Lower Crossed Syndrome involves a group of shortened contracted muscles that cause lower back or hip pain. This lower cross involves muscles in the lower back and hips that become tight over time while the abdominal muscles and glutes becomes weak leading to this pattern of overactive and under-active muscles. This is a fairly common issue for many chiropractic patients. At Aligned Modern Health, we believe that chiropractic care can be an effective way to resolve symptoms associated with lower crossed syndrome. Our team of experienced chiropractic physicians can evaluate each patient and create a custom treatment plan that will work to reduce or eliminate their symptoms. Show What is Lower Crossed Syndrome?Lower Crossed Syndrome is an imbalance of muscles in the body, which can lead to posture changes. This is often caused by prolonged sitting, lack of core muscles or stability, and/or poor posture. Those with a sedentary lifestyle are more likely to develop symptoms associated with lower crossed syndrome. This muscle imbalance can lead to an unstable back, which increases someone’s chance of injury and problems with their pelvis, hip joints and/or lower back. Someone with lower crossed syndrome generally has an arched back, flexed hips, lack of muscle in the buttock and a bulging abdomen. SymptomsSome symptoms that those with lower crossed syndrome experience include: tightening muscles, hip flexor and lower back pain, ache or burning in the shoulders, pins and needles in the hands and/or arms, migraines/tension headaches, allergies or weak immune system and more. Lower Crossed Syndrome TreatmentAt Aligned Modern Health, we aim to find the root cause of the pain and to rule out other conditions before providing any chiropractic care. Some of the treatment options we use include a variety of manual therapies including myofascial release, friction massage, and active release therapy. Our treatment plan aims to help strengthen a variety of muscles to resolve your pain including and not limited to: the gluteal muscles, abdominals, hamstrings, hip flexors, calf, lower back, quadriceps, and more. We also provide acupuncture for patients too, which aims to speed up healing in the body and to reduce pain. This treatment option focuses on energy flow and helps with tissue repair. This makes it an excellent choice for lower crossed syndrome treatment. Our professional team at Aligned Modern Health is highly trained and experienced with acupuncture and can create a personalized plan that seeks to reduce and/or eliminate your pain over time. Please note that with any type of chiropractic or acupuncture treatment, a series of sessions may be necessary for full recovery to occur. The goal is to address the weakened muscles of the glutes and abs that are involved. This is important as it will help resolve the symptoms felt. If the tight muscles are the only ones treated then the symptoms will return in the future. Our experienced team of chiropractic physicians can provide a custom rehabilitation plan for each particular patient and their pain/symptoms. Schedule an Appointment Today for Lower Crossed Syndrome Help TodayTo request an appointment at our health and wellness center in Chicago, fill out the form below. Our team at Aligned Modern Health will contact you as soon as possible regarding your pain to explain some of the treatment options we can provide you. If this is an emergency and you need immediate help, please call our office at 773-598-4387. •Static Alignment •Hypomobility •Forward shoulders (Hip-flexor) would decrease the neural drive of the Gluteus Maximus, resulting in synergistic dominance. What would compensate for a tight Psoas • Hamstrings would compensate giving the neural drive the Human Movement System needed. Common Impairments of the Foot/Ankle •Hyperpronation of the foot Low back pain has presented the following: •Impaired postural control. Which of the following muscles in an antagonist to the Psoas during hip flexion? •Muscles imbalances What percent of individuals experience recurrent/instability within 2 years? What do they risk to develop? •Glenohumeral Osteoarthritis Functionally tightened or overactive muscles accompanying the lower-extremity movement impairment symptoms include: •Peroneals, Lateral Gastrocnemius, Soleus, Lateral Hamstrings, iliotibial band, Adductors Some of the major muscles of the local muscular systems include the: •Transversus Abdominis, Multifidus, and the Internal Oblique Which of the following muscles would become synergistically dominant when the Gluteus maximus lacks the ability for neural drive/recruitment and force production to properly perform hip extension? What hip muscle has been shown to become weak after an ankle sprain? A low back injury typically weakens which of the following apply (Local Core Stabilizers) •Internal Obliques, Transverse Abdominis, Lumbar Multifidus Sitting for a large portion of the day can, in turn, lead to tight what? Which causes postural imbalances within the Kinetic Chain. Static Postural Assessment, might not be able to identify?
