00:01
Now let's take a look
at the movements and curvatures
of the back.
00:06
The vertebral column isn't a
perfectly linear rigid rod.
00:11
It actually has curves that help
distribute stress appropriately.
00:17
The first curve is
in the thoracic area,
and it points somewhat posteriorly,
and that's called thoracic kyphosis.
00:26
And it's the first curve to develop.
Usually early in infancy.
00:32
The next curve is in
the opposite direction
where it's actually
curving more anteriorly.
00:37
And that's called
cervical lordosis,
because it's up in
the cervical region,
and that's the next
curvatures develop.
00:46
Then, down in the lumbar region,
we also have a curvature
pointing someone anteriorly
and that's called lumbar lordosis.
00:54
And that's the last one to develop,
usually as we begin walking.
01:01
Now there are a lot of deviations
of this typical posture
in the vertebral column
that can develop.
01:07
The ideal alignment
has that combination of
cervical and lumbar lordosis
and thoracic kyphosis.
01:17
Sometimes these curvatures
become exaggerated.
01:21
And in this case,
it's an exaggeration
of the thoracic kyphosis.
01:25
So this would be a hyper kyphosis.
01:28
And sometimes it will result
in a compensatory exaggeration
of lumbar lordosis.
01:37
Conversely, sometimes it
can't be a lack of curvature
that can be the problem something
called a flat back posture.
01:45
And in this case,
we see the vertebral column
is almost completely linear.
01:51
We can also have abnormalities of
curvature in the coronal plane.
01:55
And those types of curvatures
will be called scoliosis.
02:00
Sometimes the scoliosis
can be so severe
that it actually compresses
the thoracic cavity,
requiring either surgical
correction and or braces.
02:13
Now let's look at the
movements of the back.
02:18
Moving the trunk anteriorly
will be considered flexion.
02:23
Moving posterior will
be considered extension.
02:28
We look to a posterior view and
we look in the coronal plane.
02:31
We have lateral
flexion and extension.
02:35
Although if you think about it,
because we're moving
away from the midline
in pretty much either direction,
we really can think of it
as left lateral flexion
or right lateral flexion.
02:48
Looking from above,
we see we also have rotational
movements also called torsion.
02:56
And importantly, we can
combine all of these movements
so that we can combine them
into various degrees of freedom.