Session 7

Session 7

Unit 307: Provide body electrotherapy treatments

Session 7

Body types

What is a body type?

• Body types can indicate various characteristics:

– type of diet required

– lifestyle

– health

• There are seven body types which are often referred to as somatypes.

(Handout 10)

Session 7

Somatypes

• Balanced

• Ectomorph

• Endomorph

• Mesomorph

• Endo-Ectomorph

• Ecto-Mesomorph

• Meso-Endomorph

Session 7

Endomorph characteristics

• 80% fat• 10% muscle• 10% lineality• Large round head• Small facial features• Short neck• Round, plump in the extreme, as near spherical as possible• Average to short stature/height• Large fat abdominal area• % of fat well developed areas of residual fat, deposited on hips,

abdomen, neck, upper arms and shoulders• Spine flat with reduced curves• Tendency to be sluggish• Very sociable usually

Session 7

Endomorph

Session 7

Mesomorph characteristics

• 80% muscle• 10% fat• 10% lineality• Lifestyle athletic; very active• Powerful and agile• The body type has a low percentage of fat, minimal areas of adipose tissue• Classically athletic• Well developed and toned muscles• Well defined bone structure• Cubical head• Broad shoulders, deep chest• Well marked curves of the spine• Tendency to be overweight in later life• Skin tans easily• Needs first class protein• Manic depressive tendency

Session 7

Mesomorph

Session 7

Ectomorph characteristics

• 80% lineality

• 10% muscle

• 10% fat

• Has equal % of fat and muscle

• Lacks strength and stamina

• In extreme the linear man, long limbs and lacking curves

• Thin peaked facial bones

• Large cranium and high forehead

• Compressed heart and lungs

• Minimal areas of residual fatty areas

• Well marked curves – bony prominence

• Average height

• Needs high quality food

Session 7

Ectomorph

Session 7

Postural assessment

• The therapist will need to have a basic understanding of the structure of the spine and how to identify postural and figure faults, body type, muscle tone, fat type and skin conditions

• This will allow the therapist to select the most appropriate electrical and mechanical treatments and products for the conditions present

Session 7

Posture/spinal column

Session 7

Postural faults

There are 3 main postural faults to be considered:

1. kyphosis

2. lordosis

3. scoliosis

Session 7

Kyphosis

• Also known as round shoulders

• A kyphotic curve looks like the letter ‘C’ with the opening towards the chest, which causes an increase in the normal backward curve of the thoracic spine

Session 7

Symptoms of kyphosis

• Round shoulders

• Tight and shortened pectoral muscles, neck flexors, hamstrings and gluteals

• Poking out nose and chin

• Extensors of upper neck and back are lengthened/stretched and therefore weakened, (extensor splinius, sacrospinalis, errector spinae, trapezius, rhomboids, the hip flexors and quadriceps, rota cuff muscles)

• In kyphosis the ileum of the pelvis is tilted backward at a 45-degree angle and the pubis bone is tilted forward which affects the hip flexors and hip extensors

Session 7

Causes of kyphosis

• Kyphosis tends to start between the age of 10 and 20 years and its most common cause is habitual bad posture ie, faulty sitting position

• However other causes include:

– congenital spinal problem, Cerebral Palsy

– over-rapid growth rate in childhood

– lack of proper exercise

– trauma to the spine

Session 7

Normal spine

Session 7

Lordosis (Abnormal curvature of the lumbar spine)

Session 7

Lordosis

• Commonly referred to as hollow back or sway back

• With this condition there is an abnormal and excessive inward curvature of the lumbar vertebrae

• The angle of pelvic tilt is increased forward to 75% and the chest is elevated with the shoulders pulled back

Session 7

Symptoms of lordosis

• Lower back pain

• Buttocks/gluteals appear prominent due to excessive arching/curving of the lumbar spine

• There is tightness of the hip flexors and hamstrings

• Weakness in the abdominal and gluteal muscle groups

Session 7

Main causes of lordosis

• Congenital

• Pregnancy; pelvic tilt alters

• Poor postural habits especially with people whose occupation requires long periods of standing, shop assistants etc

• Overweight clients, due to the angle of the pelvic tilt altering

• Gymnasts, due to the posture

• May occur in childhood

Session 7

Scoliosis

Signs of scoliosis:

• uneven shoulders

• curve in spine

• uneven hips.

