OMT may be used to treat dysfunctional hypertonicity restrictions of which muscles that appear to contribute to patient's traditional parkinsonian posturing?

OMT may be used to treat dysfunctional hypertonicity restrictions of which muscles that appear to contribute to patient's traditional parkinsonian posturing?

• A. Psoas and sternocleidomastoid
• B. Latissimus dorsi and trapezius
• C. Masseter and temporalis
• D. Quadratus lumborum and iliopsoas

Answer: (A)

The main idea is that parkinsonian posturing often involves a rigid, flexed stance driven by tight proximal muscles in the neck and hip regions. Targeting those hypertonic areas with OMT can help reduce the abnormal tension and improve alignment. The sternocleidomastoid is a key neck flexor and contributor to forward head and cervical flexion, while the psoas major is a powerful hip flexor that can flex the trunk and tilt the pelvis, promoting the flexed, stooped posture typical of the presentation. Releasing restrictions in these two muscles with manipulative techniques addresses the primary drivers of that posture, making them the most relevant targets. The other muscle pairs are less directly involved in producing the characteristic sagittal-plane flexed posture seen in this context.

The main idea is that parkinsonian posturing often involves a rigid, flexed stance driven by tight proximal muscles in the neck and hip regions. Targeting those hypertonic areas with OMT can help reduce the abnormal tension and improve alignment. The sternocleidomastoid is a key neck flexor and contributor to forward head and cervical flexion, while the psoas major is a powerful hip flexor that can flex the trunk and tilt the pelvis, promoting the flexed, stooped posture typical of the presentation. Releasing restrictions in these two muscles with manipulative techniques addresses the primary drivers of that posture, making them the most relevant targets. The other muscle pairs are less directly involved in producing the characteristic sagittal-plane flexed posture seen in this context.