610-868-221141 East Elizabeth Ave

 

Office Hours
Monday 8:30 A.M. - 6:00 P.M.
Tuesday 8:00 A.M. - 1:00 P.M.
Wednesday 8:30 A.M. - 6:00 P.M.
Thursday 8:00 A.M. - 1:00 P.M.
Friday 7:00 A.M. - 4:00 P.M.

 

Team



Bethlehem Rehabilitation Specialists,
A Service of Good Shepherd Rehabilitation Hospital

Postural Dysfunction Syndrome

The Physical Therapy management of the postural syndrome is primarily through specific exercises and patient education. Treatment may also include physical therapy modalities including ultrasound, trigger point spray 'n' stretch, TENS, soft tissue mobilization or massage. Each patient however, receives an individualized exercise prescription after their specific imbalance has been identified. The patient's specific level of irritability and pattern of weakness/inflexibility will determine the degree of difficulty of the exercise prescription.

 

The exercise prescription is kept on a basic level so it can easily be integrated into the patients daily routine. The exercises are repeated regularly throughout the day providing regular interruption of the patients faulty sagging posture. As the patient actively and regularly corrects his or her posture, they slowly learn to control their symptom producing behavior while stretching and strengthening their spine. The active pumping nature of the exercises fascilitates vascular exchange and tissue nourishment.


The typical postural fault develops over time. The causative factors include trauma, poor sitting apparatus, fatigue, depression, and/or general deconditioning. Over time the typical posture will include protrusion of the abdomen with simultaneous increase in the normal lumbar arch (lordosis). The chest may flatten as the thoracic curve (kyphosis) increases. A forward head or a flattening of the natural curve of the neck (decreased lordosis) invariably develops.

This loss of normal spinal curves and the development of abnormal resting spinal postures produce degenerative forces upon the spinal joints and strains to the postural muscles. Arthritic changes may begin at the spinal discs or joints. Adaptive changes in the muscles result in altered functional lengths which reduces their efficiency, causing rapid fatigue and strain pain. Shortened muscles contract and begin to over-pull on their insertions on bone, causing tendon injuries and aggravate imbalances further.

For those individuals who have postural pain aggravated while working in the sitting position, we recommend Ergonomic Assessment of their work station. Modifications in the work station via the use of appropriate Ergonomic Office Equipment or more affective spacing and positioning can have a dramatic impact in treatment outcomes and long term management

Of course no one should initiate an exercise program without consultation with an appropriate practitioner.

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