The seminar was driven by the growing proportion of the elderly in Ghana and what this poses to the burden of disease and cost to individuals, families, communities, health system and the government. Key health problems of the elderly identified cover both disease specific and health systems issues.
Advanced Search Background and Purpose Patients with increased thoracic curvature often come to physical therapists for management of spinal pain and disorders. Although treatment approaches are aimed at normalizing or minimizing progression of kyphosis, the biomechanical rationales remain unsubstantiated.
Methods Lateral standing radiographs and photographs were captured and then digitized. These data were input into biomechanical models to estimate net segmental loading from T2—L5 as well as trunk muscle forces. Results The high kyphosis group demonstrated significantly greater normalized flexion moments and net compression and shear forces.
Trunk muscle forces also were significantly greater in the high kyphosis group. Discussion and Conclusion This study provides biomechanical evidence that increases in thoracic kyphosis are associated with significantly higher multisegmental spinal loads and trunk muscle forces in upright stance.
These factors are likely to accelerate degenerative processes in spinal motion segments and contribute to the development of dysfunction and pain.
The thoracic spine can be a source of pain and dysfunction for many individuals across the life span. This may reflect a lower incidence of thoracic spine pain compared with cervical or lumbar pain, as well as the technical difficulties associated with experimentation in this area, 6 particularly in terms of anatomical complexity.
The degree of morbidity associated with thoracic dysfunction, however, is likely to be comparable to other spinal levels. The shape and design of the spine affords efficient distribution and balancing of body mass. There is minimal spinal muscle involvement required for maintaining static equilibrium in erect stance.
An increase in sagittal curvature may alter physiologic loading through the spine as a consequence of a shift in trunk mass, leading to increased flexion moments and compression and shear forces imposed on spine segments.
These factors are particularly relevant to an elderly population, where the prevalence of increased thoracic kyphosis is greater.
Previous studies 1718 have examined thoracic mechanics and spinal curvature using simple anatomic models with input data derived from young populations; thus, the applicability of the findings to an older population remain uncertain. A recent study evaluated the effect of voluntary anterior shifts in thorax position on intervertebral disk loads in a young population with normal thoracic curvature.
The anterior shift in thorax position C7 relative to S1 by The anterior thorax posture reduced thoracic angle kyphosis by a mean of The effect of naturally occurring kyphosis on a loading profile of the spine has not been investigated in vivo in an elderly population using comprehensive biomechanical models.
However, this remains an important consideration for musculoskeletal rehabilitation, considering the large number of conditions that affect the thoracic spine.
One of the shortcomings of previous biomechanical models is that moment and force estimations are limited to single lumbar motion segments and often model the trunk as one, nondeformable unit.
Even studies that do consider multilevel loading continue to model the thoracic spine as a single unit and are limited to a narrow anthropometric range of participants who are usually healthy. The aim of the current study was to evaluate the biomechanical effects of increased thoracic kyphosis on the loading profile of the thoracolumbar spine in vivo.Radio Ad: Musculoskeletal System in Elderly Beverly Sylvia HCA/ April 20, Shannon White Radio Ad: Musculoskeletal System in Elderly Have you or a loved one ever suffered from arthritis or osteoporosis?
Do you ever fall victim to gravity? You are not alone. Millions of people everyday suffers from the pain of arthritis or osteoporosis. Osteoarthritis (OA) is a type of joint disease that results from breakdown of joint cartilage and underlying bone.
The most common symptoms are joint pain and stiffness. Initially, symptoms may occur only following exercise, but over time may become constant. Other symptoms may include joint swelling, decreased range of motion, and, when the back is affected, weakness or numbness of the arms.
cri - national wildlife refuge system administration act. iTunes is the world's easiest way to organize and add to your digital media collection.
We are unable to find iTunes on your computer. To download and subscribe to Bulletproof Radio Price: Free. Shop great deals on home goods and designer brands and get Free Shipping over $ See for yourself why shoppers love our selection and award-winning customer service.
Earn 5% in rewards with Club O! Get the Microsoft documentation for developers and IT professionals for API reference, code examples, technical documentation, and more for older versions of products, services and technologies.