• Structural (biomechanical) problems 3 Most Common Distortion Patterns? • Lower Crossed Syndrome The Kinetic Chain Checkpoints are? • Feet/Ankle Which of the following is a muscle that is prone to lengthening? Florence & Henry Kendall study of muscle compensations addressed postural deviations through the? •Agonist-antagonist muscle group relationship Hips that are shifted off the midline are most likely indicative of? • load-bearing habits to one-add side Two movement assessment categories •Movement with a change in base support like (walking, and jumping). •Movement without change in one's base support like (pushing, squatting, pressing, and balancing) Kinetic Chain Checkpoints •Ankle 2 Types of Transitional Assessments •Overhead Squat •Evaluates total body structural alignment, dynamic flexibility, and neuromuscular control Modifications of the Overhead Squat: •Squat w/ elevated heels either on a weight or 2 by 4 wood stick. Squats do not improve for the Overhead Squat: •Upper body has little effect on deviations Squats improves on the Overhead Squat: •Foot and Ankle dysfunction (Lack range of motion) •Assess dynamic flexibility, core strength, balance, etc. Common postural deviations 1.) Arching of the lower back / abdomen protruding 2 Types of dynamic assessments: •Gait Analysis- to assess one's dynamic posture during
ambulation (walking on a treadmill) Overactive: Underactive: Overactive: Underactive: •Piriformis external rotator is weak if the squatted leg turns the hip away Lower back arches on an Overhead Shoulder Press what's underactive? Horizontal test for the back of the hands to touch the wall w/o any compensations or movement? •Moves forward knees (Valgus) According to the test, (Overhead Squat, etc.) which of the following muscles is typically overactive? According to the test, which of the following muscles is typically overactive? According to the test, which muscle is typically overactive? According to the test, which muscle is typically overactive? • How individuals physically present themselves in stance • How individuals is able to maintain an erect posture while performing functional tasks • The connective tissue in and around muscles and tendons • Alteration in the functional relationship b/w pairs or groups of muscles. • The rate of muscle recruitment and the timing of muscular contractions within the Kinetic Chain. Pronation Distortion Syndrome •A dysfunctional muscle pattern characterized by the foot pronation and lower extremity muscle imbalances •A dysfunctional muscle pattern characterized by an anterior tilt to the pelvis and lower extremity muscle imbalances • Dysfunctional muscle pattern, forward head and rounded shoulders w/ upper extremity muscle imbalances What aassessment provides indicators of problem areas that might be further evaluated to clarify the problem? • Static Postural Assessment Treating symptomatic complaints using __________, may lead to further dysfunction, adding layer on layer of structural and neuromuscular adaptations? • Anti-inflammatory medications, modification of activities, or simply pushing through the pain Looking for causative factors of __________, will likely result in the selection of effective intervention strategies to alleviate the dysfunction? • Inflammation, discomfort, or pour performance. The combinations of tight end weak muscles typically does not alter normal movement patterns? There maybe several causative factors for changes in joint alignment including quality & function of myofascial tissue and alteration in muscle-tendon function Muscle that is repeatedly placed in a shortened position, such as the iliopsoas complex during sitting, will eventually adapt and tend to remain short. Chronic use of the right lower extremity while driving, w/o awareness of trying to maintain symmetry, may allow the body to shift to the right and promote external rotation of the lower extremity. According to the text, what muscle is prone to lengthening (weakness)? According to the text what muscle is prone to tightness (overactive)? Which postural distortion pattern is characterized by increased lumbar lordosis and an anterior pelvic tilt? Which postural distortion pattern is characterized by rounded shoulders and a forward head posture? Which postural distortion pattern is characterized by excessive foot pronation (flat feet) knee rotation, internal rotation, and adduction (knock-knee)? • Pronation Distortion Syndrome • Establishing normal length-tension relationships, which ensures proper length and strength of each muscle around a joint • The force transference from the nervous system to the muscular and skeletal systems as well as from joint to joint • The distance one can squat down on one leg while keeping the knee aligned in a neutral position (in line with the second and third row) • Assessments that involve movement with a change in one's base support Transitional movement assessment • Assessments that involve movement without a change in one's base support Muscle balance is essential for __________to maintain precise joint motion and ultimately decrease excessive stress placed on the body? • Optimal recruitment of force-couples Any muscle, whether shortened or lengthened state, can be underactive or weak b/c of what? • Altered length-tension relationships or altered reciprocal inhibition. Alterations in muscle activity will change the biomechanical motion of the joint and lead to increase stress on what? –The tissues of the joint and eventual injury. Movement assessments can be categorized into two types: –Transistional and Dynamic assessments Knee Valgus during the overhead