Transcript Body Awareness: A Look at Posture and Gait

Emily Raber, ATS and Brian Greene, ATS
A
position of a person’s body when
sitting or standing.
 The
alignment of the body to properly
function with regard to kinematics.
 Functionality
 Minimizing
risk of injury (acute and
chronic)
 Increase quality of life
 Effects
on Gait
• Walking
• Running
• Performance in activities
 Alignment:
• Upper (Above belly button)
• Low Back and Core
• Lower (Below belly button)
 Congenital Discrepancies
 Gait
• Components
 Corrections
• Posture
• Gait
 Anatomy
/ Proper Alignment
• Head and Neck
• Shoulder Girdle
• Upper Trunk
 Ways
anatomy affects posture…
• Muscle Imbalance
• Congenital
 Head
and Neck
• Forward head posture
• Crooked neck
 Shoulder
Girdle
• Alignment
 Rounded shoulders
 Unleveled shoulders
 Winging scapula
 Scoliosis
 Kyphosis
 Anatomy
• Connection
 Vertebral Column
 Ribs
 Abdominals
 Low Back Muscles
 Hips
 Ways anatomy can
• Muscle Imbalance
• Congenital
affect posture…
 Abnormalities
• Scoliosis
• Lordosis
• Kyphosis
 Importance of Core Stability
• Provides good base for everything else to move
around
 Anatomy
• Hip
• Knee
• Ankle and Foot
 Ways
•
•
•
•
anatomy can affect posture…
Muscle Imbalance
Neuromuscular Shutdown
Congenital
Alters gait
Lower Cross Syndrome
This cross can be seen in
multiple configurations.
 Hip
• Pelvic tilt
 Anterior
 Posterior
 Unilateral tilt
• Hip hikes
 https://www.youtube.com/watch?feature=pl
ayer_detailpage&v=z47XH91hkeQ
 Knee
• Genu Valgus
• Genu Varum
• Genu Recurvatum
• Patella Position
 Squinting
 Frog-eyed
Q-Angle
 Ankle
and Foot
• Pronation
• Supination
• Toe-in / toe-out
• Toe walkers
• Limited ROM
 Dorsiflexion
 Great Toe Extension
 Gait: mechanics
and technique of
ambulation (walking and running)
 Problems
with one will effect the other
• Increases likelihood of injury
 Cannot
have one without the other
• Decrease performance

Mechanics of ambulation
• Phases
 Heel Strike
 Stance
 Toe-off
 Swing

https://www.youtube.com/watch?feature=player
_detailpage&v=5j4YRHf6Iyo

Walking vs. Running

https://www.youtube.com/watch?feature=player
_detailpage&v=Zepb-m9HoQQ
 Individual
body awareness
• Instruction is Key
 Congenital
• Some things we will not be able to fix.
 Rehabilitation
• Goals
• Expectations
 Emphasis
• Heel Strike
• Toe-Crinkle
 Scap pinches/push up
• Emphasis on relaxing upper traps
• Progressional
 4 way arm
• Emphasis on correct shoulder posture
 YTW’s
• Emphasis on pinching in back
 Rows
• Emphasis pinching in back
 Stretches: Pectorals
• Straight arm on the wall, bent arms in corner, Foam
roller back stretch
 Deadbugs
 Nike
Touches
 SL Toe Touches
 Spidermans
 Bosu Core
 Planks
• Progression
 Penguins
• Emphasis on the “pop” of mid-foot
 Straight Leg Lunge
• Emphasis on hip extensor activation
 Hip Bridging
• Emphasis on terminal hip extension
 High knee marching
• Emphasis on mid-foot position
 Walking RDL
• Emphasis on balance and hip extensor activation
Emily Raber, ATS & Brian Greene, ATS
Castleton State College
Any Questions?