POSTURE & PHYSIOTHERAPY

SUBHASH KHATRIphysiokhatri@gmail.com

Somatization of psyche is posture !

If one's body is straight, one's mind is easily straightened too.

OBJECTIVES

Identify normal & abnormal posturePostural screeningEvaluation Postural training

WHY TO ANALYSE THE POSTURE?

Endurance of antigravity musclesHomeostasis of Musculoskeletal systemTreatment planningInsight to structural & functional relationshipIdea about emotional, spiritual & psychological element

POSTURE CLASSIFICATIONMilitary posture

TK normal, LL , PT antFlat back posture

LL TK , PT postKypholordotic posture

LL TK PT antSway backIdealUnable to classify

CHANGE IN POSTURE

Poor sit / stand habitsInactivationAgingStrenuous posture at workDefective shoe wearWorn heelsMuscle weakness due to aging

CHANGE IN POSTURE

PainHigh heelsCongenital / developmental disorderPregnancyTrauma ( sprain/strain)HandednessEnvironmental factors

GEM

Student’s paper: God only knows answer

to these questions. Merry Christmas!Professor marked the papers and returned them to students. One had message on it: God gets an A, you get

F. Happy New Year!

EVALUATION

LEVELS OF HORIZONTAL PLANE Occipital level Shoulder level / Acromion process Inferior scapular plane Iliac crest level PSIS level Greater trochanter level Malleolar level

EVALUATION

NYPRSPlumb LinePelvic inclinometerPhotographsExtremity lengthT/C/DVideoObservationElectrogoniometer

EVALUATION

Posture boardFoot printsSpirit levelWooden blocks (LLD/ Pelvic lift)Marking pencilTape measureFlexicurve rulerKyphometer

EVALUATION

CARPENTER’S TRIASQUARE MEASUREFHCT earCT shoulderCT hipCT kneeCT ankle

EVALUATION

CTM calculations for relative positions HST= CT ear- CT shoulderHAT =CT ear- CT ankleSAT =CT shoulder - CT ankleHPAT =CT hip- CT ankleKAT =CT knee- CT ankle

GEM

Jack :what day is today, Harry?Harry: You have got me, I don’t know what day it is! …. Contd.

Well! Jacky why don’t you look at that news paper in your pocket, that should tell

us.

Jack: Oh, no , that won’t do us any good,

it is yesterday’s news paper!!

EVALUATION

FLEXICURVE & INDEX OF KYPHOSIS

A

C B

IK =Thoracic height (A)

Spinal length ©

MANAGEMENT

EDUCATIONEXERCISESSHORT TERM BRACESBIOFEEDBACK

Thanks for Listening!