Observation and Posture Analysis
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- Опубликовано: 27 сен 2024
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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. Observation and posture analysis is one of the first steps of your physiotherapeutic evaluation process. Even before you start with orthopedic special testing you want to get an idea on structural abnormalities that might be linked to your patients problems. In this video you will learn about the key landmarks worth taking a look at.
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Tags: Physio, therapy, physical, anamnesis, treatment, medical, Magee, assessment, tutorial, student, ESP, HVA, Hogeschool van, amsterdam, tutors, video, HD, test,
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Anterior:
“relax your shoulders and let arms drop by your side”
Line from tip of the nose, through middle of chin, down to manubrium of sternum
- Head rotation/sideflexion
Level of shoulder/clavicle angle
Nipple height
Iliac crests/ASIS
Space between trunk and arms
Arm length/fingertips height
Knee cap levels/valgus/varus
Medial malleoli
Sagittal:
Lateral plumb line or line of Appleton/ear lobe -> humeral head
- Anterior/posterior head
- Cervical lordosis
- Thoracic kyphosis
- Lumbar Lordosis
ASIS/PSIS line
- Anterior/post (Usually 15 degrees anteriorly)
Knee hyperextension
Posterior:
Head rotation/side-flexion
Scoliosis
Acromion
Scapula spines
Inferior angle of scapula
Medial borders of scapula from spine
Iliac crests
PSIS
Gluteal folds
Valgus/varus
Medial malleoli
Leg rotation (in toeing/out toing)
straight to my notes, thanks man!
Thanks for those short all in one videos. As a physical therapy student Im getting tired of clicking through the maze of my study's digital library only to find bits of information spread around.
Glad you found what you were looking for on our channel. Maybe you can refer us to your PT program if they want to include our contents in their curriculum. We also have a book and app and even a course that could supplement your learning.
They can reach out to us at info@physiotutors.com
Sagital / Side view;
-line from earlobe to humeral head
- examine spine for abnormalities. (Lordosis and kyphosis)
-shoulders retractions or protractions ( rounded shoulders or pulled back and down)
-pelvic level; angles of ant superior illiac spine and post. Superior illiac spine (15 deg)
- check if knee in hyperextended.
What a great video it's refreshing too see!!!
So many videos are hyper focused on correction poor posture.
But tooo many people forget that "poor" posture has many different definitions based on individual circumstances.
lmfao, great video? Refreshing to see? It's the same dated structural bullshit
I just started my Physiotherapy course at Southampton uni.
This channel has been so helpful as supportive learning material for my Principles of Physiotherapy Practice modules!
Thank you so much :)
+Matticus C cool, very much like to hear that! Good luck and enjoy ur studies!
1st video from the list of videos recommend by my university in Subject of Clinical practice.
These videos are amazing! It adds so much more substance to what was taught in class. You guys are life savers :)
+Bianca Leader wow :) awesome to hear that! Thanks a lot for the kind words and glad we can add to your education
Amazing vedio, it has helped me a lot, this vedio is best for last minute revision, thank you so much.
Good to hear!
No one can compare to you , great explanation thnk you so much for doing great work ,
So how about the supine position, did you observe them as well? And if you do, what will you look for?
physio tutors ure da best ever , love you guyz
I started preparation for my NPTE. I find your videos are helpful somehow. thank you.
Happy to hear jagadabi! Good luck!
In 2023, what is the current value of postural analysis in clinical practice? There seems to be limited documentation linking posture to pain, and it's possible that pain could cause "poor posture" instead of the other way around. Given these factors, can you shed light on the relevance of postural analysis today?
can you give an example of an abnormality that doesn't equal a pathological issue?
It was very nice ♥️
very useful >>i need Ant drawer test for shoulder
Really helpful! Thanks
great refresher
I have this posture abnormalities where clinic I should go?
that's why! lol, in our national exam guide, one sample questions about posture analysis says "if the student start to undress the patient, tell him/her to stop"....
Dear Physio Tutors. I am Physiotherapy Lecturer and I love your videos. How do i obtain permission to use them in my class? At the moment, i just direct them to your channel.
.good job, this's useful and thank you for choose a man
+zainab essam Haha thanks! Still looking for a nice female assistant, so we had to do it ourselves!;)
Thank you for sharing. I have a question : wouldn't it be more acurate to look from the feet to the head and not the other way around ? I am a physio student and we learn it that way because the position of the feet can often explain what is going on above.
Don't think it matters. First of all observation of posture is very unreliable and we have to be careful to link pain or causes of complaints to a certain posture as there is a lot of variance.
