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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 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
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)
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
When treating a client with hyperlordosis when might you use cool therapy
To stimulate the glutes and hamstrings
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