Posture Assessment

Download Report

Transcript Posture Assessment

Posture Assessment
PHT 1261C Tests and Measurements
Dr. Kane
Posture Assessment

Strength and length of muscles must be balanced




Stretch weakness



Based on force couple principles
Must be addressed, esp. in head, trunk, shoulders, and pelvis
Alterations in strength &/or length create postural faults
Muscles that develop their maximum force in the elongated or
stretched position & are weak in normal physiological position
Static and Dynamic Assessment
Reference Line or Gravity Line or Plumb Line
Factors that Affect Posture Assessment






Subject minimally clothed with no socks/shoes
Have patient assume relaxed & natural posture
If use orthosis or AD, assess posture with and without
the device
Use instruments to make it valid
Note relevant medical history
Note UE limb dominance – usually lower on that side
Standing Posture – Plumb Line Position

Lateral - Perform on both sides to pick up rotational
abnormalities






Head – through ear lobe to acromion process
Trunk – midline
Hip – through greater trochanter
Knee – anterior to midline, posterior to patella
Ankle – anterior to lateral malleolus
Anterior/Posterior

Divides body into two equal halves
Lateral View – Postural Faults

Head and Neck




Shoulder



Forward head
Flattened Lordotic Cervical Curve
Excessive Lordotic Cervical Curve
Forward Shoulders
Lumbar Lordosis
Thoracic Spine




Kyphosis
Pectus Excavatum (Funnel Chest)
Barrel Chest
Pectus Cavinatum (Pigeon Chest)
Lateral View – Postural Faults - continued

Lumbar Vertebrae




Pelvis and Hip



Anterior Pelvic Tilt
Posterior Pelvic Tilt
Knee



Increased lordosis
Sway Back
Flat Back
Genu Recurvatum
Flexed Knee
Ankle

Forward Posture/BW on met heads
Posterior View – Postural Faults

Head and Neck



Shoulder and Scapula







Head Tilt
Head Rotated
Dropped Shoulder
Shoulder elevated
Shoulder Medial Rotation (IR)
Scapula Adducted
Scapula Abducted
Winging Scapula
Trunk

Scoliosis
Posterior View – Postural Faults (cont.)

Pelvis and Hip





Knee





Lateral pelvic tilt
Pelvic rotation
Hip abducted/Coxa Valga
Hip Adducted/Coxa Vara
Genu Varum
Genu Valgum
Ankle/Foot
Pes Planus (pronated)
Pes Cavus (supinated)
Anterior View – Postural Faults

Head and Neck



Shoulders




Shoulder Dropped
Shoulder Elevated
Clavicle/SC Joint Asymmetry
Elbows



Lateral tilt
Mandibular Asymmetry
Cubitus Valgus
Cubitus Varus
Hip


Medial Rotation
Lateral Rotation
Anterior View – Postural Faults (cont.)

Knee



External Tibial Torsion
Internal Tibial Torsion
Ankle and Foot



Hallux Valgus
Claw Toes
Hammer Toes