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Corrective Exercise for Leg Length Discrepancies and Scoliosis - Idea

Corrective Exercise for Leg Length Discrepancies and Scoliosis - Idea

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<strong>Corrective</strong> <strong>Exercise</strong> <strong>for</strong> <strong>Leg</strong> <strong>Length</strong> <strong>Discrepancies</strong> <strong>and</strong> <strong>Scoliosis</strong><br />

Anthony B. Carey M.A., CSCS, AHFS<br />

Function First<br />

A “true” leg length or “functional” leg length discrepancy? What are the consequences to the spine<br />

from top to bottom? <strong>Leg</strong> length discrepancies <strong>and</strong> the associated scoliosis affect more of our clients<br />

then we may realize. Learn about the many causes, consequences <strong>and</strong> interventions available through<br />

the right corrective exercise program.<br />

I. Types of <strong>Scoliosis</strong><br />

A. Structural<br />

B. Functional<br />

II. Kinematics of <strong>Scoliosis</strong><br />

A. Single curve<br />

B. Secondary compensatory curve<br />

C. Planes of motion<br />

III. Functional <strong>Leg</strong> <strong>Length</strong> <strong>Discrepancies</strong><br />

A. Consequences<br />

B. Common causes<br />

1. Relative hip adduction<br />

2. Asymmetrical knee joint angle<br />

3. Asymmetrical pronation <strong>and</strong>/or pes planus<br />

C. Role of the psoas<br />

IV. Functional Consequences<br />

A. Thoracic spine rotation limitations<br />

B. Shoulder girdle/gleno-humeral joint stress<br />

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C. Cervical spine stress<br />

D. Lumbar instability <strong>and</strong> stress<br />

E. Asymmetrical weight bearing<br />

V. <strong>Corrective</strong> Intervention <strong>for</strong> Pelvic Obliquity<br />

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II. Full Body <strong>Corrective</strong> Strategies<br />

A. Asymmetrical frontal plane movements<br />

B. Asymmetrical transverse plane movements<br />

C. <strong>Length</strong>en through the posterior chain<br />

Opposite Arm/<strong>Leg</strong> Gliding<br />

A-P Cat <strong>and</strong> Dog<br />

Lunge with Frontal Plus Transverse Reach<br />

Downward Facing Dog<br />

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Prepared by:<br />

Anthony B. Carey M.A., CSCS, AHFS<br />

Function First<br />

San Diego, Cali<strong>for</strong>nia<br />

Inventor of the Core-Tex<br />

acarey@functionfirst.com

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