View Anterior Posterior Lateral

Head In neutral position

No lateral tilting
Neck Slightly extended
Shoulders At level At level Slightly protracted
scapulae At level
No winging
Elbow Neutral and carrying Not
angle is normal
Arm At the same level At the same level
Distance between Are symmetrical
arms
Thoracic Slightly flexed
vertebrae
Lumbar vertebrae Slightly extended
Pelvis ASIS at same level PSIS at same level Slightly anterior pelvic
tilting
Knee Are leveled Slightly hyperextended
Legs Slight bowlegs

Foot Pronated foot Achilles tendon not Lateral malleolus at

alignment same level

Therapist: Mohamed Yousry Mohamed

Patient: Ibrahim Abbas Ezzat

Management
Her we need strengthening exercise for weak muscles and stretching
exercise for tight muscle .
(targeted muscles are determined in the previous figure )
Also, may use dry needling to release tension in upper trapezius.
(may be with electrical stimulation )
Wall Stretch
pec minor wall stretches.
Instructions:
Place your palm and forearm high up onto a wall.
Tilt your shoulder backwards throughout this stretch.
Keep your lower ribs down to prevent the lower back from arching.
Lunge forwards. Aim to feel a stretch in the chest region.
Hold for 30 seconds.

Stretch With Foam Roller

stretch to pec minor with foam roller.
Instructions:
Lie down on your stomach.
Assume the push up position.
Place a small block/foam roller underneath your
hand.
Tilt your shoulder blade backwards.
Lower your torso towards the ground.
Turn your torso away from the hand that is on the block.
Hold for 30 seconds.

Pectoralis Muscles Corner Stretch

Stand in a wall corner and place one arm on each wall,
facing the corner.
With your elbows bent to 90 degrees, move forward into the corner of the wall
until you feel a
comfortable stretch in the pectorals. If you do not feel a stretch, move your arms up
or down the wall to
feel a stretch in different areas of your chest. If your elbows do not bed to 90
degrees, bend them just.
before your range of motion ends.