Healthcare and Medicine Reference
In-Depth Information
In terms of the LLs, both LLs in the thigh are in need
of dropping, and the abductors will be short due to the
postural abduction of the hip joints. In the upper body,
the LL on the right needs lifting from waist to cervicals,
and the left side needs dropping from ear to waist,
though the deeper structures on that side, like the
iliocostalis and quadratus lumborum, need serious
As in Client 2, the left SPL is shorter than the right in
the upper body, with the lower anterior SPL shorter on
the right, and the lower posterior SPL shorter on the
The Back Arm Lines, both Deep and Superficial, need
release in the proximal tissue to allow the shoulders to
sit more comfortably down on the rib cage.
The Deep Front Line, the core, is again the key to
opening this structure. The legs form a bow; therefore
the inner line of the leg is the bowstring, short from
ankle to ischial ramus. The shortening through the psoas
complex on the right and the deep lateral rotators on the
left will engage our attention to untwist the pelvis. Bal-
ancing around the lumbar spine would be our next job,
in order to release the right side of the neck from the
deep structures of the chest.
Client 3 (Fig. H.HA-E)
In our third model we have a young woman who pres-
ents a structure which is superficially like that of Client
2, but with some fundamental differences. Here we see
a strong and sturdy structure, well muscled and well
founded, with a bright and attentive look from the eyes
atop the structure. Nevertheless, this muscular strength
is built around some skeletal aberrations that we would
want to address before she did any more muscle-build-
ing work.
Step 1
The head shows a left tilt and right shift relative to the
neck. The shoulder girdle is right tilted, as is the rib cage
underneath it. The pelvis is also right tilted, but the
alignment of the three major torso weight segments -
head, ribs, and pelvis - shows that there must be a left
bend in both the lumbars and the upper thoracic/lower
cervical spine (both visible in the back view).
Although this woman looks somewhat pulled into
the right groin - a milder version of what we saw in
Client 2 - the cause is not the same. Here, the legs are
the same length, and the pattern is almost entirely from
a twist in the pelvis on top of the femurs, not a difference
in the femurs making itself felt in the pelvis.
Below the pelvis, the knees have a lateral shift
(varus), sitting on nice, wide, well-grounded feet. The
difference in the arm length is once again due to the
tilt on the rib cage, not an inherent difference between
the arms.
Looking from above, and again remembering to use
the feet as a reference, we can see the right rotation and
right tilt of the pelvis relative to the feet, and the left
rotation of the ribs relative to the pelvis.
These rotations go some way to explaining the differ-
ence we see between the left and right side views. Both
show a slight anterior head posture, and both show an
anterior shift of the pelvis over the feet, but these shifts
on the right side are far more apparent than on the left.
Both knees show a posterior shift (hyperextension
Both sides show an anterior tilt of the pelvis relative
to the femur, which leads to the long lumbar curve,
which we would term a posterior bend of the lumbars.
This posterior bend leaves the rib cage with a posterior
tilt, which helps keep the head on top of the body. Lift
her rib cage and hold it vertical to see the head go more
out in front. Lengthening work with the anterior sca-
lenes and sternocleidomastoid would be necessary to
'open the calipers' of the angle between the thoracic and
cervical spine.
Step 3
We do not know whether the pelvis twist might not be
occasioned by something internal, such as a rotated
cervix, but this is certainly the centerpiece of this struc-
ture. It requires a tightening of the Deep Front Line below
it, drawing the legs into a bow, and it is pulling down and
twisting the torso above, despite her best efforts to stay
balanced and symmetrical through her exercise. The key
to unlocking this structure will be to free the pelvis from
below, from the front, and from the back.
Step 4
This woman will not require so much work in the middle
of the SFL, but will require work in the chest and neck
to free the head from the ribs, and down in the shins to
unlock the knees. The SBL, however, will require sub-
stantial work to undo the 'bow', and to loosen the tissue
behind the cervical and lumbar curves.
The LLs mostly need spreading in either direction
from the waist, but the right needs a lot of lifting in the
upper quadrant, and more specific freeing in the lateral
abdominals and quadratus lumborum on the left.
As stated, these would be preliminary moves to
getting the pelvis to let go of the torque it is putting
through the hips below and the spine above. This is
primarily Deep Front Line work, letting go of the adduc-
tor fascia and the line of fascia down the inside of the
tibia associated with the deep posterior compartment of
the leg. The pectineus on both sides will need work to
reduce the anterior tilt, but the apparent right rotation
of the pelvis on the femur suggests that the right pec-
tineus will engage more of our attention.
Freeing and balancing the pelvis will make for easier
breathing (at present, she is tightening the upper abdom-
inals to mediate between the pelvis and ribs, and this is
Step 2
We can see some pulling down in the upper SFL, though
generally the shortness in the SBL is acting like a bow-
string, and pushing the skeleton forward into the SFL.
Thus, the SFL would assess as 'tight'; however, this
would not be a call for loosening it, but rather the SBL
between shoulders and heels. The hamstrings and
lumbar erectors and multifidus cry out for work.
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