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As treatment, McKenzie recommended exercises and postural instructions which restore or maintain the lumbar lordosis. Although exercises involving lumbar spine extension are emphasized in this treatment protocol, particularly in the early stages, lumbar flexion exercises are usually added at a later time in order that the patient has full range ...
Step 1: The patient lies supine on the examination table, holding their knee to their chest. The clinician passes the palm of her/his hand beneath the patient's spine to identify lumbar lordosis. Step 2: The "unaffected" hip is flexed until the thigh just touches the abdomen to obliterate the lumbar lordosis.
Lumbar hyperlordosis is a condition that occurs when the lumbar region (lower back) experiences stress or extra weight and becomes arched more than normal, sometimes leading to muscle pain or spasms. It is a common postural position in which the natural curve of the lumbar region of the back is slightly or dramatically accentuated.
Kyphosis (from Greek κυφός (kyphos) 'hump') is an abnormally excessive convex curvature of the spine as it occurs in the thoracic and sacral regions. [1] [2] Abnormal inward concave lordotic curving of the cervical and lumbar regions of the spine is called lordosis.
These factors make the lumbar spine of most primates less flexible and far less likely to deviate than those of humans. While this may explicitly relate only to lumbar scolioses, small imbalances in the lumbar spine could precipitate thoracic problems as well. [119] Scoliosis may be a byproduct of strong selection for bipedalism.
Biomechanical factors of pregnancy shown to be associated with back pain include increased curvature of the lower back, or lumbar lordosis, to support the added weight on the abdomen. [80] Also, the hormone relaxin is released during pregnancy, which softens the structural tissues in the pelvis and lower back to prepare for vaginal delivery.
The lumbar curve is preserved, the joint angles are open, and the muscles are well-balanced and relaxed. This position is exactly the same as when riding a horse: the rider sits upright and at the same time maintains a lumbar lordosis because of the downwards-sloping thighs.
Muscle strength exercises – Lower abdominal, gluteal, and lumbar extensors should be assessed for weakness. Weakness in these muscles can increase lordosis and contribute to sacroiliac instability. [28] Abdominal flexor strength can be assessed with the abdominal flexor endurance test.
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