Posture Analysis

Back care Posture while driving Posture while using computer
Posture while using phone Postural care with baby

Postural analysis/assessment can be defined as evaluation of various body parts of an individual in a position in an integrated manner in relation to ideal posture. Posture can be assessed in static as well as while performing sporting activities (dynamic) with modern techniques.

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Postural assessment forms the very basic of physiotherapy assessment. The moment patient walks in to the clinic, postural assessments starts there and then. Posture analysis is an important tool that helps assess the reasons behind various sports injuries and life-style related problems. The deviation from normal posture puts stress on structures that maintains the normal alignment of neck, back, upper and lower limbs. There are several methods of postural analysis in physiotherapy, some of them are mentioned below.

Visual observation method

This is the commonest method used for postural analysis in clinical practice. It has an advantage that it doesn’t require any equipment though quantitative analysis is not possible in this method. Thus, minor postural alterations cannot be detected. Major postural deviations can be easily identified with this method and correctional measures can be undertaken.

Plumb line method

This is again a common method used for postural assessment. A plumb line is used for posture evaluation. The physiotherapist looks for deviation from ideal alignment in side and back views, with plumb line being placed along the midline of the body. Disadvantage associated with this method is again it cannot provide quantitative data of deviation from normal.

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Fig. – The plumb line corresponds with the line of gravity (the red color vertical line) as shown in the picture and landmarks it should ideally pass through in a normal well aligned posture. Any deviation from this is considered abnormal.

Goniometry

Goniometers are extensively used in physiotherapy practice. It is not only used to measure the joint ROM manually, but also to assess the posture like neck inclination angle, cranial rotational angle etc. this is highly useful tool as it possess good to excellent reliability.

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Photographic and digitalization method

This method led to modernization of postural assessment, since it provided quantifiable and reproducible data, along with advantages of being simple and convenient, which made it very popular. This method is in use since long time. This method is very helpful in analyzing dynamic postures in various athletes to incorporate better techniques to enhance performance.

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(Analysis of Usain bolt’s running posture)

Radiographic method

This is rated as the “gold standard” method for evaluation of postural deviation and is one of the latest methods. Though it possesses risk of exposure to harmful radiations and is costly at the same time. Non invasive methods mentioned above are more preferable for postural analysis.

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Photogrammetric method

This method of posture evaluation has evolved or can be said to be modified version of photographic and digitization method. In this method, photographs of the subjects are taken in different planes with a camera which is mounted on a leveled tripod stand and is placed at a distance from the subjects. The photographs taken are analyzed with the help of a computer software program for various angular variations from normal. This method also provides reliable and quantifiable data which can be used for calculation of result post treatment or for research purpose. It can be used to measuring head posture, shoulder posture, cervical lordosis, thoracic kyphosis, lumbar lordosis, lower limb posture and pelvic tilt.

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Treatment at PAIN FREE PHYSIOTHERAPY CLINIC emphasizes on postural correction in almost all life-style related issues and sports related injury. We help sports personal identify and work on weaker techniques that may be causing the symptoms. In recent times life style related issues are at all time high owing to changing work style. Most of the time we see people glued to their gadgets in various abnormal postures. We try to analyze these variations in posture and work on correcting it. We also provide the necessary work related ergonomic advices to minimize the problem and to avoid it in future.

Postural care

If you are used to sustained work (household/ office/ travelling) in a bad posture, you are susceptible to back ache, neck ache, and other sort of postural pains. The following advices may be useful to you-

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Dr Roshan Jha

Dr. Roshan Jha (PT) BPT, MPT(Ortho/P), MIAP Dr Roshan Jha worked with leading Hospitals of Delhi like Batra Hospital...

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