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  1. #1
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    Re: some symmetry issues

    Hello,
    I would start with the pelvis and correct the centre of gravity. It seems when you stand you favour the right side and are possibly right handed.If you sit on a gym ball you can try and centralise your position doing some core muscle work and try and correct the lateral shift by moving the pelvis side to side.
    In dealing with the upper body, I think you have downwardly rotating scapulae.
    (The right shoulder may have dropped more due to working with a computer mouse, so it may be lower instead of the left being higher.)
    If you elevate both shoulders slightly and then retract your shoulders, this should help to improve the position.I would then use a theraband to strengthen the Wikipedia reference-linkrotator cuff muscles resisting external rotation.I would also include neck stretches.You also mention that levator scapulae is tight.It doesn't appear that you have a forward head posture. There is no lateral view.To stretch the left levator scapulae you can rotate the neck to the right side and tuck your chin in.
    Hope this helps,
    cam474


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    Re: some symmetry issues

    Quote Originally Posted by cam474 View Post
    Hello,
    I would start with the pelvis and correct the centre of gravity. It seems when you stand you favour the right side and are possibly right handed.If you sit on a gym ball you can try and centralise your position doing some core muscle work and try and correct the lateral shift by moving the pelvis side to side.
    In dealing with the upper body, I think you have downwardly rotating scapulae.
    (The right shoulder may have dropped more due to working with a computer mouse, so it may be lower instead of the left being higher.)
    If you elevate both shoulders slightly and then retract your shoulders, this should help to improve the position.I would then use a theraband to strengthen the rotator cuff muscles resisting external rotation.I would also include neck stretches.You also mention that levator scapulae is tight.It doesn't appear that you have a forward head posture. There is no lateral view.To stretch the left levator scapulae you can rotate the neck to the right side and tuck your chin in.
    Hope this helps,
    cam474
    Hi thanks for the feedback!
    Actually my left leg is around 1cm longer. I've the tendency to put my weight on my left leg. I think my scapulae is slightly upward rotated instead? And yes you are right! i noticed when i use the computer my right shoulder is always lower. I'm not too sure if my posture is ok. Attached is the pictures of my lateral view. Hope you can take a look and give me some feedback

    physiobob left view.jpgphysiobob right view.jpg


  3. #3
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    Re: some symmetry issues

    Hello,
    Your left pelvis may be anteriorly rotated. Use muscle energy technique to rotate it posteriorly. This may correct the 1cm leg length.
    You appear to have a sway back.
    Elongated and weak are hip flexors,external obliques,upper back extensors,neck flexors.
    Short and stong:hamstrings, upper fibres of internal oblique, lumbar paraspinal muscles (not short)

    This is taken from Neuromusculoskeletal examination and assessment by Petty and Moore page 41.
    Once the shoulder blade is corrected then do some Wikipedia reference-linkrotator cuff muscle strengthening.
    Do mostly external rotation (teres minor and infraspinatus)You can use theraband to resist the movement.
    Some internal rotation (subscapularis)but this may be strong due to press ups.

    Try standing against a wall, pull in your core muscle and bend your knees slightly. You can check your pelvis level in this position also(ie left and right)
    This position must not be forced but used as a guide to correcting the sway back.Also tight muscles such as hamstrings would need stretching etc.
    Let me know how you get on!
    Good luck!
    cam474


  4. The Following User Says Thank You to cam474 For This Useful Post:

    some symmetry issues

    hardd0m (28-08-2011)

  5. #4
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    Re: some symmetry issues

    Quote Originally Posted by cam474 View Post
    Hello,
    Your left pelvis may be anteriorly rotated. Use muscle energy technique to rotate it posteriorly. This may correct the 1cm leg length.
    You appear to have a sway back.
    Elongated and weak are hip flexors,external obliques,upper back extensors,neck flexors.
    Short and stong:hamstrings, upper fibres of internal oblique, lumbar paraspinal muscles (not short)

    This is taken from Neuromusculoskeletal examination and assessment by Petty and Moore page 41.
    Once the shoulder blade is corrected then do some rotator cuff muscle strengthening.
    Do mostly external rotation (teres minor and infraspinatus)You can use theraband to resist the movement.
    Some internal rotation (subscapularis)but this may be strong due to press ups.

    Try standing against a wall, pull in your core muscle and bend your knees slightly. You can check your pelvis level in this position also(ie left and right)
    This position must not be forced but used as a guide to correcting the sway back.Also tight muscles such as hamstrings would need stretching etc.
    Let me know how you get on!
    Good luck!
    cam474
    But shouldn't it be
    "Short and strong are hip flexors,external obliques,upper back extensors,neck flexors.
    Elongated and weak :hamstrings, upper fibres of internal oblique, lumbar paraspinal muscles (not short)"
    instead?


  6. #5
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    Re: some symmetry issues

    Yes, to correct the sway back it would need to be short and strong hip flexors etc.as you mentioned.
    In my post those are symptoms of sway back, so to correct it would be the opposite.



 
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