension, sharp localized lumbar pain with movements due to facet joint irritations (joints become weight bearing)

What is the recommended treatment time

Once per week for 6 weeks

What test will render a positive result for a short iliopsoas and retctus femoris

Thomas Test

What test renders a positive result for a short TFL

Ober's Test

When the client is in prone where should bolsters and rolled towels go

Under the shoulders, ankles and Abdominals just superior to the ASIS

When the client is in supine where should the towels and bolsters go

EOP, Thorasic SPs Distal Sacrum and Knees only if needed

What visceral pathologies may refer pain to the back and lateral leg

Prostate cancer. Bone cancer may also have bilateral back pain often worse at night

What is the best hydrotherapy used to treat hyperlordosis

Heat

When treating a client with hyperlordosis when might you use cool therapy

To stimulate the glutes and hamstrings

How is fascia directed over posterior shoulders

Lateral to medial, superior to inferior

What happens to the rhomboids

They become weak and lengthened

What is the direction of myofasical release on the anterior shoulders

Inferior to superior, medial to lateral

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