Regarding your question, it makes sense to analyze in "blocks". So for example, draw an imaginary line between the malleolis and the knees and look if they are at the same height. Then continue with the pelvis and the knees etc.
This way you could analyze two adjacent reasons for differences and find the "problem". Doesn't matter if it's top down or bottom up.
The reason for examining from the feet up is that stabilisation is built from the feet up, making it easier to diagnose from the results of the stacking of the instabilities. When you exam from the head down you just read the symptoms.
A good rule of thumb is “examine up - treat down”.
What we need now is for this guy to explain why his patients stabilisation is off, ONLY from his assessment of the postural distortions.
This will tell you if he understands what he is doing.
Thanks
What is the distance of the scapula to the vertebra?
Thank you sir
What can i do if i have a high arched supinated feet with a long second toe?
so good , helps a lot . thanks . subscribed
Thanks a lot for the compliment and for subscribing! Appreciate it!
Hi, nice video. Can we assess/ use any test to check if a person is having anterior pelvic tilt without using an inclinometer?
Thanks! Don't think so or wouldn't know how to. Also why would you want to assess that? Every person is different and having an anterior pelvic tilt doesn't necessarily have to be a problem - rather if you cannot move out of that pelic tilt...ever
How can correct that
First you have to understand the cause/ causes, then the correction will be more evident.
Sir I am from india so please tell me which doctors can do posture analysis
Thank you so much
Your video helping me a lot .I am Nidhi burathoki(Rajput)from India
You’re welcome 😊
Hi sir .. my hips get very wide with long leg and Brest inlargement and my torso is very short.. I don't look good in any type of clothes .. I totally kills my confident ..about 2 years ago it was all normal.. my height get increase in very bad way with wide hips and long leg but very short torso plz reply sir. I need your help..it creates back pain also
Just want to ask, which article can I refer from for postural assessment.
This is a fairly old video with text book reference
shout out wintec physiotherapy
I have not good posture
This is really good stuff. In my channel you can find a loooot of videos from different sources (maybe that's interesting for you) and also a lot of your videos xD. I'm a PT Student in Germany. You guys help out a lot..this is better than some of my teachers :O
+Pro Physiotherapy hört sich gut an ! Bleib uns treu ;-) es kommt noch massiv viel !
nyc
@1.15 you say "the latter should be disregarded in female patients" Why is that? :D
Think again 😉
Nc
With a woman what do u do
With bra or ask what she is comfortable with. Depends very much on culture as well.
As a german I'm pretty baffled that it's actually called "nipples" 😅
Why should women not receive the full postural analysis? I understand socially it's not accepted but on a clinical level it shouldn't matter. In my opinion.
They definitely should. Depends on your patient and how important you think observation is in this particular patient.
They should but always don’t risk yourself. Women are sensitive and trouble sometime.
Because it doesn't matter clinically if one boob is hanging lower than the other one. If your treatment is hindered because you couldn't get your female patient to take her shirt and bra off then you are a garbage clinician.
Who is here after senthile sir class😂😂
"The latter shall be disregarded in female patients."😂😂😂Damn ryt it will😂
Me ha ayudado demasiado, muchas gracias c:
I am wrong or ... doesn't this guys shoulders look uneven and as if there is an obvious imbalance there?
As a physio, my guess is that he is right-handed. Dominant hand is often a bit lower, and that's not considered pathological (at least not in my country) and doesn't require attention unless the imbalance is visible on the spine too (then it might be scoliosis)
Posture Analysis;
(Advisable for the patient to undress)
Frontal;
-nose to manubrium of sternum.
-Look for head tilting (symmetry)
-level of shoulders, and angles clavicles.
-line Illiac crest and ant. Sup. illiac spine in one line.
- Space between the body and arms.
-arm length (one can be slightly longer)
- Knees; making sure that they are no pointing outward or overly inward.
- The maleoli of the feet (level making sure that they are in lined)
Hi sir... didn't get your point that relationship between Apex of patella and valgus and varus...
Amazing video. Can you please post an introduction to assessment for UL, LL and spine as well?
We have videos on basic assessments for UE and LE on the channel (AROM;PROM,Strength,jointplay) spine will follow soon, as well as palpation (applied anatomy) so stay tuned
Thank you so much. You guys are very helpful :)
Nice vedio sir ,very helpful vedios and thank you so much
2 thumbs up. a good refresher for me.
RUclips only allows us to give you 1 thumbs up ;-) But thanks for your compliments!
very helpful !
Thank u