Posture Assessment Flashcards
When performing the posture exam the PT must be
- Accurate and thorough- abnormalities are subtle
- Able to separate parts of body from whole, THEN assess sum of parts in reference to their interaction within the entire body structure
Correct posture
- Alignment of body for max physiological and biomechanical efficiency
- Minimizes stress/strain imparted to the supporting system by effect of gravity
The gravity line is drawn through the body’s center of gravity - located where
2nd sacral vertebra
T/F gravity line generally passes through all the joint axes of the body
F
If forces acting about a joint are out of balance, _____
Faulty joint motion can occur
Most important segments to have muscular and mechanical balance
Head, trunk, shoulders and pelvic girdle
Examples of postural faults
Rounded shoulders
Lumbar lordosis
Rounded shoulders
Shortened pec major and minor
Lumbar lordosis
Tight hip flexors and elongated abs
When should posture analysis be performed
After the history and systems review
Usually start your observation (after patient is instructed to assume comfortable and relaxed posture)
Proximal lay and move dismally viewing the patient from anterior, lateral, and posterior
Head and neck plumb line laterally
Ear lobe to acromion process
Shoulder plum line laterally
Acromion process
Thoracic vertebra laterally
Bisects the chest symmetrically
Lumbar vertebrae laterally
Midway between abdomen, back, and slightly anterior to sacroiliac joint
Pelvis and hip plumb line laterally
Anterior to SI joint and posterior to hip joint through greater trochanter
Plumb line knee laterally
Slightly anterior to midline of jt
Plumb line laterally ankle
Just anterior to lateral malleolus
Post plum line head and neck
Bisects head through external occipital protuberance
Post plum line shoulder and scapula
Midway between shoulders