The spinal column presents the most frequent as well as many
extremely interesting phases for re-correcting work. The number of
abnormalities as to contour to which it is subject are many and varied.
Emphasis should be placed upon possible congenital abnormalities and
developmental defects as sources of certain derangements. Any variation
or combination of variations with the normal or physiological curves
constitutes an abnormality or pathological curve. And as a consequence
defective posture, unless thoroughly compensated, is readily initiated.
Not only may the normal curves be exaggerated, lessened, eliminated or
reversed, but lateral and rotary curvatures are of frequent occurrence.
Curvatures involving the cervical region to the extent of producing
noticeable defects of posture are principally lateral deviations of
several vertebræ. Wry-neck is probably the most noticeable disturbance.
The head and neck being drawn and slightly twisted to one side is a
defect that is both noticeable and painful. Another common source
of postural affection is an exaggerated forward curving of the neck
vertebræ. This produces a stooped appearance of the neck.
The dorsal vertebræ are often curved backward too far. This produces
roundness with too decided a fullness of the upper back and shoulders.
The chest may be somewhat flattened as a secondary effect but not
necessarily so. Neither are the shoulders what may be termed “round
shoulders,” still such a condition may occur, for “round shoulders”
are more often caused by a backward swerve of the column at the waist
line. There is often a shortening of the anterior structures which pull
the point of the shoulders forward. Forcing them backward will aid in
correcting the fault. The dorsal vertebræ may be forward from what is
termed a “straight” spine; this results in an exaggerated “braced” back
position. Then lateral curvatures of the dorsal spine are common, which
in time may develop into a rotary curvature; that is, the vertebræ are
actually rotated on their axes. Lateral curvatures of the dorsal spine
are slow and difficult to correct, for the ribs complicate matters very
materially. Then, also, the vertebræ are apt to be deformed.
Curvatures of the lumbar spine, whether posterior, lateral or anterior,
are common. Both dorsal and lumbar curvatures, as any one can readily
see, are extremely common sources of postural defects. Erect positions
of the body are maintained through the support of the dorsal and lumbar
vertebræ. Stooped shoulders, one shoulder lower than its fellow,
sitting humped over, sitting on the sacrum instead of squarely on the
buttocks, the prominent hip, standing first on one foot and then on
the other in order to rest the back, and the many allied variations of
incorrect postures are largely dependent on the condition of the lumbar
and dorsal spines.
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