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Introduction to Postural Assessment

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What is a common demonstration of poor posture described in the text?

Slouched or hunched position with protracted shoulders and rounded back

How do most people automatically react when asked to demonstrate good posture?

Straighten up, raise their chins, and retract and depress their shoulders

In an artistic context, how is posture often described?

A pose for aesthetic effect

What is a key requirement for maintaining good posture according to the text?

Alignment of certain body parts

Which term describes a congenital or inherited postural position according to the text?

Scoliosis

What can prolonged sitting in a hunched position lead to according to the text?

Increased thoracic kyphosis

What do our postures reveal about us, according to the text?

The condition of our bodies and how we feel about ourselves

How do people typically stand when feeling confident, motivated, and optimistic?

Standing tall with chests out, heads up, and adopting a wide stance

What is a common posture associated with feeling anxious, demotivated, and pessimistic?

Shifting weight to one leg and reducing base of support

How do confident individuals usually position their chin, based on the text?

Looking up and ahead

Which physical posture is associated with feelings of protection or defensiveness?

Crossing arms against the chest

What is a common aspect shared by people adopting similar emotions, according to the text?

Adopting the same postures in response to those emotions

Good posture requires a person to maintain the alignment of certain body parts; poor posture is often acknowledged as a cause of musculoskeletal pain, joint restriction or general ______.

discomfort

Bodyworkers have become familiar with postural terms such as scoliosis and genu valgum, which are used to describe a congenital, inherited position, plus used to describe a position assumed through habit, such as increased thoracic kyphosis resulting from prolonged sitting in a hunched ______.

position

Ask anyone to demonstrate poor posture, and it’s a fair bet that most will adopt a slouched or hunched position, protracting their shoulders and rounding their backs to exaggerate the kyphotic curve in the thoracic ______.

spine

When used in the context of therapy—physiotherapy, massage therapy, osteopathy or chiropractic, for example—the term posture more precisely describes the relationships among various parts of the body, their anatomical arrangement and how well they do or do not fit ______.

together

Ask for a demonstration of good posture, and most people automatically straighten up, raise their chins, and retract and depress their shoulders in a military-type ______.

attitude

Clearly, for most people, the term posture describes an overall body position, the way we hold ourselves or position our bodies, intentionally or ______.

unintentionally

Observe 10 people feeling confident, motivated, and optimistic, and you will notice that most are standing tall, with their chests out and heads up, and that most have adopted a wide stance, giving themselves a ______ base of support.

wide

By contrast, observe 10 people feeling anxious, demotivated and pessimistic, and you may notice that they have shifted their weight to one leg, reducing their base of support (making them less stable), and that they stoop or flex at the waist, looking to the floor rather than up and ______.

ahead

They may touch the chin with one hand the way we sometimes do when we are thinking, and may even cross one or both arms against the chest in a ______ manner.

protective

The postures we assume provide clues to not only the condition of our bodies—traumas and injuries old and new, and mild or more serious pathologies—but also how we feel about ourselves—our confidence (or lack of it), how much energy we have (or are lacking), how enthusiastic (or ______) we feel.

unenthusiastic

Intriguingly, we all almost always adopt the same postures in response to the same emotions. Observe 10 people feeling confident, motivated, and optimistic, and you will notice that most are standing tall, with their chests out and heads up, and that most have adopted a wide stance, giving themselves a ______ base of support.

wide

They may be smiling or have a countenance that reflects their positive feelings. By contrast, observe 10 people feeling anxious, demotivated and pessimistic, and you may notice that they have shifted their weight to one leg, reducing their base of support (making them less stable), and that they stoop or flex at the waist, looking to the floor rather than ______ and ahead.

up

What does the text suggest about ideal posture?

Ideal posture varies based on individual anatomical differences.

How is posture traditionally assessed by students of physiotherapy, osteopathy, and chiropractic?

By comparing patient postures to images of an upright skeleton.

What can variations in anatomical structures lead to?

Different physiological compensations necessary to maintain an upright position.

How do people commonly demonstrate good posture when asked?

By standing tall, raising their chins, and retracting and depressing their shoulders.

What is the common demonstration of poor posture described in the text?

Rounding backs and exaggerating the kyphotic curve in the thoracic spine.

How are postural terms like scoliosis and genu valgum typically used?

To describe congenital or inherited postural positions.