squat test is influenced by decreased hip ______ and hip ______rotation strength, increased hip ______activity, and restricted ankle ______? –Abductor, External, Adductor, Dorsiflexion If an individual's low back arches during an overhead squat assessment, but the compensation is then corrected when performing the squat with hands on hips, the primary regions that most likely need to be addressed are the what? –Latissimus dorsi and pectoral muscles The singe-leg squat assessment assess what? –Dynamic flexibility, core strength, balance, and overall neuromuscular control. –The amount of motion available at a specific joint. –The amount of motion obtained by the examiner without any assistance by the client. –The amount of motion obtained solely through voluntary contraction from the client. Precise neuromuscular control of range of motion at each joint will ultimately decrease what? –Excessive stress placed on the body If the joint lacks proper range of motion (ROM), then adjacent joints and tissues (above or below) must move more to compensate for the what? –Dysfunctional joints ROM If an individual possess less than adequate ankle dorsiflexion, he or she may be at greater risk of injury to what? –The hip, knee, and low back In most normal subjects _______ROM, is slightly greater than ________ROM? Soft end-feel may acknowledge the presence of edema, whereas a ____________may describe increased muscular tonicity Intertester reliability refers to the amount of agreement b/w gonimetric values obtained by what? Intratester reliability refers to the amount of agreement b/w gonimetric values obtained by what? –Refers to the amount of agreement b/w successive measurements. –Of the joint motion assessment reflects how closely the measurement represents the actual angle or total available range of motion. –The ability of the neuromuscular system to produce internal tension to overcome an external force. –Muscle strength testing performed with a specialized apparatus that provides variable resistance to a movement. Movement takes place at a constant speed no matter the effort exerted. –At the end of available range, or at a point in the range where the muscle is most challenged, the client must hold that position w/o breaking the hold w/ manual resistance. –Continual rubbing of the It-band over the lateral femoral epicondyle leading to the area becoming inflamed. –The process of measuring forces at work using a handheld instrument that measures muscular contraction. The ability of the nervous system to recruit activate muscles dictate what? Manual muscle testing provides an opportunity to assess what? Muscle function with low cost and difficulty. Overactivity of a shortened muscle will reciprocally inhibit it's what? Functional antagonists leading to a false reading that a muscle is weak. Manual muscle testing is an assessment process used to test the recruitment of what? Capacity and contraction quality of individual muscles or movement. In addition to tight muscles, and what? Can result in muscle in muscle inhibition Restrictions in skin, neural tissue, and articular ligament. A client who maintains good structural alignment and holds the end-range position against the assessors pressure has what grade? Little to no ability of the client to withstand or resist pressure from the assessor has what grade? Muscle weakness can be related to several factors, but the most common factors or what? In Healthy individuals are atrophy and inhibition A flexibility technique used to inhibit over active muscle fibers. Soft tissue will model along the lines of stress. A phenomenon of the human movement system seeking the path of least resistance during functional movement patterns (or movement compensation) The reflex arc consisting of small anterior horn nerve cells and their small fibers that protect to the intrafusal bundle to produce its contraction. Autogenic inhibition (inhibitory techniques) Inhibition of the muscle spindle resulting from the Golgi tendon organ stimulation Inward Trunk Rotation (Internal hip rotation) Overactive muscles: Outward Trunk Rotation (External hip rotation) Overactive : •Internal OB(Opposite side of stance leg) •External OB(Same side of stance leg) •Piriformis(same side as stance leg) Underactive: Contraindications for self-myofascial release: What muscles are underactive with lower crossed syndrome?The lower crossed syndrome involves weakness of the trunk muscles: rectus abdominis, obliques internus abdominis, obliques externus abdominis and transversus abdominis, along with the weakness of the gluteal muscles: gluteus maximus, gluteus medius and gluteus minimus.
Which muscles are typically underactive in association with lower crossed syndrome quizlet?The abdominals are one group of muscles that are typically underactive in association with lower crossed syndrome.
Which muscles are typically underactive in association with upper crossed syndrome?In the condition known as UCS, mid-back muscles (serratus and lower trapezius) become very weak. As a result, the pectoral and neck muscles tighten. This causes pain throughout the upper body, including shoulder pain and neck pain, as well as a reduced range of motion.
What are common underactive lengthened muscles in the lower body?Conversely, underactive, lengthened, and weak muscles include (but are not limited to) the following:. gluteus maximus.. gluteus medius.. transversus abdominus.. internal oblique.. anterior tibialis.. posterior tibialis.. |
Which muscles are typically underactive in association with lower crossed syndrome?
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