good posture and postural deformities

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    GOODPOSTURE

    ANDPOSTURAL

    DEFORMITIES

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    Poor posture is the posture that

    results from certain muscles

    tightening up or shortening while

    others lengthen and become weak

    which often occurs as a result of

    one s daily activities. There are

    different factors which can impact

    on posture and they include

    occupational activities and

    biomechanical factors such as force

    and repetition. Risk factors for poor

    posture also include psychosocial

    factors such as job stress and

    strain. Workers who have higher job

    stress are more likely to develop

    neck and shoulder symptoms.

    Poor posture

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    A good posture is the state of muscular and

    skeletal balance which protects the supporting

    structures of the body against injury and

    progressive deformities, irrespective of the

    attitude in which these structures are

    working or resting

    under these conditions, the muscles

    will function most efficiently and

    the optimum positions are afforded for

    the thoracic and abdominal organs.

    There is no single best posture for all

    individuals. Each person must take the

    body he / she has and make the best of

    it The good Posture is the one that

    suits ones own condition and the

    condition of the environment.

    e.g. during attention. The normal

    posture will be erect, while in extreme

    fatigue, the normal posture will be that

    conserves energy.

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    It is a visible abnormality inshape of any part of the body .

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    SPINALDEFORMITIES

    KYPHOSIS It is a backward angulations above

    40 degrees .

    Types :

    I-Mobile

    Compensatory { exaggerated lordosis}

    Postural {bad habit of sitting inadolescence }

    Muscle weakness

    II-Fixed

    Angular {fracture , T.B., Calvedisease}

    Rounded (regular) {Scheuermanndisease , Senile kyphosis ,ankylosingspondylitis }

    Treatment

    1- of the cause

    2-Conservative {physiotherapy , brace }

    3-Surgery

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    SCOLIOSIS

    Lateral angulation of the spine with vertebral

    rotation .

    Types :

    I-Non structural ( correctable , angulation

    without rotation )

    Postural { in adolescent girls due to bad

    habit of sitting}

    Compensatory {short limb , secondary

    curve}

    Muscle abnormalities

    II- Structural { not correctable}

    Idiopathic

    Congenital

    Neuromuscular

    Treatment

    1- Observation

    2-Conservative {exercise , brace }

    3-Surgery (curves above 50)

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    ELBOWDEFORMITIES

    Cubitus VarusThe carrying angle is below

    normal (10-15) .

    Cubitus ValgusThe carrying angle is above

    normal .

    The patient can not fully extend the

    elbow

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    KNEEDEFORMITIES

    Genu VarumCauses

    I- Physiological (up to 2 years )

    II- Bone softening disease

    III- Trauma to the upper tibialplate growth

    VI- Blount disease

    Genu ValgumCauses

    I Physiological (up to 4 years )

    II Bone softening disease

    III Trauma to the upper tibial plategrowth

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    HIPDEFORMITIES

    Coxa Vara

    Coxa vara describes anglesmaller then normal

    Coxa Valga

    Coxa Valga describes excessiveangle

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    FOOTDEFORMITIES

    Flat Foot

    It is flattening of the longitudinalarch of the foot

    Pes Cavus

    It is high arched foot

    Causes :

    1- Idiopathic (Most common)

    2- Neurogenic : poliomelitis , Friederich attaxia

    and Charcot-Marie Tooth disease .

    3- Posttraumatic : with tarsal bone fracture

    4-Compartmental syndromes : High arched foot

    is usually associated with clawing of the

    toes.

    Causes :

    1- Infantile : very frequent in infant and

    children-disappears with growth due to arch

    development

    2- Static : seen in adolescence with long standing

    due to fatigue of muscles supporting the arch of the

    foot .Early it is mobile but it becomes rigid later .

    3- In poliomyelitis : Due to muscle imbalance

    4- Traumatic : fracture of tarsal bone .

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