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Table 4 Postural changes observed in TAO patients and implications of these changes

From: A musculoskeletal model of low grade connective tissue inflammation in patients with thyroid associated ophthalmopathy (TAO): the WOMED concept of lateral tension and its general implications in disease

Basic structure

Related organ

Description of the alteration

Axes

Potential effects

Head

Eyes

Elevation, tilted

X, Y, Z

postural alignment [196,197]

 

Neck

Rotated, tilted, extended or flexed

X, Y, Z

dorsal muscles [198] ocular torticolis [96,97]

 

Nose

Tilted

Y, Z

Retro nasal space?

 

Mouth

Tilted

Y

Jaw [199]

Face

 

Asymmetry

 

Head holding [200]

Neck

Trunk

Rotated

Y

Lymphatics, posture [200,201]

Trunk and abdomen

 

Rotated Increase of the intra-abdominal pressure

Y

Foot angle [62] Pelvic girdle pain [202]

Leg

Pelvis Gluteus m.

Rotated

Y

Hip sway Transversus abdominis [190] Altered femoral control [203]

Ankle

Shank Hip

Reduced range of motion

X, Y, Z

Instability [204], Sway Sensory changes and hypermobility [205,206] Altered hip load – unload [126] Hip weakness [207]

Feet

shank

Lateral displacement

Y, Z

Tightness of lateral calf muscles [156]

Feet

Sole

Asymmetry

Y

Posture information [155] Influence on retroocular muscles [55]

Foot to head

Whole body

  

Posture asymmetry [208]