OSPE POSTURE EVALUATION

Question 1

Anterior vnew observation

Answer 1

General physique
→ Muscular
→ overweight
→ Skinny

Question 2

Posture (Anterior)

Answer 2

Any obvious deformations you can see or visible difference between the 2 sides of the body or abnormal posture

Question 3

Height of ears and eyes(Anterior)

Answer 3

→ Same height
→ one side higher, maybe due to tiltof the neck to one side (side flexion of the neck)

Question 4

Trapezius Muscle (Anterior)

Answer 4

→ Both at the same height
→ One muscle is more bulky or prominent,maybe due to muscle spasm or type of Sport or active by that the patient does
→ the patient is right handed so the right trapezius may also be bigger

Question 5

Clavicles (Anterior)

Answer 5

Palpate
→ both the same height
→ Any palpable deformatles
→ Any differences between the 2 sides
→ one more prominent than the other maybe due to previous injury, activities or type of sport

Question 6

Shoulders (Anterior)

Answer 6

→ same height
→ One higher,If one trapezius muscle is higher,It will pull the shoulder higher as well.May be due to carrying a bag over one shoulder for long times, handedness or Sport

Question 7

Position and shape of upper arm, elbow and forearms ( Anterior)

Answer 7

→ look for any muscle atrophy/ wasting Of of MUSCLE or obvious differences in muscle bulk between the two arms

Question 8

Angle of Talje (Anterior)

Answer 8

Angle between the forearm and the body, distal to the elbow
→ is the angle the same on both Sides

Question 9

shape of chest and anterior rib cage (Anterior)

Answer 9

is there any visible flaring of the ribs (ribs standing out) or flail ribs (Indented ribs)

Question 10

Anterior superior illac spine (ASIS)(Anterior)

Answer 10

Palpate
is the height the same on both sides Or is there a tilt/ rotation to one side

Question 11

Position and shape of upper legs ( Anterior)

Answer 11

look for muscle atrophy/ muscle wasting and differences between muscle bulk of the two upper legs

Question 12

Rotation position of Femurs ( Anterior)

Answer 12

is there any internal or external rotation of the femur/s

Question 13

Height of the patella (Anterior)

Answer 13

Palpate
→ is the patella on the same height,may differ due to pelvic tilt Or muscle spasm in the upper leg

Question 14

Height of medial malleoli (Anterior)

Answer 14

Palpate
→ if the mallieoli on the same height or not,may differ one to a leg length discrepancy or pelvic tilt

Question 15

Shape and position of feet and toes

Answer 15

is It in pronation (flattened foot bridge) or supination (heightened foot bridge) or in inversion (turnned in) or eversion (turned out)

Question 16

Lateral view observation

Answer 16

Plumb line
hang with a point just anterior to the late rall mallieoli
The relationship of the body as a whole to the plumb lime should be ob served from both left and right slaves in order to detect faults

Question 17

Head Position (lateral)

Answer 17

→ is It foward or tilted upwards or downwords
→ poking chin (chin p used out foward)

Question 18

Shoulders (lateral)

Answer 18

→ is the position normal
→ in protraction or retraction
→ Elevated or depressed

Question 19

Anteroposterior curves of the spine (lateral)

Answer 19

is it the normal S curve or is the curve exaggerated or flattened

Question 20

Position of the pelvis (lateral)

Answer 20

is the pelvis tilted anterior or posterior or in a normal position

Question 21

Alignment of the knees ( lateral)

Answer 21

is It good,hyperextended or hyperflexed

Question 22

Lateral Ulew good alignment

Answer 22

Plumb line
just anterior to lateral mallieoli,anterior to the midline of the knee.
Posterior to the knee,posterior to the hip throught the greater trochanter ,anterior to the sacroiliac joint through the ear

Question 23

Ankle (lateral)

Answer 23

in a neutral position between dorsiflexion and plantarflexion

Question 24

Knee (lateral)

Answer 24

in hell extension (no flexion/ hyperextension)

Question 25

Hip (lateral)

Answer 25

Neutral (no pelvic tilt) imaginary lines connecting the symphysis pubis and ASIS- must be vertical and those connecting the AsIs and PSIS - must be horizontal for the pelvis to be in neutral position

Question 26

Shape of Trapezius muscle (Posterior)

Answer 26

is the height the same on both sides is the one muscle more bulky,may be due to muscle spasm or sports or other types of activities as well as handedness

Question 27

shape and position of the scapulae (posterior)

Answer 27

Do they flare (Stand out) is the height the same on both side or is it flat against the back Flaring may be due to muscle weakness,difference in height may be due to difference in the height of the trapezius muscle

Question 28

Angle of Talje (Posterior)

Answer 28

the angle bet&1ween the forearm and the body,distal to the elbow. is the angle the stcame on both sides

Question 29

Lateral division of the spine (posterior)

Answer 29

mark the spinous processes of the vertebra with a marking pencil or Palpate This is to look for a possible scoliosis. you cas ask patient to flex his spine fowand a bit,for spinous process to be easier to palpate

Question 30

Posterior illac Spine (PSIS) (posterior)

Answer 30

Palpate is there a difference in height on the two sides OR is there a lateral pelvic tilt that may be due to shortened muscles on one side of the lower back or lengthened muscles on one side of the back muscles,or on the other hand shortred or lengthened hamstring muscle on one side that can pull the pelvis either upwards or downwards

Question 31

Posterior rim of the ileum (posterior)

Answer 31

Palpate the entire rim > Is the height the same on both sides or is there a lateral pelvis tilt with the rim higher on one side than the other

Question 32

Lateral pelvis tilt ( Posterior)

Answer 32

Palpate is the pelvis tilted upwards on one side and downwards on the other side

Question 33

Gluteal folds

Answer 33

Ask patient to place their hands below their gluteal folds (bum) and determine If both gluteal folds are on the same height.there may be a difference if there is a lateral pelvic tilt

Question 34

Popliteal folds

Answer 34

Palpate is there a difference in the height of the 2 popliteal folds.It may be due to musclespasm in the upper legs or a lateral pelvic tilt or a leg length discrepancy

Question 35

Shape of upper legs and calves (posterior)

Answer 35

look for muscle atrophy or muscle wasting and a difference in muscle bulk between the two legs

Question 36

Lines of Achilles tendons ( posterior)

Answer 36

is the lime straight or more Inwards or outwards. It may be if there Is rotation of the thighs or If the feet is in inversion or eversion

Question 37

Position of feet (posterior)

Answer 37

is the feet in inversion Or eversion (turnned out/in) or facing foward

Question 38

Weight distribution between feet (posterior)

Answer 38

18 the weight taken equally on both feet or more on one side This can be determined the best If you ask the patient to step in powder and then step onto a carpet to make a visible footprint