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Posture Assessment

Posture Assessment. PHT 1261C Tests and Measurements Dr. Kane. Posture Assessment. Strength and length of muscles must be balanced Based on force couple principles Must be addressed, esp. in head, trunk, shoulders, and pelvis Alterations in strength &/or length create postural faults

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Posture Assessment

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  1. Posture Assessment PHT 1261C Tests and Measurements Dr. Kane

  2. Posture Assessment • Strength and length of muscles must be balanced • Based on force couple principles • Must be addressed, esp. in head, trunk, shoulders, and pelvis • Alterations in strength &/or length create postural faults • Stretch weakness • 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

  3. 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

  4. 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

  5. Lateral View – Postural Faults • Head and Neck • Forward head • Flattened Lordotic Cervical Curve • Excessive Lordotic Cervical Curve • Shoulder • Forward Shoulders • Lumbar Lordosis • Thoracic Spine • Kyphosis • Pectus Excavatum (Funnel Chest) • Barrel Chest • Pectus Cavinatum (Pigeon Chest)

  6. Lateral View – Postural Faults - continued • Lumbar Vertebrae • Increased lordosis • Sway Back • Flat Back • Pelvis and Hip • Anterior Pelvic Tilt • Posterior Pelvic Tilt • Knee • Genu Recurvatum • Flexed Knee • Ankle • Forward Posture/BW on met heads

  7. Posterior View – Postural Faults • Head and Neck • Head Tilt • Head Rotated • Shoulder and Scapula • Dropped Shoulder • Shoulder elevated • Shoulder Medial Rotation (IR) • Scapula Adducted • Scapula Abducted • Winging Scapula • Trunk • Scoliosis

  8. Posterior View – Postural Faults (cont.) • Pelvis and Hip • Lateral pelvic tilt • Pelvic rotation • Hip abducted/Coxa Valga • Hip Adducted/Coxa Vara • Knee • Genu Varum • Genu Valgum • Ankle/Foot • Pes Planus (pronated) • Pes Cavus (supinated)

  9. Anterior View – Postural Faults • Head and Neck • Lateral tilt • Mandibular Asymmetry • Shoulders • Shoulder Dropped • Shoulder Elevated • Clavicle/SC Joint Asymmetry • Elbows • Cubitus Valgus • Cubitus Varus • Hip • Medial Rotation • Lateral Rotation

  10. Anterior View – Postural Faults (cont.) • Knee • External Tibial Torsion • Internal Tibial Torsion • Ankle and Foot • Hallux Valgus • Claw Toes • Hammer Toes

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