The physiological compensations needed to keep us in the upright position vary because anatomically speaking, we are not all the same. For example, some of us have one limb bone longer than the other, or feet or hands considered disproportionately large to the rest of our bodies, not to mention the variation in soft tissues. Therefore, it is not surprising that the ______ needed to keep us in the upright position vary.

physiological compensations

Traditionally, students of physiotherapy, osteopathy, and chiropractic have learned to assess posture by comparing the posture of their patients against images of an upright skeleton. This method helps them evaluate the relationships among various parts of the body, their anatomical arrangement, and how well they do or do not fit ______.

together

The term posture, when used in the context of therapy such as physiotherapy, massage therapy, osteopathy, or chiropractic, more precisely describes the relationships among various parts of the body, their anatomical arrangement, and how well they do or do not fit together. Clearly, for most people, the term posture describes an overall body position, the way we hold ourselves or position our bodies, intentionally or ______.

unintentionally

Good posture requires a person to maintain the alignment of certain body parts; poor posture is often acknowledged as a cause of musculoskeletal pain, joint restriction, or general ______.

discomfort

Bodyworkers have become familiar with postural terms such as scoliosis and genu valgum, which are used to describe a congenital, inherited position, plus used to describe a position assumed through habit, such as increased thoracic kyphosis resulting from prolonged sitting in a hunched ______.

position

In an artistic context, posture is often described as a key element in conveying emotions, feelings, or moods. Artists may use posture to depict characters' personalities, attitudes, or the overall mood of a scene, adding depth and meaning to their ______.

artwork

Scoliosis is an example of a physiological factor affecting posture.

False

Temporary posture changes can occur due to pain, which may lead to long-term postural changes if the position is maintained.

True

Pregnancy-related physiological changes always result in permanent postural changes.

False

Illness and disease do not affect posture when bones and joints are involved.

False

Pain never leads to altered postures as individuals attempt to minimize discomfort.

False

Mal-alignment in the healing of fractures is not observable as a change in bone contour.

False

Elderly adults tend to gain height as a result of osteoporotic changes.

False

People who grow up sitting on chairs develop postures that are similar to those who sit cross-legged or squatting.

False

The postural differences between a manual worker and an office worker are not significant.

False

People feeling cold adopt the same posture as when they feel warm.

False

Postmenopausal women may develop a dowager’s hump.

True

The postural differences between someone active and someone sedentary are minimal.

False

Pain or discomfort may affect posture as we adopt positions to minimise discomfort. This may be temporary or could result in long-term postural change if the position is maintained. Physiological changes that accompany pregnancy are temporary but sometimes result in more permanent, compensatory postural change. Pathological ______ affect our postures especially when bones and joints are involved.

illness and disease

Bodyworkers have become familiar with postural terms such as scoliosis and genu valgum, which are used to describe a congenital, inherited position, plus used to describe a position assumed through habit, such as increased thoracic kyphosis resulting from prolonged sitting in a hunched ______.

position

Ask for a demonstration of good posture, and most people automatically straighten up, raise their chins, and retract and depress their shoulders in a military-type ______.

manner

By contrast, observe 10 people feeling anxious, demotivated and pessimistic, and you may notice that they have shifted their weight to one leg, reducing their base of support (making them less stable), and that they stoop or flex at the waist, looking to the floor rather than up and ______.

ahead

They may touch the chin with one hand the way we sometimes do when we are thinking, and may even cross one or both arms against the chest in a ______ manner.

protective

The physiological compensations needed to keep us in the upright position vary because anatomically speaking, we are not all the same. Therefore, it is not surprising that the ______ needed to keep us in the upright position vary.

strategies

As elderly adults, we tend to lose height as a result of osteoporotic changes and so develop ______ postures

stooped

People who grow up sitting cross-legged or squatting develop postures that are different from those of people who grow up sitting on ______

chairs

Observe 10 people feeling confident, motivated, and optimistic, and you will notice that most are standing tall, with their chests out and heads up, and that most have adopted a wide stance, giving themselves a ______ base of support

wide

Ask for a demonstration of good posture, and most people automatically straighten up, raise their chins, and retract and depress their shoulders in a military-type ______

manner

Ask anyone to demonstrate poor posture, and it’s a fair bet that most will adopt a slouched or hunched position, protracting their shoulders and rounding their backs to exaggerate the kyphotic curve in the thoracic ______

region

Intriguingly, we all almost always adopt the same postures in response to the same emotions. Observe 10 people feeling confident, motivated, and optimistic, and you will notice that most are standing tall, with their chests out and heads up, and that most have adopted a wide stance, giving themselves a ______ base of support

wide

What is a potential disadvantage of using images to assess posture, as mentioned in the text?

