Posture Assessment Flashcards

1
Q

When performing the posture exam the PT must be

A
  1. Accurate and thorough- abnormalities are subtle
  2. Able to separate parts of body from whole, THEN assess sum of parts in reference to their interaction within the entire body structure
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2
Q

Correct posture

A
  1. Alignment of body for max physiological and biomechanical efficiency
  2. Minimizes stress/strain imparted to the supporting system by effect of gravity
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3
Q

The gravity line is drawn through the body’s center of gravity - located where

A

2nd sacral vertebra

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4
Q

T/F gravity line generally passes through all the joint axes of the body

A

F

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5
Q

If forces acting about a joint are out of balance, _____

A

Faulty joint motion can occur

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6
Q

Most important segments to have muscular and mechanical balance

A

Head, trunk, shoulders and pelvic girdle

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7
Q

Examples of postural faults

A

Rounded shoulders

Lumbar lordosis

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8
Q

Rounded shoulders

A

Shortened pec major and minor

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9
Q

Lumbar lordosis

A

Tight hip flexors and elongated abs

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10
Q

When should posture analysis be performed

A

After the history and systems review

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11
Q

Usually start your observation (after patient is instructed to assume comfortable and relaxed posture)

A

Proximal lay and move dismally viewing the patient from anterior, lateral, and posterior

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12
Q

Head and neck plumb line laterally

A

Ear lobe to acromion process

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13
Q

Shoulder plum line laterally

A

Acromion process

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14
Q

Thoracic vertebra laterally

A

Bisects the chest symmetrically

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15
Q

Lumbar vertebrae laterally

A

Midway between abdomen, back, and slightly anterior to sacroiliac joint

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16
Q

Pelvis and hip plumb line laterally

A

Anterior to SI joint and posterior to hip joint through greater trochanter

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17
Q

Plumb line knee laterally

A

Slightly anterior to midline of jt

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18
Q

Plumb line laterally ankle

A

Just anterior to lateral malleolus

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19
Q

Post plum line head and neck

A

Bisects head through external occipital protuberance

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20
Q

Post plum line shoulder and scapula

A

Midway between shoulders

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21
Q

Post plum line trunk

A

Spinous processes of thoracic and lumbar vertebra

22
Q

Post plum line pelvis and hip

A

Plumb line bisects gluteal cleft with the PSIS, iliac crests, and greater throchanters are level

23
Q

Post plum line ankle and foot

A

Equidistant between medial malleoli

24
Q

Anterior view assess carrying angle of elbow

A

Men -5 to 10 degrees

Women - 10-15 degrees

25
Q

Anterior plumb line assess if

A
  1. ASIS are level
  2. Patellar alignment - straight, inward, outward
  3. Angle of toeing out - norm values 5 to 7 degrees for each foot
26
Q

Causes of forward head

A
  1. Tight cervical extensor, upper trap, and lector scapulae

2. Elongated cervical flexors

27
Q

Causes of rounded shoulders

A
  1. Tight pec major/minor, serratus anterior

2. Weakness of thoracic extensors, middle trap and rhomboids

28
Q

Signs of rounded shoulders

A

Acromion process anterior to line

Scapulae abducted

29
Q

Signs of kyphosis

A

Increased posterior convexity of vertebrae

30
Q

Causes of kyphosis

A
  1. Lengthened thoracic extensors, middle and lower traps, posterior ligaments
  2. Tight anterior longitudinal ligament and anterior chest muscles
31
Q

Barrel chest

A

Increased overall anteroposterior diameter of the rib cage

32
Q

Anterior pelvic tilt

A

Lordosis

33
Q

Causes of lordosis

A
  1. Tight hip flexors and low back extensors and posterior longitudinal ligament
  2. Lengthened and weak lower abdominal muscles
34
Q

Posterior pelvic tilt

A

Flat back

35
Q

Causes of flat back

A
  1. Tight hamstring

2. Weak hip flexors

36
Q

When assessing laterally in the pelvis and hip, anterior pelvis drops and is called _____. This is caused by

A

Anterior pelvic tilt

  1. Increased lumbar lordosis and thoracic kyphosis
  2. Tight hip flexors
  3. Lengthened abdominals
37
Q

Anterior pelvis is raised with minimal curvature in lumbar spine is called ____. And is caused by

A

Posterior pelvic tilt

  1. Tight hamstrings
  2. Lengthened hip flexors and lower abdominals
38
Q

Hyper extension of the knee is called ____. And is caused by

A

Genu recurvatum

  1. Tight quads and calves
  2. Lengthened posterior capsule and hamstring muscles
39
Q

Head tilt from posterior view

A

Patient’s head lies more to one side of plum line

Caused by tightness of lateral neck flexors on one side

40
Q

Rotated head from posterior view caused by

A

Tightness of sternocleidomastoid, upper trap, and scalene

41
Q

Posterior view shoulder and scap problems

A
  1. Dropped Shoulder
  2. Abducted scapula
  3. Winging of scapula
42
Q

Dropped shoulder (one lower than other) caused by

A
  1. Tightness of rhomboid and latissimus Dorsi

2. Hand dominance (dominant side might be lower)

43
Q

Abducted scap (too far away from midline of thoracic vertebra) caused by

A
  1. Tight serratus anterior muscles

2. Lengthened rhomboids and middle trap muscles

44
Q

What is scap winging and what is it caused by

A

Medial border of scapula lifted off the ribs

Caused by weak serratus anterior

45
Q

Problems assessing posterior thoracic and lumbar regions

A

Scoliosis
Lateral pelvic tilt or drop
Pelvic rotation

46
Q

Causes of lateral pelvic drop

A
  1. Scoliosis
  2. Leg length discrepancy
  3. Shortening of contralateral quadratus lumborum
47
Q

Causes of pelvic rotation

A

Tightness of the medial rotators and hip flexor muscles on the rotated side

48
Q

Bow legs - name and causes

A

Genu Varum

Caused by coxa valga and structural changes in the alignment of femoral condyles/tibial plateau

49
Q

Knock knees- name and causes

A

Genu Valgum

Caused by coxa varum and structural changes in the alignment of femoral condyles/tibial plateau

50
Q

Pronated foot/ankle

A

(pes planus)

  1. Calcaneal eversion
  2. Midfoot width increase
  3. Lowering of medial longitudinal arch
51
Q

Supinated foot/ankle

A

(Pes cavus)
Calcaneal inversion
Midfoot width decrease
Elevation of the medial longitudinal arch

52
Q

Assessing posture at the beginning of the scanning exam allows PT to assess the entire body and not just the _____

A

Patient identified problem