How Does Lower Crossed Syndrome Affect Motor Control and Gait Performance in Individuals?
What is Lower Crossed syndrome?
Lower Cross Syndrome (LCS) is a common disorder characterised by muscle tension caused by an imbalance in the strength of the muscles in the lower extremities, and further clarified that lower cross syndrome is a musculoskeletal imbalance characterised by specific muscle weakness patterns , which is also known as pelvic cross syndrome
How do you develop lower cross syndrome?
It arises from an imbalance of muscle strength in the lower extremities, which is affected by muscle tightness on the iliopsoas, rectus femoris, tensor fascia latae, adductor group, gastrocnemius, and soleus.
What symptoms do you get with lower cross syndrome?
low back pain
poor gait control
altered posture
poor spinal hygiene
poor muscle hygiene
What happens with weak muscles that have altered nerve supply?
In the presence of inhibited and weakened gluteal muscles, overactivity and tightness of the erector spinae muscle may alter the hip extension pattern by changing the order in which the muscles are more activated, this can lead to the tightness of the erector spinae muscle
The end result of altered muscle hygiene is...
The lower spine becomes overloaded, compressed, and hypermobile, particularly in the L4-5 and L5-S1 joints. Excessive loading of the lumbar spines and hip joints can cause stiffness, irritation, and inflammation of the joints and the surrounding soft tissues, including the discs. Then, the pain eventually sets in, usually in the L5-S1 and L4-5 regions thus, develop low back pain
How does lower cross syndrome affect the way you walk?
Lower Cross Syndrome may affect the gait due to the various patterns of back muscle activation.
Such as heightened co-contraction of flexor and extensor muscles during trunk movements, the heightened activity of the obliquus externus abdominis during standardised shoulder movements, and the heightened activity of the erector spinae during the swing phase of the gait cycle
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reference
Zahari Z, Naga DNA, Bukry SA. Motor control on gait performance among individuals with lower crossed syndrome: A scoping review. Med J Malaysia. 2024 Mar;79(Suppl 1):168-175. PMID: 38555902.
Colonna S, Borghi C, Galvani M, D'Alessandro A. Immediate Effect of Simulated High Heels on Pelvic and Spinal Posture in Healthy Young Subjects: A Cross-Sectional Study. Cureus. 2024 Mar 5;16(3):e55586. doi: 10.7759/cureus.55586. PMID: 38576640; PMCID: PMC10994651.