PostureLECTURER: Dr. Leonard H.Joseph

Prepared by: Gee Shuk HueyLim Yi YuRaidah Hanisa BT RuslanNoorliana Binti MasriPavapriya A/P PonvelMohammad Khairat Azwan

Introduction• Upper Crossed Syndrome• Lower Crossed Syndrome

Characteristics• Head protraction• Shoulder protraction• Trunk lordosis• Pelvic anterior tilt• Lower leg pronation – flat

footedness/knocked-knees

Effects• Trigger points• Ache/burning sensation in shoulder

and arm• Underlying shoulder problem• Breathing disturbance• Depression/migraine• Weak immune function

Causes• Poor posture• Predisposing activities• Fatigue

Characteristics of Spine

Cervical spine

Thoracic spine

Lumbar spine

Examples of abnormal posture

Postural Correction Techniques

• Posture education• Avoid prolonged posture• Stay physically active• Correction exercises

Postural Correction Exercises

Corrective Stretches

Brugger’s stretch

Chin tuck Forward lunge

Pectoralis stretch

Quadriceps stretch

Stretching GuideStretch the specific muscle for duration of 15 seconds. (Roberts et al.,1999) Repeat for 2-3 times. (Hillsboro Physical Therapy,2015)

Corrective Strengthening

Deep neck flexor exercise

Bridging

Plank

Scap TReverse fly

Target: Upper Crossed Syndrome

Target: Lower Crossed Syndrome

Progression exercise

Functional ExerciseFunctional Exercise

Patient Education

Thank You!