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