Session 7

Two types: ‘C’ or ‘S’ curve

• There may be one large ’C’ shaped curve extending the whole length of spine or two smaller curves

• One primary ‘C’ which occurs near the top of the spine whilst the other compensatory curve occurs near the base of the spine in the opposite direction to counter balance the body weight

• Most ‘C’ curves are to the left due to the majority of people being right handed

• Scoliosis ‘S’ curve (S for scoliosis and sideways)

• Usually one lumber and one thoracic curve, pelvis tilted down on side of convexity in lumbar area. Scapular level at thoracic area

• 80% of ‘S’ scoliosis is due to poor posture

Session 7

Causes of scoliosis

• Bad posture due to faulty sitting habits, common in adolescent girls, results in muscular imbalance between muscles, leading to permanent changes in body structure long term

• Rapid growth can also cause scoliosis, although rare

• In 80 per cent of cases, the cause is unknown

• Abnormal development of the bones in the spine, which is present at birth, can cause scoliosis

• A variety of conditions affecting the neuromuscular system; nerves and muscles; can cause scoliosis

• 90% of children have a slight curve which corrects itself over time

• 10% require surgery

Session 7

Revision

1. Identify where in the spine the curvature associated with kyphosis is located.

2. State the normal angle of pelvic tilt.

3. Identify the degree of pelvic tilt associated with kyphosis.

4. Name one anterior muscle that is contracted/tight with this condition.

5. State the vertebrae affected with this condition.

6. Name the most common cause of scoliosis.

7. State where and what type of curves occur.

8. State the location on the spine of the abnormal and excessive curvature associated with this condition.

9. Identify the angle of the pelvic tilt in lordosis.

Session 7

Answers

1. The curvature associated with kyphosis is in the thoracic spine.

2. The normal angle of the pelvic tilt is 55 to 65 degrees.

3. The degree of pelvic tilt in kyphosis is 45 degrees.

4. Tight and shortened pectoral muscles and neck flexors.

5. Cervical 6th and 7th vertebrae affected with fibrous and fatty tissue building up.

6. Abnormal development of the bones in the spine, which is present at birth, poor posture, rapid growth pre-puberty.

7. There are two types of scoliosis, ‘C’ curve or ‘S’ curve.

8. There is an abnormal and excessive inward curvature of the lumbar vertebrae.

9. The angle of pelvic tilt is 75 degrees.

Session 7

Weighing

• Always use the same scales

• Make sure the scales are on a firm base

• Always return the scales to 0 prior to weighing

• Client should stand with their weight evenly distributed on both feet.

• Your client should wear minimal clothing

• Check weight against height and frame size

Session 7

Measuring

• Measure around the fullest part of the area of the body and make sure the tape measure is:

a. not too tight

b. not twisted

c. parallel with the ground

d. placed in the same place each time

Session 7

Wrist measurement in relation to frame size

• 2.5 cm = 1 inch

Large frame women

6 or more inches

men

7.5 or more inches

Medium frame

women

5.5-6 inches

men

6.5-7.5 inches

Small frame women

5.5 or less inches

men

6.5 or less inches

Session 7

Checking for postural faults

• Use a straight line or plumb line

• Check for postural/figure faults observing posterior, anterior and lateral surfaces

• Make sure the client’s weight is evenly distributed with both feet firmly on the ground

Session 7

Points to consider for manual assessment review

• Postural assessment

• Somatype

• Mobility/flexibility

• Fat distribution/BMI

• Muscle tone

• Areas of tension

• Local contra-indications

• Skin condition/any areas of imperfections

Session 7

Any questions?