It may cause therapists to focus too much on local structures.

Why might stretching out the cervical extensors alone not solve a client's neck problem, based on the text?

Postural imbalances in other body areas may persist.

What issue can arise if therapists focus excessively on how local structures fit together?

They may overlook the key problem sources.

When observing an excessively lordotic neck, what conclusion might a therapist mistakenly draw due to compartmentalisation of the body?

The problem is in the neck itself.

Why is it important for therapists to take a broad view of clients' bodies when assessing posture?

To pinpoint factors causing or contributing to postural problems.

Why is increased cervical lordosis likely to persist despite treatments aimed at correcting it?

To compensate for a kyphotic spine, the position of the head needs to be altered.

What do advocates of myofascial release argue about imbalances in the body?

Imbalances in one part of the body can affect structures in another part.

What is emphasized as important for postural assessment and correction in the text?

Understanding the role of fascia is crucial for postural assessment and correction.

Why does the text mention reverting to a traditional compartmentalised approach for postural assessments?

To provide a more comprehensive view of postural issues.

What is highlighted as crucial for becoming a better postural assessor according to the text?

Appreciating the role of fascia in postural assessment.

Why is an understanding of fascia considered important in postural assessment?

Fascia can impact body structures beyond its localized area.

A therapist might observe a client’s neck to be excessively lordotic compared to the ideal posture and mistakenly conclude that the problem is in the ______.

neck

By focusing too much on how local structures fit together, we risk overlooking what keeps them together. We tend to become focused on the ______ rather than the whole.

part

An excessive lordosis in the cervical region of the spine often accompanies an increased ______ in the thoracic region.

kyphosis

Postural imbalances in other areas of the body need to be addressed along with stretching out the cervical extensors to improve a client’s excessively lordotic ______.

neck

Good posture requires a person to maintain the alignment of certain body parts; poor posture is often acknowledged as a cause of musculoskeletal pain, joint restriction, or general ______.

discomfort

The physiological compensations needed to keep us in the upright position vary because anatomically speaking, we are not all the same. Therefore, it is not surprising that the ______ needed to keep us in the upright position vary.

compensations

Pregnancy-related physiological changes can result in more permanent, compensatory postural change.

postures

Bodyworkers have become familiar with postural terms such as scoliosis and genu valgum, which are used to describe a congenital, inherited position, plus used to describe a position assumed through habit, such as increased thoracic kyphosis resulting from prolonged sitting in a hunched ______.

position

Good posture requires a person to maintain the alignment of certain body parts; poor posture is often acknowledged as a cause of musculoskeletal pain, joint restriction, or general ______.

discomfort

Pain or discomfort may affect posture as we adopt positions to minimize discomfort. This may be temporary or could result in long-term postural change if the position is maintained. Physiological changes that accompany pregnancy are temporary but sometimes result in more permanent, compensatory postural change. Pathological ______ affect our postures especially when bones and joints are involved.

changes

In recent years much has happened to improve our understanding of fascia and how it connects one part of the body to another. Advocates of techniques such as myofascial release argue that imbalances at one end of the body can affect structures at the other end because restrictions in fascia cannot be viewed as solely localised phenomena. For those interested in the importance of fascia to postural assessment and correction, I recommend Fascial Release for Structural Balance (Earls and Myers 2010) and The Nature of Fascia (Schleip 2008). There is no doubt that an appreciation of the role of fascia in postural assessment will make you a better assessor. Yet because fascia embraces us entirely, linking all parts, there is no beginning and no end for the observer. I therefore hope that those of you already skilled at taking into account fascial tension in various parts of the body when you perform your postural assessments will forgive me for reverting to the more traditional compartmentalized ______. We do, after all, have to start somewhere.

approach

Traditionally, students of physiotherapy, osteopathy, and chiropractic have learned to assess posture by comparing the posture of their patients against images of an upright skeleton. This method helps them evaluate the relationships among various parts of the body, their anatomical arrangement, and how well they do or do not fit ______.

together

Postural assessment is important mainly to save time and improve efficiency.

False

Postural assessment helps to differentiate between habitual postures and congenital postural positions.

True

Acquiring more information about clients is not a significant reason for carrying out a postural assessment.

False

Postural assessment is primarily focused on establishing a diagnosis rather than treating holistically.

False

Postural assessment is not relevant when working with clients who engage in regular physical activity or sports.

False

Establishing a baseline is not a key reason for carrying out a postural assessment.

False

A postural assessment can help rule out anatomical causes of pain.

