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M cPhe rson ’s Buildin g
Suite 308, 546-566 Collins Stree t

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!

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!

!

!

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M elbourne VIC 3000

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(03) 9939 1289
w ww .m elb ourneosteop athy cent re .c om .a u
in fo@m elb ourneosteop athy cent re .c om .au

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Presentation*for*Active*Lifestyle*/News*Victoria*Trainers*
*
Postural*Assessment*and*Correction*Workshop*
!

!

Presenters!from!Melbourne!Osteopathy!Sports!Injury!Centre:!!
• Dr!Jessica!Fetterplace!–!Senior!Osteopath/Exercise!Rehabilitation!Consultant!
• Dr!Shane!Buntman!–!Director/Senior!Osteopath!
!
!

!

!
!

Correct*Spinal*Posture/Position*

*

Correct*Posture*
Anatomical*Body*Part*

Correct*Position*

Number*of*Parts* Movement*Patterns*

Cervical!Spine!!

Lordosis!

7!Vertebrae!

Flexion/Extension/Sidebending/Rota
tion!

Thoracic!Spine!

Kyphosis!

12!Vertebrae!

Flexion/Extension/Sidebending/Rota
tion!

Lumbar!Spine!

Lordosis!

5!Vertebrae!

Flexion/Extension/Sidebending/Rota
tion!

Sacrum/Pelvis!

Nutation!

1!

Nutation!(flex),!Counternutation!(ext)!
Upward/Downward!Rot,!
Elevation/Depression,!
Adducted/Abducted,!Anterior!Tilt,!
Winging!

Scapula!

Neutral!

2!

Shoulder!Girdle!(SC!jt,!
AC!jt,!clavicle,!scapula)!

Neutral!

2!

Humerus!

Neutral!

2!

Internal/External!Rot!

Forearm!(ulnar/radius)!

Neutral!

2!

Supination/Pronation!

Hand/Wrist!

Neutral!

2!

Flex/Ext,!Ulnar/Radial!Deviation,!
Supination/Pronation!

Fingers!

Neutral!

10!

Flexed,!Adducted/Abducted!

Femur!

Slight!external!
rotation!

2!

External/Internal!Rot,!Flex/Ext,!
Adducted/Abducted!

Lower!leg!
(tibia/Fibula)!

Neutral!

2!

Ankle/Foot!

Neutral!

2!

*

Protracted/Retracted!

!External/Internal!Rot!
Pronation,!Supination!
!

Common%postural%conditions%and%dysfunction%

!

!
Anatomical%
Body%Part%

Movement%
Dysfunction%

Common%Conditions%

Lumbar!(lx)!spine!

Flat!–!Flexed!

Ligament!sprain,!Disc!
bulge,!Lx!erector!spinae!
strain!

Hypertonic%muscles%
(need%to%stretch)%
Hamstrings,!Rectus!
Abdominus,!Diaphragm,!
QL!

Lumbar!spine!

Extension!C!
hyperlordotic!

Facet!joint!sprain,!SIJ!
sprain!

Quads,!hip!flexors,!Lx!ES,!
latissum!dorsi!(lats),!gluts!

Thoracic!spine!

Flat!C!Extended!

Facet!joint!sprain!

Thoracic!spine!

Flexed!C
Hyperkyphotic!

Ligament!sprain,!!Rib!
sprain,!Disc!bulge,!Tx!
erector!spinae!strain!

Tx!erector!spinae,!
rhomboids,!middle/lower!
traps,!Lats!
Rectus!Abdominus,!
Diaphragm,!QL,!pecs,!sub!
scapularis,!obliques!

Weak%Muscles%
(need%to%strengthen)%
Gluts,!multifidus,!Lumbar!
extenors!Lx!ES),!latissum!
dorsi!
Transverse!Abdominus!
(TA),!!posterior!obliques,!
hamstring!

Mobilisation%
Position%

Serratus!Anterior!

flexion!

multifidus,!Tx!extenors,!
latissum!dorsi,!

extension!

extension!
flexion!
!

Common%postural%conditions%and%dysfunction%(continued)!
Cervical!spine!

Flat!/!Flexed!

Cervical!spine!

Extension!–!
hyperlordotic!

Pelvis/Sacrum!

Nutation!/!flexion!

Pelvis/Sacrum!

Counter/nutation!/!
extension!

Shoulder!Girdle!

Protracted!–!
rounded!shoulders!

Shoulder!Girdle!

Retracted!

Humerus!

Humerus!
Humerus!

