Development of low postural tone compensatory patterns - predicted dysfunction patterns in upper part of the body

Dev Period Med. 2014 Jul-Sep;18(3):380-5.

Abstract

Lower postural tone is not always associated with central nervous system structures damage. There is a such kind of tone that stays within the broadly defined normal range, but is characterized by distinct decrease of tone of the deep muscles responsible for stabilization. External syndromes are features of active or passive compensation observed in the postural and motor patterns. Active compensation of the lower muscle tone is associated with excessive use of the superficial muscles for stabilization that leads to limitation of motion in the joints and to functional shortening of some muscles. Active compensation mechanisms in the upper part of the body cause translation of the head before the line of the shoulders, high alignment of the shoulder girdle and increase of the thoracic kyphosis (spastoidal type). Passive compensation is initiated in case of decreased tone of both deep and superficial muscles. Stabilization is kept with considerable participation of the spatial shape of bones, ligaments, meniscus and passive properties of the muscles. Tendency to hypermobility of the periarthritis elements is observed, which is manifested by the increase of the physiological range of motion in the joints. As a result in the upper part of the body postural faults develop, which are characterized by decreased thoracic kyphosis and sunken chest (atetoidal type). These observations indicate that lower tone of the muscles responsible for stabilization triggers off the sequence of compensatory mechanisms that ultimately lead to specific postural faults.

Publication types

  • Review

MeSH terms

  • Adaptation, Physiological
  • Electromyography
  • Humans
  • Kyphosis / physiopathology*
  • Muscle Tonus / physiology*
  • Muscle, Skeletal / physiopathology*
  • Postural Balance / physiology*
  • Posture / physiology*