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Abnormal posturing is an involuntary flexion or extension of the arms and legs, indicating severe brain injury. It occurs when one set of muscles becomes incapacitated while the opposing set is not, and an external stimulus such as pain causes the working set of muscles to contract. [1] The posturing may also occur without a stimulus.
These paravertebral muscles have a great influence over the walking stance and gait of a patient, so fatty infiltration and degradation of these muscle lead to the characteristics that easily define BSS, such as the anterior flexion of the back combined with an ability to keep upright with any kind of support (e.g., holding onto a table).
Maintaining a well-balanced diet and healthy body weight help keep the musculoskeletal system healthy. Overnutrition increases the risk of locomotive syndrome as extra body weight puts added strain on the back and knees. [9] Oppositely, undernutrition reduces bone and muscle mass, leading to osteoporosis and sarcopenia.
Iliocostal friction syndrome most commonly occurs bilaterally as a result of spinal osteoporosis. [2] Osteoporosis is a condition in which the bone density and quality deteriorates, resulting in an increased risk for fractures. More than 2 million fractures occur annually in the United States due to osteoporosis. [9]
Senile osteoporosis has been recently recognized as a geriatric syndrome with a particular pathophysiology. There are different classification of osteoporosis: primary, in which bone loss is a result of aging and secondary, in which bone loss occurs from various clinical and lifestyle factors. [1]
At the same time, signals travel up the spinal cord and cause contraction of the contralateral muscles of the hip and abdomen to shift the body’s center of gravity over the extended leg. To a large extent, the coordination of all these muscles and maintenance of equilibrium is mediated by the cerebellum and cerebral cortex. [5]
Rounded shoulder posture (RSP), also known as “mom posture”, [1] is a common postural problem in which the resting position of the shoulders leans forward from the body’s ideal alignment. [1] Patients usually feel slouched and hunched, [ 2 ] with the situation deteriorating if left untreated.
The most important risk factors for osteoporosis are advanced age (in both men and women) and female sex; estrogen deficiency following menopause or surgical removal of the ovaries is correlated with a rapid reduction in bone mineral density, while in men, a decrease in testosterone levels has a comparable (but less pronounced) effect. [33] [34]