True

Old scars are typically irrelevant in postural assessment.

False

Postural assessment always leads to an immediate diagnosis of a condition.

False

Postural assessment is the only component needed for making a diagnosis.

False

A postural assessment can reveal facts that might otherwise take longer to establish.

True

Prolonged sitting usually leads to increased muscle strength.

False

Noticing a decrease in shoulder muscle bulk during a postural assessment always indicates adhesive capsulitis.

False

An elderly man favoring his non-problematic leg during weight-bearing could be related to a childhood injury.

True

Postural assessment is irrelevant and does not save time in the long run.

False

Postural assessment is primarily used to identify current symptoms rather than past medical history.

False

The main reasons for carrying out a postural assessment are to acquire information, save time, establish a baseline, and treat ______.

holistically

Traditionally, students of physiotherapy, osteopathy, and chiropractic have learned to assess posture by comparing the posture of their patients against images of an upright ______.

skeleton

Postural assessment can help rule out anatomical causes of ______.

pain

Bodyworkers have become familiar with postural terms such as scoliosis and genu valgum, which are used to describe a congenital, inherited position, plus used to describe a position assumed through habit, such as increased thoracic kyphosis resulting from prolonged sitting in a hunched ______.

manner

Postural assessment is important mainly to save time and improve ______.

efficiency

Postural imbalances in other areas of the body need to be addressed along with stretching out the cervical extensors to improve a client’s excessively lordotic ______.

posture

Why is it important to perform a postural assessment according to the text?

To establish a baseline for judging treatment effectiveness

What does the text suggest about the relationship between fascia and postural assessment?

Fascia can affect structures throughout the body

How can postural assessments help therapists in treating clients with muscular pain due to pelvic position?

By reassessing to determine the effectiveness of treatments

What is one key reason mentioned in the text for observing weight bearing in a postural assessment?

To establish a baseline for future treatments

How do therapists typically assess the effectiveness of posture-related treatments?

By relying on subjective feedback from the client

In what way does establishing a baseline through postural assessment aid in treatment?

To determine effectiveness of treatment interventions

Why is including an analysis of posture in assessments considered important?

To offer a more holistic approach to treatment

Who would NOT be suitable candidates for a postural assessment?

A client requesting it

How can a postural assessment benefit fitness professionals and yoga teachers?

By identifying muscle imbalances

In what scenario is a postural assessment deemed inappropriate?

With clients requesting it

What is the primary aim of a postural assessment according to the text?

To identify muscle imbalances and design effective treatments

Why might a client not be suitable for a postural assessment according to the text?

If they have a condition necessitating a different form of assessment

Observing the alteration in weight bearing has provided you with a significant piece of ______.

information

Establishing a baseline through postural assessment aids in ______.

treatment

Postural assessment is important mainly to save time and improve ______.

efficiency

Postural assessment can help rule out anatomical causes of ______.

pain

Good posture requires a person to maintain the alignment of certain body parts; poor posture is often acknowledged as a cause of musculoskeletal pain, joint restriction, or general ______.

discomfort

Intriguingly, we all almost always adopt the same postures in response to the same emotions. Observe 10 people feeling confident, motivated, and optimistic, and you will notice that most are standing tall, with their chests out and heads up, and that most have adopted a wide stance, giving themselves a ______ base of support.

wide

When observing an excessively lordotic neck, what conclusion might a therapist mistakenly draw due to compartmentalisation of the body?

postural

Traditionally, students of physiotherapy, osteopathy, and chiropractic have learned to assess posture by comparing the posture of their patients against images of an upright ______.

skeleton

Intriguingly, we all almost always adopt the same postures in response to the same emotions. Observe 10 people feeling confident, motivated, and optimistic, and you will notice that most are standing tall, with their chests out and heads up, and that most have adopted a wide stance, giving themselves a ______ base of support.

wide

As elderly adults, we tend to lose height as a result of osteoporotic changes and so develop ______ postures.

stooped

Why does the text mention reverting to a traditional compartmentalised approach for postural assessments?

beginning

Clearly, for most people, the term posture describes an overall body position, the way we hold ourselves or position our bodies, intentionally or ______.

unintentionally

When should postural assessment typically be performed?

After the consultation and obtaining medical history

What is the recommended location for conducting a postural assessment?

In a warm clinic or treatment room

Why is it important to reassess posture following a series of treatments and home care exercises?

To determine if the client's condition has improved

What kind of assessment tools are recommended for clients suffering from conditions affecting the nervous and muscular systems?

