locations including the neck, upper back (thoracic area), and shoulder blade area
which arises when adopting poor posture over a period of time. Increased
incidences are seen in people who are sitting for a long period of time in front of
the computer with poor ergonomics. Kids carrying heavy bag packs on their
shoulders can also suffer from postural stress syndrome. Poor posture includes
slouching on the bed when watching TV, driving, or working on the desk with
a forward neck, and rounded shoulders.
Symptoms of PSS:
People with PSS usually have a normal range of motion in the neck and shoulders
but experience tightness, and muscle spasms of the cervical, and thoracic spinal muscles, and
shoulder blades. Postural stress syndrome creates an imbalance between the
strength and flexibility of the postural muscles. Weakness of anti-gravity muscles
and tightness of shoulder muscles creates undue pressure on the cervical joints.
Causes:
Poor ergonomics while working
Sedentary lifestyle
Poor posture
Muscle weakness
Poor core stability
Physiotherapy treatment includes:
Postural re-education including sitting in an ergonomically correct way
Stretching of tight muscles including Upper Trapezius, Levator Scapulae
Strengthening of neck and shoulder blade muscles including Rhomboids, Middle and lower Trapezius
TENS
Joint Traction
Shoulder rolls, chin tuck-ins
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