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 ID: 370385
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Posture Assessment
PHT 1261C Tests and Measurements
Dr. KaneSlide2
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 LineSlide3
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 sideSlide4
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 halvesSlide5
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)Slide6
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 headsSlide7
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
ScoliosisSlide8
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)Slide9
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 RotationSlide10
Anterior View – Postural Faults (cont.)
Knee
External Tibial Torsion
Internal Tibial Torsion
Ankle and Foot
Hallux Valgus
Claw Toes
Hammer Toes