Tools specifically designed for their conditions

Under what circumstances might a therapist decide not to conduct a postural assessment at all?

If the client reports dizziness when standing too long

Why is it essential to observe a client's seated posture at work, even though they are clothed?

To gain an overall impression of potential musculoskeletal pain causes

When working with an anxious client, why should you postpone a postural assessment?

To develop a rapport first

In which scenario would it be inappropriate to assess a client's posture?

When the client is unable to stand due to pain or illness

Why is caution advised when assessing an elderly person who has suddenly become unbalanced while using a walking aid?

To ensure the patient's safety

Why should therapists be careful when assessing clients with recent injuries in the lower body?

Weight bearing or a change in posture may worsen discomfort

How should therapists handle clients who are unsettled by close proximity during a postural assessment?

Clearly explain the intention and purpose behind the assessment

Why would it be helpful to assess a patient who has recently suffered a stroke in a hospital setting?

To understand the impact on muscle tone

Postural assessment usually requires that clients be in their ______

underwear

Observing a client who sits for long periods of time by observing seated posture at work can provide useful information about musculoskeletal pain due to poor ______

seated posture

Postural assessment is usually performed following the consultation and after obtaining important information about the client’s ______ history

medical

Reassessing posture following each treatment depends on how often you are seeing the client and the nature of your ______

treatment

Acquiring important information about clients, saving time, establishing a baseline, and treating are the main reasons for carrying out a postural ______

assessment

Postural assessment is important to observe whether intensive treatment and exercise have relieved musculoskeletal pain believed to be due to poor ______

posture

People feeling cold adopt the same posture as when they feel ______

warm

Postural imbalances in other areas of the body need to be addressed along with stretching out the cervical extensors to improve a client’s excessively lordotic ______

posture

Traditionally, students of physiotherapy, osteopathy, and chiropractic have learned to assess posture by comparing the posture of their patients against images of an upright ______

skeleton

Ask for a demonstration of good posture, and most people automatically straighten up, raise their chins, and retract and depress their shoulders in a military-type ______

manner

Postural assessment is primarily focused on establishing a diagnosis rather than treating ______

holistically

By contrast, observe 10 people feeling anxious, demotivated and pessimistic, and you may notice that they have shifted their weight to one leg, reducing their base of support (making them less stable), and that they stoop or flex at the waist, looking to the floor rather than up and ______

forward

It is appropriate to assess the posture of a client who is unable to stand due to pain or illness.

False

Postural assessment is primarily focused on diagnosing issues rather than treating them.

False

Postural imbalances in the lumbar spine, pelvis, or lower limbs can be aggravated by weight-bearing or posture changes.

True

Assessing an elderly person using a regular walking aid should not involve assessing them while standing.

False

It is recommended to perform a postural assessment on a client before establishing a rapport.

False

Postural assessment can be helpful in hospital settings, especially for patients with abnormal muscle tone.

True

Postural assessment should not be done for clients suffering from degenerative conditions like Parkinson's disease.

False

Postural assessment is always conducted with clients in their full clothing.

False

Postural assessment is typically performed before gathering the client's medical history.

False

It is recommended to reassess posture following each treatment, regardless of the treatment plan's nature.

False

Postural assessment is not necessary if the therapist believes the musculoskeletal pain is unrelated to poor posture.

True

Observing a client's seated posture at work can provide as much information as assessing their posture in their underwear.

False

Study Notes

Introduction to Postural Assessment

  • Posture refers to the overall body position, including the way we hold ourselves or position our bodies, intentionally or unintentionally.
  • Good posture requires maintaining the alignment of certain body parts, while poor posture is often a cause of musculoskeletal pain, joint restriction, or general discomfort.

Factors Affecting Posture

  • Structural or anatomical factors:
    • Scoliosis in all or part of the spine
    • Discrepancy in the length of the long bones in the upper or lower limbs
    • Extra ribs or vertebrae
    • Increased elastin in tissues (decreasing the rigidity of ligaments)
  • Age:
    • Posture changes considerably as we grow into our adult forms
    • Postures in children are markedly different at different ages
  • Physiological factors:
    • Posture changes temporarily in response to feeling alert, energized, or subdued
    • Pain or discomfort can affect posture as we adopt positions to minimize discomfort
  • Pathological factors:
    • Illness and disease affecting bones and joints (e.g. osteomalacia, arthritic changes)
    • Pain can lead to altered postures as we attempt to minimize discomfort
  • Occupational factors:
    • Postural differences between manual workers and office workers
    • Postural differences between active and sedentary individuals
  • Recreational factors:
    • Postural differences between individuals who engage in regular racket sports and those who are committed cyclists
  • Environmental factors:
    • Postural differences in response to feeling cold or warm
  • Social and cultural factors:
    • Postural differences between individuals who grow up sitting cross-legged or squatting and those who grow up sitting on chairs
  • Emotional factors:
    • Postural differences in response to certain moods or emotional states (e.g. grief, anger)