Ligament!sprain,!Disc!
bulge,!Cx!erector!spinae!
Anterior!Cx!muscles,!SCM!
strain,!headaches,!
upper!trap!strain!
Facet!joint!sprain,!
Upper!traps,!Cx!Ext!
headache!
SIJ!sprain,!Lx!facet!joint!
Hip!flexors,!quads,!
sprain!
satorius!
Ligament!sprain,!Disc!
bulge,!Lx!erector!spinae!
hamstring!
strain!
Ligament!sprain,!!Rib!
sprain,!Disc!bulge,!Tx!
Pecs,!biceps,!sub!
erector!spinae!strain,!
scapularis,!
shoulder!impingement,!
Facet!joint!sprain,!
costochondritis,!bicep!
Tx!erector!spinae,!
tendinitis,!labral!tears,!
rhomboids,!middle/lower!
posterior!shoulder!
traps,!Lats!
impingement,!anterior!
GH!instability!

Internal!rotation!
Shoulder!impingement,!
(pronation!forearms,!
biceps!impingement,!
flexion!of!
bursitis!
wrist/elbow)!
External!rotation!
Biceps!tendinopathy,!
(supination!
posterior!GH!
forearms,!extension!
impingement,!labral!
of!wrist/elbow)!
tears!
Abducted!

Bursitis,!impingement!

Upper!traps,!Cx!Ext!

extension!

Anterior!Cx!muscles,!SCM!

flexion!

Hamstring,!TA!

Counter/nutation!/!
extension!

Quads,!multifidus,!gluts!

Nutation!/!flexion!

Rhomboids,!rotator!cuff!
(external),!traps!

extension!

Sub!scapularis!

flexion!

Biceps,!pec,!lats,!sub!
scapularis!

External!rotators!of!GH,!
rhomboid,!middle/lower!
trap!

External!rotation!

External!rotators!of!GH,!

Biceps,!pec,!lats,!sub!
scapularis!

Internal!rotation!

Deltoid,!upper!trap!

Lats!

Adduction,!inferior!
glide!
!

Common%postural%conditions%and%dysfunction%(continued)!
Femur!

Femur!

Femur!
Femur!
!
!
!

!

Internal!rotation!
(anterior!
Hip!labral!tear,!hip!
innominate,!internal!
impingement,!glut!
rotated!tibia,!
strain!
pronated!foot)!
External!rotation!
(posterior!
Anterior!hip!capsule!
innominate,!external!
sprains,!hip!ligament!
rotated!tibia,!
sprain,!hip!flexor!strain!
supinated!foot)!
SIJ!sprain,!TFL!strain,!
glut!med!strain,!lateral!
Adducted!
knee!pain!(runners!
knee)!
Hip!bursitis,!adductor!
Abducted!
strain!

!

Hip!adductors,!TFL,!ITB,!
medial!quad,!!medila!
hamstring!

Deep!hip!external!rotators,!
glut!max!

External!rotation!
and!extension!

Piriformis,!glut!max,!deep!
hip!external!rotators,!
hamstring!

Adductors,!glut!med!(in!
flexion)!

Internal!rotation!
and!flexion!

TFL/ITB,!adductors!

Glut!med/min!

abduction!

Glut!med/min!

adductors!

adduction!
!

Red$Flags$–$When$to$refer$to$Osteopath$or$GP$
!
•
•
•
•
•
•
•
•
•
•
•
•

Acute!pain!during!movement!–!high!level!of!intense!pain.!
Pain!not!alleviating!after!a!week!of!rest!i.e.!disc!injury!presenting!as!a!calf!strain!or!hamstring!
strain.!
Client!complaining!of!neurological!signs!and!symptoms!i.e.!pins!and!needles,!numbness,!
tingling.!
Pain!getting!worse!during!exercise.!
Heart!palpations.!
Shortness!of!breath.!
Client!unable!to!lumbar!flex!with!out!pain.!
Noticeable!swelling!at!peripheral!joints,!lower!limbs!(legs)!or!on!the!spine!i.e.!knee,!ankle,!
wrist,!elbow.!
Marked!reduction!in!range!of!motion!at!a!joint.!
Reoccurring/repetitive!injury.!
Muscle!pain!not!improving!with!stretching!or!strengthening.!
Fever,!chill,!increased!temperature.!

!
This!is!a!list!of!the!most!common!red!flags!that!may!present!in!your!clients!–!this!is!not!a!complete!list.!!!
!
If!you!ever!have!any!concerns!about!your!client!or!you!feel!they!are!presenting!with!unusual!
symptoms!refer!them!to!their!GP!as!soon!as!possible.!
!
!
!
!
!

!

M cPhe rson ’s Buildin g
Suite 308, 546-566 Collins Stree t

`!

!

!

!

!

!

!

M elbourne VIC 3000

!

(03) 9939 1289
w ww .m elb ourneosteop athy cent re .c om .a u

!

!

in fo@m elb ourneosteop athy cent re .c om .au

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Postural Assessment and Correction Workshop