Does Asymmetry Mean Pathology?

Does asymmetry mean pathology? This is the question I recently asked in my webinar on assessing asymmetry in the overhead athlete, and I think it is an important question.  We are being flooded with information on symmetry, functional movement screens, posture examinations, and other hot topics.  Is it possible to be completely symmetrical?  Do we want to be?  This is especially true in professional athletes that play a unilateral sport.  Why wouldn’t they be asymmetrical?

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1 reply
  1. Jennifer Johndrow PT
    Jennifer Johndrow PT says:

    I have been thinking about the discussion of how we all are asymmetrical because we adapt to our daily (asymmetrical) activities. One example you gave, Mike, was someone who sits all day, his body adapts to this position, and I understand this comparison…however, in contrast to the shoulder, these are the people that we want to have stretching the spine into extension frequently so that they do NOT develop an imbalance between lumbar flexion and extension, because it will cause a loss of function as they age. I suppose the spine can't really be compared to the shoulder, as they are completely different in function…

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