💥”Congenital” Anterior Pelvic Tilt(附中文) “Not scary at all” - Should we be scared if I tell you we are born with anterior pelvic tilt? Absolutely not. Let’s talk about the angle of tilting and how we should measure it - If we look at the body from the lateral side on a X-ray image, draw an imaginary line from the PSIS to the ASIS , and the angle formed with the transverse plane is the pelvic angle. It measures the pelvic tilting position in a natural relaxed state. Normal range for pelvic angle is 13° ± 6° [J. C. Le Huec et al., 2011] - We are born with a slight forward tilted pelvis. So if we do correct the tilting angle, to what extent can we correct it? Correction of pelvic angle does not solve it all. I often heard physios scam the public by telling there is ‘quick-fix’ to anterior pelvic tilting. We should start to think of the body as a whole integration rather than individual working parts . Feed the dysfunction with whole body movement to re-introduce kinesthetic awareness of pelvic position ————————————— 💥”先天” 骨盆前傾 “骨盆角度” - 常常聽到別人說自己骨盆有前傾，聽起來好像很糟。不過我告訴你，每個人天生骨盆便是前傾的，這樣是不是更可怕。我們來講一下什麼是骨盆角度 - 骨盆角度一般是從正常放鬆站姿下的X光片去做測量。從側面觀看，髂後上棘與髂前上棘的假想線，與水平面形成的夾角，就是骨盆角度。正常的骨盆角度是13° ± 6° [J. C. Le Huec et al., 2011] - 每個人的骨盆都有點前傾，真有需要做調整訓練嗎。做了後傾的訓練，疼痛就可以得到改善嗎。我常聽到某些治療師會說，單純調整骨盆的位置，或宣稱這樣能解決下背痛。針對下背痛的問題，應該給的是脊椎跟骨盆相對的運動，將身體想成一個個體，做整體性的運動，增加大腦對骨盆動作的控制 - - 希望能透過更多主題，改變大家對身體的既有想法。物理治療沒有”一次就搞定”或什麼”兩招就能解決”，與其欺騙大眾，我更鼓勵的是著實的進行運動治療，透過整體性的運動，讓病人知道長期運動才是維持健康的方式。喜歡這樣的主題，歡迎分享。有其他想探討的主題，歡迎在下面留言 - #jamesthephysio signing out

💥 Anterior Pelvic Tilt(APT)(附中文) “ Why bother” - For years physicians, physical therapists and healthcare professionals were convoluted with the significance of anterior pelvic tilting, and its correlation to lower back pain. We hear here it being blamed as the main cause of pain. So we try to correct it - Can we stay in an ideal pelvic position to avoid pain. If yes, how much do we need to correct it? - In my clinical practice, I often address it as a poor kinesthetic awareness of the lumbo-pelvic movements. Instead of giving clients a false image of my pelvic bone is too forwardly tilted - As many research have shown the degree of pelvic tilting and lumbar curvature is irrelevant of lower back pain. We should start to focus on teaching general movement exercises instead of scamming the public to “how to correct APT” —————————————— 💥骨盆前傾 “到底有多重要” - 一直以來骨盆前傾都被認為是下背痛的其中一個原因。常聽到醫師、物理治療師、醫療專業人員都說「因為你的骨盆前傾 」，到底骨盆前傾是否是下背痛的主要原因？如果是，骨盆要多後傾才算正確呢 - 在臨床我很少會對病人說你有骨盆有過度前傾的問題。因為這更像是一個運動知覺，或運動體感覺的問題，以及能否控制骨盆的前傾後傾位置，來減輕腰椎的壓力。但如果直接把問題放在骨盆前傾上，讓病人有一個假象認為把骨盆放在後傾，問題就能解決。這跟腳底痛說是足弓塌陷，肩膀痛就說是五十肩一樣 - 許多研究顯示骨盆的前後傾角度跟腰椎的曲度(正常範圍內) 與下背痛並無關。我們該正視的問題是現代人缺乏運動，對身體的動作不了解，而不是以「調整骨盆前傾」 做噱頭，誤導大眾 . 💡 同意的歡迎分享 #jamesthephysio signing out

💥 Posture correction exercising is not Physical Therapy(附中文) “Movement is the problem” - 😶 Often times I get messages in an inquiry to correct their posture, anterior pelvic tilting, or leg length discrepancy, told by their physicians that these are the sources of your pain. Nowadays we get brainwashed by information on the Internet for what BAD posture been demonized for. NO I don’t do corrective exercises only, instead I do physical therapy to correct movement - 💡 One example is round shoulder. Round shoulder is a faulty posture with misplacement of the scapula that pre-disposes the shoulder joint to impingement issues. And it happens when the shoulder is raised rather than round shoulder being the problem itself. Should round shoulder be corrected even if pain is not present? Or should we take pills even though we are not inflicted by diseases? - 🙅🏻‍♂️🙅🏻‍♀️ Corrective exercises is part of physical therapy but not all of it. I trust the professionalism of personal trainers to correct bad posture as preventative medicine. But by no means we as physios are doing the same thing as trainers. Human body is an integrative organism, posture is a static figure. We should focus on correcting movement disorders. Instead of branding a posture correction specialist with a physical therapy background —————————————————————————— 💥姿勢矯正不是物理治療 “動作才是問題” - 😶 「請問肩膀歪斜、骨盆高低，醫師說我有長短腳要矯正多久」每次聽到有人跟我說這個我便回答「請問你有疼痛嗎，這會影響你的睡眠、日常生活、工作、運動嗎」物理治療很常會處理跟疼痛相關的問題，像站起來膝蓋會痛，手抬起來卡住不舒服，或手術後的疼痛都可以處理。那沒有疼痛，只是外觀不對稱，肌肉一邊大一邊小，這樣適合做物理治療嗎，或應該問的是，做矯正運動就會好了嗎 - 💡舉一個例子，圓肩。每個病人都會說，「應該是我圓肩的問題吧」圓肩是一個錯誤的姿勢，疼痛的前置因子，動作才是真的問題。很多人有圓肩，肩膀也不會痛；同樣很多人肚子比你大，也不見得會有下背痛，不能把問題歸咎於圓肩。那沒有疼痛，還需要治療嗎，自己可以斟酌。同樣，沒有病痛，要吃藥嗎，一樣的道理 - 🙅🏻‍♂️🙅🏻‍♀️ 圓肩，或高低肩，姿勢不良透過健身教練教你的矯正運動，把背肌練起來，慢慢會改善。矯正運動並沒有限制誰能做誰不能做，如果評估後是有需要的，物理治療也會做。可是，物理治療師，並不是專門做矯正的專業人士，坊間很多矯正專家，可以先拜訪他們 - 人體是活的，有慣用邊和非慣用邊。姿勢是靜態的，矯正姿勢，會因為固有的肌肉記憶，變回原狀。要改變的，應該是動作的問題以及如何使用你的身體，而不是外觀上的觀感 #jamesthephysio signing out