POSTURE &

PHYSIOTHERAPY

SUBHASH KHATRI
physiokhatri@gmail.com
Somatization of psyche is posture !
If one's body is straight, one's mind is
easily straightened too.
 OBJECTIVES

Identify normal & abnormal

posture
Postural screening
Evaluation
Postural training
 WHY TO ANALYSE THE
POSTURE?

Endurance of antigravity muscles

Homeostasis of Musculoskeletal system
Treatment planning
Insight to structural & functional relationship
Idea about emotional, spiritual &
psychological element
 POSTURE CLASSIFICATION
Military posture
TK normal, LL , PT ant
Flat back posture
LL TK , PT post
Kypholordotic posture
LL TK PT ant
Sway back
Ideal
Unable to classify
 CHANGE IN POSTURE

Poor sit / stand habits

Inactivation
Aging
Strenuous posture at work
Defective shoe wear
Worn heels
Muscle weakness due to aging
 CHANGE IN POSTURE

Pain
High heels
Congenital / developmental disorder
Pregnancy
Trauma ( sprain/strain)
Handedness
Environmental factors
 GEM

Students 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
NYPRS
Plumb Line
Pelvic inclinometer
Photographs
Extremity length
T/C/D
Video
Observation
Electrogoniometer
 EVALUATION
Posture board
Foot prints
Spirit level
Wooden blocks (LLD/ Pelvic lift)
Marking pencil
Tape measure
Flexicurve ruler
Kyphometer
 EVALUATION
CARPENTERS TRIASQUARE
MEASURE
FH
CT ear
CT shoulder
CT hip
CT knee
CT ankle
 EVALUATION
CTM calculations for relative
positions
HST= CT ear- CT shoulder
HAT =CT ear- CT ankle
SAT =CT shoulder - CT ankle
HPAT =CT hip- CT ankle
KAT =CT knee- CT ankle
 GEM
Jack :what day is today, Harry?
Harry: You have got me, I dont know
what day it is! . Contd.
Well! Jacky why dont you look at that
news paper in your pocket, that should
tell us.
Jack: Oh, no , that wont do us any
good,
it is yesterdays news paper!!
 EVALUATION
FLEXICURVE & INDEX OF KYPHOSIS

A
C B
IK =Thoracic height (A)
Spinal length
 MANAGEMENT

EDUCATION
EXERCISES
SHORT TERM BRACES
BIOFEEDBACK
Thanks for Listening!