Description
Dr. Steven Olmos explains the body's displacement before using Aqualizer®.
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DR. STEVEN OLMOS: Okay. The evaluation of the posture in a frontal plane allows us to discern if the shoulders, hips, feet, are in level planes and rotations that are occurring. For this patient, as we can see, that the shoulders are rolled forward in the manner. That is why we're seeing the back of her hands. She has this presentation.
The only way a person can show you that, this is a normal presentation, and the only way that we can show the back of our hands is either to rotate like so, which is pretty uncomfortable, or to lean forward in this way, which is what you're looking at right now. The feet are divergent and they're apart. They are this way because the person is leaning forward, and they need that, in order to keep them stable.
If you're leaned back, with your feet like this, there's quite an unstable relationship, and this is what we're looking at. This plumb line is splitting the person at their hips, so anything that deviates from that, as we go up, then we can see that, and you can see her head is off center from the centering from her hips, so you can see the displacement as you go up, or the way the spine would curve. Okay?
With the patient in the sagittal position here, it demonstrates the extreme forward head posture that we described earlier. For every inch the head is forward of the shoulder, it adds ten pounds of weight to the cervical and lumbar spine, so there's excessive curvature in this area here.
If we draw a line from the heel, to the hip, to the shoulder, to the ear, you can see this kind of W appearance that is very classic for a patient who has a TM disorder, but we are just using this sagittal representation as an overall view to be able to discern pathology and give a control, so that later, we make the correction and see the changes in posture.