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Postural Analysis Checklist


PLUMB LINE

■ Are there parts of the body forward or behind the ■ Are the head, thorax and pelvic aligned in relation
plumb line? (head, upper body, shoulders, pelvis, knees) to each other?

SIDE VIEW check both sides FRONT VIEW* BACK VIEW


ankle joints feet feet
■ neutral R L ■ neutral R L ■ neutral R L
■ plantar flexed R L ■ inverted/supinated R L ■ inverted/supinated R L
■ dorsiflexed R L ■ everted/pronated R L ■ everted/pronated R L

knees knees femurs


■ neutral R L ■ neutral ■ neutral R L
■ hyperextended R L ■ knock-kneed genu valgum ■ medial rotation R L
■ flexed R L ■ bow-legged genu varum ■ lateral rotation R L

hip joints pelvis pelvis


■ neutral R L ■ level ■ level
■ flexed R L ■ elevated R L ■ elevated R L
■ extended R L ■ rotated clockwise ■ rotated clockwise
■ rotated counter-clockwise ■ rotated counter-clockwise
pelvis
■ neutral R L rib cage scapulae
■ anterior pelvic tilt R L ■ neutral ■ neutral R L
■ posterior pelvic tilt R L ■ elevated R L ■ protracted R L
■ shifted R L ■ retracted R L
lumbar spine
■ rotated clockwise ■ elevated R L
■ neutral ■ depressed
■ rotated counter-clockwise R L
■ flat decreased convex curve anteriorly ■ upwardly rotated R L
■ excessive extension increased convex curve anteriorly shoulders
■ downwardly rotated R L
■ level ■ winging R L
■ elevated
lower thoracic spine
R L
■ neutral ■ anteriorly tipped R L
■ depressed R L
■ flat decreased convex curve posteriorly
■ excessive flexion increased convex curve posteriorly
humeri
head
■ neutral R L
■ rotated clockwise ■ medially rotated R L
■ rotated counter-clockwise
upper thoracic spine
■ neutral
■ flat decreased convex curve posteriorly ■ neutral sequencing through the spine
■ tilted R L
■ excessive flexion increased convex curve posteriorly
watch from the side:
■ shifted R L ■ are there flat areas? Y N
cervical spine where? _____
■ neutral
■ flat decreased convex curve anteriorly
watch and palpate from the back:
■ are there any
■ excessive extension increased convex curve anteriorly imbalances? Y N
head where? _____
■ neutral
■ forward
■ retracted
* Confirm from back if necessary.

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M AT W O R K & R E F O R M E R S U P P O RT M AT E R I A L S M A N U A L
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Bony Landmark Quick Reference

SIDE VIEW check both sides FRONT VIEW confirm from back if necessary

ankle joints feet


◗ examine the angle of the ankle joint created by ◗ distinguish where the weight is distributed on the foot
the front of the shin and of the foot
knees
knees ◗ examine alignment of femurs and tibias with feet together
◗ use greater trochanter and anterior to lateral malleolus
and relate to plumb line pelvis
◗ palpate each ASIS and compare
hip joints ◗ palpate top of iliac crests with hands parallel to floor
◗ palpate ASIS and PSIS to find the midpoint of the iliac crest

◗ palpate greater trochanter and compare rib cage


◗ palpate ASIS and ribcage and compare
pelvis ◗ look at sternum to check for rotation
◗ palpate ASIS and PSIS and compare to horizontal plane

shoulders
lumbar spine ◗ palpate along the clavicle to the acromion process
◗ feel L1 to L5 to get an idea of the curvature and compare

lower thoracic spine head


◗ feel T6 to T12 to get an idea of the curvature ◗ examine alignment of cranium on cervical spine

upper thoracic spine


◗ feel T1 to T6 to get an idea of the curvature
BACK VIEW
cervical spine
◗ feel C1 to C7 to get an idea of the curvature feet
◗ distinguish where the weight is distributed on the foot
head
◗ examine common calcaneal tendons
◗ use the ear (auditory meatus) and acromion process
and relate to plumb line
femurs
◗ palpate femoral condyles

pelvis
◗ palpate each PSIS and compare

◗ palpate top of iliac crests with hands parallel to floor

scapulae
◗ palpate inferior angle, superior angle, medial border of
each scapula

◗ compare distance to spinous process

humeri
◗ palpate the olecranon process
legend:

= Look sequencing through the spine


◗ palpate either side of spine and feel for any irregular
= Palpate Bony Landmarks curvature, rotation or imbalances

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M AT W O R K & R E F O R M E R S U P P O RT M AT E R I A L S M A N U A L