Forward bending

Some of the aches and pains you ll experience in your third trimester will make their appearances now. These include round ligament pains. These ligaments support your uterus. The pains can be quite sharp and scary when they first happen, but they re normal and nothing to worry about. Sometimes you can feel them when you sneeze, or when you move too quickly (like when you stand up from a forward bend in the beginning of a yoga class and aren t warmed up yet). Some women like to rest until the pain subsides others say it helps to keep moving. Either way, the pain will dissipate and you ll know better to slow it down the next time around. 

Antecollis is a rare form of tardive dystonia, in which there is forward bending of the neck (331). Patients with this disorder are usually quite disabled and distressed, have severe difficulties with vision, speech, swallowing, and inspiratory obstruction, and are unable to lie supine. In three reported cases (331), the patients developed the symptoms after receiving a number of neuroleptic drugs for 4 months to 14 years. Neither withdrawal of neuroleptic drugs nor the administration of anticholinergic agents affected their symptoms. 

Trank Bend forward Bend backwards Bend sideways Rotate about the Long axis Flexion Extension Lateral flexion Axial rotation... 

When a force is applied to the posterosuperior quadrant of the head or when a crown impact is administered while the head is in flexion, the neck is subjected to a combined load of axial compression and forward bending. Anterior wedge frartures of vertebral bodies are commonly seen, but with increased load, burst fractures and fracture-dislocations of the facets can result. The latter two conditions are unstable and tend to disrupt or injure the spinal cord, and the extent of the injury depends on the penetration of the vertebral body or its fragments into the spinal canal. Recent experiments by Pin tar et al. [1989, 1990] indicate that burst fractures of lower cervical vertebrae can be reproduced in cadaveric specimens by a crown impact to a flexed cervical spine. A study by Nightingale et al. [1993] showed that fracture-dislocations of the cervical spine occur very early in the impact event (within the first 10 ms) and that the subsequent motion of the head or bending of the cervical spine cannot be used as a reliable indicator of the mechanism of injury. 

Minimize equipment/fixture size to limit forward bending or reaching, as much as possible to allow for tote pans and/or parts trays to be positioned in front of the operator. AU operator/equipment interaction issues must be considered. 

In the upright position, the eccentric contraction (lengthening) of the extensor muscles controls the speed of forward bending. These muscles are exercised. 

FIG. 25-1 Gross motion testing of the cervical spine, forward bending,... 

FIG. 33-1 Exercise therapy for the cervical spine forward bending. 

Thoracic spine forward bending, backward bending, rotation, side-bending. 

The thoracic spine is subject to many conditions that affect the cervical and lumbar spine including somatic dysfunction, herniation of an intervertebral disk, arthritis, and other bony and soft tissue injuries and degenerative processes. Osteoporosis coimnonly manifests in the thoracic spine, with vertebral compression fractures and formation of the dowager s hump, caused by micro fractures of the anterior bodies of the vertebrae leading to a forward bending of the upper thoracic spine. This chapter discusses some of the conditions most commonly affecting the thoracic spine. 

On physical examination, the spinous pro-eesses maybe palpated and a lateral curve noted. The best diagnostie finding is the rib hump, whieh ean be noted on forward bending. The ribs on the side of the convexity will be found to be posterior to those on the concave side as the vertebrae rotate toward the convexity, carrying the ribs with them. This provides a good sereening test that ean be used in schools to determine whieh students might need further evaluation. 

Kyphosis is an abnormal forward bending ofthe thoracic spine. It can be postural or structural. 

Physical examination was normal except for the musculoskeletal system. On observation, the upper back appeared normal however, with forward bending, a significant rib hump was seen on the right. Palpation of the spine revealed a dextroscoliosis from T4 to T10. There was signif-... 

The synergistie aetion of the abdominal muscles creates forward bending. External oblique contraction creates rotation to the opposite side internal oblique contraction creates rotation to the same side. The combined actions of the abdominal muscles provide a coordinated mechanism for controlling extreme torque, bending, and shear stresses in the lumbar spine. Their normal functioning is essential to the maintenance of the spinal mechanism. 

In evaluating gross body movement, the phy-sieian must examine all three aspeets of lumbosacral rhythm. It is common to relate all forward-bending restrictions to lumbar dysfunction. This assumption is not correct. Hip joint or pelvic dysfunctions are often at fault. 

FIG.47-1 Thoracolumbar regional motion testing forward bending. 

FIG. 73-4 Facilitated positional release treatment for anterior rib cage somatic dysfunction with forward bending, side-bending, and rotation added. 

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