Hyperkyphosis

Post author:jadepark
Post published:July 15, 2021
Post category:Uncategorized
Post comments:2 Comments

What is hyperkyphoisis?
- It is an increase in the normal thoracic kyphotic curve, with protracted scapulae and head-forward posture.
- Too much curve in the chest area = shoulder – crossed syndrome
Types
1. Functional or Postural curves
  - It can be corrected with passive soft tissue stretching, joint mobilization and strengthening exercise.
2. Structural curves
  - They are fixed, due to bony changes, and cannot be corrected by positional chages or voluntary effort
Causes
- Osteoporosis
- Ankylosing spondylitis
- Pott’s disease
- Scheuermann’s disease
- Sustained poor posture
- Occupational sources
- Overemphasis on flexion or pectoralis strengthening exercise
Symptoms
1. Related muscles
2. Increase Thoracic curves
  - breathing problems
  - Thoracic Outlet Syndromes
3. Protraction of the shoulder
  - Frozen shoulder
  - Lymphatic edema due to lymphatic vessel compression which is located under pectoralis major
4. Increase cervical curves(Head -forward posture)
  - Increase pressure on the facet joints of the upper cervical spine –> Dislocation of Disc of the cervical spine
  - TMJ because the mandible is moved posterioly by the stretched anterior throat muscles
5. Decrease ROM
  - Thoracic spine
  - Cervical spine
  - Rib
6. Flat back
  - Posterior pelvic tilt and increase hip extension –> hamstrings and abdominals are tight and short
7. Hyperlordosis
SOAP
1. Subjective infromation : health history
2. Objective information
  1. Postural assessment
    1. Thoracic curve is increased
    2. acromionclavicular joints may be anterior
    3. Cervical lordortic curve is increased
    4. External auditory meatus is anterior to the plumb line with a head-forward posture
    5. Scapulae are protracted and often winged
  2. Palpation
    1. Pectoralis muscles, SCM and anterior and upper cervical extensors are tender and hypertonic and contain trigger points
1. Treatment Plan
  1. Draping
    1. supine position : pillows under the knees and neck, a small towel roll is placed longitudinally along the client’s spine to flatten the curve.
    2. prone position : pillows under the abdomen
  2. Shortend and tight muscles : Pectoralis major,minor, subclavius, serratus anterior, anterior intercostals, SCM, upper trapezius, suboccipitals, Levator scapulae, Scalenes
    1. Heat
    2. Deep petrissage
    3. Fascial work
    4. Trigger points
    5. Passive stretch
    6. home care ; self stretch
  3. Weak and loose muscles : Rhomboid, middle trapezius, thoracic erector spinae, suprahyoids, infrahyoids, longus capitis, longus cervicis
    1. Cool or cold
    2. Stimulating massage : tapotement
    3. Homecare : strengthening exercise
  4. Joint play
    1. Sternoclavicular joint G3 posterior glide
    2. acromiocalvicular joint
    3. Rib springing : Rib Joint Play | Costotransversal Joint Assessment & Mobilization – YouTube
    4. GH joint anterior glide
  5. Education
    1. Lumbar support or roll for the client’s chair
    2. Standing position : client is instructed to lift the sternum up without contracting the rhomboids
    3. Avoid sleeping in a curled-up, sidelying posture