Which is a postural deviation/contracture listed for High Lumbar L1-L2?

Which is a postural deviation/contracture listed for High Lumbar L1-L2?

• A. Knee flexion and ankle plantarflexion contractures
• B. Hip flexion contractures
• C. Increased lumbar lordosis
• D. Club foot

Answer: (A)

High lumbar L1–L2 lesions lead to weakness of muscles that straighten the knee and lift the ankle, so the leg tends to rest in a flexed knee and a plantarflexed ankle. When these positions are held over time, the muscles shorten and a fixed contracture develops at the knee (knee flexion) and at the ankle (ankle plantarflexion). That pattern matches the described postural deviation best, because it reflects the predominant impact on the knee extensors and ankle dorsiflexors at this level.

Hip flexion contractures are more tied to other levels and patterns of weakness, increased lumbar lordosis is a general compensatory posture rather than a specific contracture, and club foot is more typical of lower levels with foot deformities.