Ideal Posture

  • There is an ideal posture, but it is not ideal for everyone due to anatomical variations.
  • Traditionally, students of physiotherapy, osteopathy, and chiropractic have learned to assess posture by comparing the posture of their patients against images of an upright skeleton.

Postural Assessment

  • Assessing posture involves considering the relationships among various parts of the body, their anatomical arrangement, and how well they fit together.

  • Postural assessment should take a broad view of the client's body to identify the factors causing or contributing to their problems.

  • Fascia plays a crucial role in postural assessment, as imbalances in fascia can affect structures at the other end of the body.

  • A compartmentalized approach to postural assessment can lead to overlooking the connections between different parts of the body.### Reasons for Postural Assessment

  • Acquire information: performing a postural assessment provides more information about the client, helping to distinguish among various causes of pain and determine if a change in working posture might be beneficial.

  • Save time: postural assessment can reveal facts that are pertinent to the client's problem, saving time in the long run.

  • Establish a baseline: postural assessment helps to establish a baseline, a marker to judge the effectiveness of treatment, and to determine if there has been any change in the pain and whether this can be attributed to an alteration in the position of the pelvis.

  • Treat holistically: postural assessment offers a more complete service, treating people holistically, not compartmentalizing them as a bad knee, a frozen shoulder, or whiplash.

Examples of Postural Assessment

  • A client with back and neck pain may have pain due to habitual postures, or something else, and postural assessment helps to distinguish among various causes.
  • A client with recurring knee pain may have pain aggravated by the posture of their lower limbs, and postural assessment helps to identify the cause.
  • A client with shoulder pain may have a decrease in shoulder muscle bulk, and postural assessment helps to identify the cause of the pain.

Who Should Have a Postural Assessment

  • Clients presenting for sports or remedial massage, physiotherapy, or osteopathy treatments.
  • Fitness professionals and yoga teachers who aim to strengthen weak muscles or lengthen muscles.
  • Clients who are not suitable for postural assessment include:
    • Anxious clients.
    • Clients unable to stand due to pain or illness.
    • Clients who are unstable when standing or when getting to or from the standing position.
    • Clients who do not understand the purpose of the assessment or who do not give consent.
    • Clients with a condition that would benefit from a different form of assessment.

When to Perform Postural Assessment

  • Following the consultation and once the client's medical history is taken.
  • Before and after treatment, to determine if there has been any change in the pain and whether this can be attributed to an alteration in the position of the pelvis.
  • At some stage during a series of treatments and home care exercises over a period of time.

Where to Perform Postural Assessment

  • In a warm clinic or treatment room, where the client can be in their underwear.

  • In a client's workplace, if they sit for long periods of time, to observe their seated posture and identify if musculoskeletal pain may be due to poor seated posture.### Postural Assessment

  • Postural assessment may be postponed for anxious clients to establish a rapport before proceeding.

  • Clients unable to stand due to pain or illness should not be assessed for posture.

  • However, clients can still be assessed in a seated position (see chapter 6, page 125).

Cautionary Cases

  • Elderly clients who use walking aids require careful assessment, ensuring safety while assessing posture.
  • Clients with recent injuries, particularly in the lumbar spine, pelvis, or lower limbs, require caution to avoid aggravating discomfort.
  • Clients who are uncomfortable with close proximity during assessment should be clearly explained the intention and purpose behind the assessment.

Hospital Settings

  • Postural assessment can be very useful in hospital settings, such as for patients who have suffered a stroke.
  • However, patients with abnormal muscle tone due to sudden trauma may not apply to the "What Your Findings Mean" section.

Location and Timing

  • Postural assessment usually requires clients to be in their underwear, making a warm clinic or treatment room the best location.
  • Important information can be gained from observing seated posture at work, even if the client is clothed.
  • Postural assessment is usually performed following the consultation and medical history.
  • Reassessment may be necessary after treatment, depending on the nature of the treatment and frequency of client visits.

Learn about the basics of posture assessment, including what constitutes good and poor posture. Understand how posture is commonly perceived by individuals and its impact on overall health.

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