Transcript Posture Assessment

Posture Assessment
PHT 1261C Tests and Measurements
Dr. Kane
Posture Assessment
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Strength and length of muscles must be balanced
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Stretch weakness
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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
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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
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Lateral - Perform on both sides to pick up rotational
abnormalities
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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
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Divides body into two equal halves
Lateral View – Postural Faults
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Head and Neck
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Shoulder
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Forward head
Flattened Lordotic Cervical Curve
Excessive Lordotic Cervical Curve
Forward Shoulders
Lumbar Lordosis
Thoracic Spine
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Kyphosis
Pectus Excavatum (Funnel Chest)
Barrel Chest
Pectus Cavinatum (Pigeon Chest)
Lateral View – Postural Faults - continued
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Lumbar Vertebrae
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Pelvis and Hip
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Anterior Pelvic Tilt
Posterior Pelvic Tilt
Knee
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Increased lordosis
Sway Back
Flat Back
Genu Recurvatum
Flexed Knee
Ankle
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Forward Posture/BW on met heads
Posterior View – Postural Faults
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Head and Neck
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Shoulder and Scapula
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Head Tilt
Head Rotated
Dropped Shoulder
Shoulder elevated
Shoulder Medial Rotation (IR)
Scapula Adducted
Scapula Abducted
Winging Scapula
Trunk
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Scoliosis
Posterior View – Postural Faults (cont.)
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Pelvis and Hip
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Knee
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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
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Head and Neck
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Shoulders
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Shoulder Dropped
Shoulder Elevated
Clavicle/SC Joint Asymmetry
Elbows
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Lateral tilt
Mandibular Asymmetry
Cubitus Valgus
Cubitus Varus
Hip
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Medial Rotation
Lateral Rotation
Anterior View – Postural Faults (cont.)
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Knee
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External Tibial Torsion
Internal Tibial Torsion
Ankle and Foot
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Hallux Valgus
Claw Toes
Hammer Toes