Module 9

Question 1

In upper crossed syndrome what is weak?

Answer 1

Cervical Flexors, Rhomboids, Mid and Lower Trapezius, Serratus Anterior

Question 2

In Upper crossed syndrome what is tight

Answer 2

Sub-occipitals, Upper trapezius, Levator scapulae (Upper cervicals), Pectorals

Question 3

Anterior stabilizers and head/neck extension tend toward

Answer 3

Hypertonicity, overuse in movement patterns

Question 4

Posterior stabilizers and deep neck flexors tend toward

Answer 4

Hypotonicity, under activation in movement patterns

Question 5

What can improve upper crossed syndrome

Answer 5

Chin tucks
Ergonomic Factors
Resistant band internal and external rotation

Question 6

Postural Distortions may include

Answer 6

Forward head carriage
C0/C1 hyperextension
Forward drawn or rounded shoulders
increased interscapular distance
Scapular winging

Question 7

Why may distortions be asymmetrical

Answer 7

Lean forward on one side, daily living can be one sided

Question 8

How might upper crossed syndrome affect other body systems

Answer 8

Respiration: Don’t breath well use accessory muscles, distorting pattern of rib cage
Digestive: jamming up esophagus, affect smooth peristalsis
Somato-Viscero

Question 9

Which muscles are weak in lower crossed syndrome

Answer 9

Abdominals and Gluteals

Question 10

Which muscles are tight in lower crossed syndrome

Answer 10

Thoracolumbar extensors, Hip flexors (Iliopsaos, Rectus Femoris)

Question 11

Trunk extensors and hip flexors tend toward

Answer 11

Hypertonicity, overuse

Question 12

Trunk flexors and hip extensors tend toward

Answer 12

Hypotonicity and under activation

Question 13

What can cause lower crossed syndrome

Answer 13

sitting

Question 14

What can lower crossed syndrome impact

Answer 14

Standing, posture, gait, bending, twisting

Question 15

What might you observe in patient standing with lower crossed syndrome?

Answer 15

Facet issues, hyper lordosis, anterior pelvic tilt

Question 16

What might you see in patient gait with lower crossed syndrome

Answer 16

Weak glutes (hip extensors) –> low back will extend

Question 17

Lower Crossed Syndrome Clinical Presentations

Answer 17

Anterior pelvic tilt
Hyperlordotic lumbar spine
Hyperextended knee joints (b/c hip flexors may pull at knee)
Valgus stress at ankles

Question 18

Open Kinetic Chain

Answer 18

The terminal segment is freely movable
Ex. arm movement, swimming, swing phase

Question 19

Closed Kinetic Chain

Answer 19

Terminal segment is fixed or meets considerable resistance
ex. Push up, stance phase