Static Postural Assessment Research Articles

Validity and reproducibility of methods and variables telerehabilitation instruments for static postural assessment: a scoping review

The objective of this scoping review was to identify, examine and describe the instruments used to assess static body posture through telerehabilitation, whose measurement properties are described. Due to the pandemic, it has become common to carry out postural assessments remotely, as a different approach to face-to-face assessments has become necessary. The review was performed according to the steps recommended by the Joanna Briggs Institute (JBI) and the PRISMA-ScR method for scoping review. The Pubmed, Embase and Scopus databases were searched during March and April 2022. Studies could be published in English, Spanish or Portuguese, and there was no deadline for the chosen studies. Only three studies were found that performed static postural assessments remotely and described their measurement properties. The main limitations reported were technical issues, use of a simulated environment and the tendency of people evaluated to be ashamed to undress. The results of this review suggest that there is limited evidence to help physical therapists perform static posture assessments remotely. More research is needed to determine the validity and reproducibility of postural assessment methods by telerehabilitation.

Screening on Collect Students: Postural Risk Factors of Spinal Musculoskeletal Problems and Scoliosis

Background: Overuse of electronic products and decrease in levels of physical activity may lead to an increased incidence of spinal health problems in college students. This study aims to 1) identify the incidence of spinal health problems in college students, 2) to explore the key postural factors in development of spinal musculoskeletal dysfunction and scoliosis, and 3) to clarify new strategies for early identification and prevention of scoliosis. Methods: A cross-sectional screening by static posture assessment, selective functional movement assessment (SFMA) and Adam’s Forward Bend Test,was conducted to 306 college students from October to December 2019. Descriptive analysis, Spearman correlation analysis and binomial logistic regression analysis were performed on the collected data. Results: Static postural assessment was completed among 306 college students, 53% of students’ external auditory meatus and acromioclavicular joint were not in the same gravitational line, 45% had forward-head posture, 42% had uneven shoulders. When performing SFMA, we found spinal musculoskeletal dysfunctions, including abnormalities of multi-segment spine flexion (32%), cervical rotation to right (18%), cervical rotation to left (16%), etc. In Adam’s Forward Bend Test, 10.78% had a positive result, which suggested structural or functional scoliosis. Correlation analysis showed that the top three postural factors related to spinal musculoskeletal dysfunctions included uneven shoulders, forward-head, position of thorax and pelvis rotated. And top three postural factors related to scoliosis were spinous processes line deviating from midline, winged scapula and head rotation off midline. Logistic regression analysis displayed that there are two high risk factors for scoliosis, including external auditory meatus and acromioclavicular joint not in the same vertical line (OR = 6.314), and deviation of spinous processes line (OR = 12.743). Conclusions: Poor posture, spinal musculoskeletal dysfunction and scoliosis affect a significant proportion of college students. While their spinal musculoskeletal dysfunction and scoliosis are closely related to poor posture.

Postura y huella plantar en deportistas de combate (taekwondo y karate)

Caracterizar la postura estática y el tipo de conformación del pie en deportistas de la ciudad de Popayán. Método: Es un estudio cuantitativo de tipo descriptivo de corte transversal, en el cual se realizó la valoración postural estática en los cuatro planos, y el análisis de huella plantar a 15 deportistas de taekwondo y karate que participaron en juegos nacionales en el año 2015 con un promedio de edad de 19,80 años±7,37. Para el análisis postural se utilizó el software APIC v2.0, y para el análisis de la huella plantar el software AreaCalc evidenciando. Resultados: El estudio arrojo que las alteraciones se centran en miembros inferiores con alteraciones en rodillas tendiendo la rotación, en tobillo se manifiesta mayor predisposición al varo (derecho 53,3% izquierdo 53,3%), respecto al tipo de pie se evidencia normalidad en general con 46,7% y tendencia al pie plano con 20%. Conclusión: la mayoría de los deportistas presento alteraciones tanto posturales como en su huella plantar, indicando que es necesario un trabajo permanente orientado a la higiene postural como el énfasis en el trabajo del fortalecimiento del arco plantar, pues por ser deportes de alto impacto y sin protección para los pies, se hace necesario una buena amortiguación, con el fin de evitar a posteriores lesiones originadas por la inestabilidad.

Postura y flexibilidad del personal docente de la Facultad Ciencias de la Salud en la Universidad Técnica del Norte

Introducción. El mantener una postura correcta en el puesto de trabajo es muy importante para prevenir y evitar el rápido avance de numerosas patologías músculo esqueléticas. Objetivo. Describir la postura y flexibilidad en una muestra de 51 docentes. Metodología. Es un estudio descriptivo transversal. Las personas evaluadas se encuentran mayoritariamente en el rango etario de 25 a 56 años de edad, 40 de género femenino y 11 del masculino, se utilizó para la investigación métodos observacionales como: el test de evaluación postural estática, para postura, el test de Adams para escoliosis, para la flexibilidad isquiosural se aplicó el test de sit and reach. Resultados. Con la evaluación postural estática se evidenció que el 33% del grupo de las personas incluidas en el estudio tiene inclinación derecha de cabeza acompañada de un 69 % de inclinación de hombro derecho. El test de Adams mostró que la mayoría presenta un signo negativo con 94% y solo el 6% signo positivo. El test de flexibilidad permite considerar que en el 29% el nivel de flexibilidad es deficiente, nivel bajo el 25% y nivel muy bajo el 12%. Conclusiones. El personal docente incluido en el estudio no presenta alteraciones graves en su postura, tomando en cuenta que la alteración evidente es en cuello y hombro. En la evaluación de escoliosis con el test de Adams dio negativo y en la evaluación de la flexibilidad el resultado fue que esta es deficiente y baja

Influence of feet position on static postural assessment by means of photogrammetry: a comparative study

Objectives: To identify if different feet positions may produce distinct results on postural assessment and if a less uncomfortable feet position for static postural assessment exists.Methods: The sample consisted of 24 healthy adults of both sexes submitted to postural assessment by means of photogrammetry in frontal and sagittal planes in the following feet positions: self-referred, standardised self-referred, parallel apart and parallel together. The subjects indicated on the Modified Schechter Scale the subjective discomfort sensation ‘perceived in each position’. DIPA© (Digital Image-based Postural Assessment) software was used for posture evaluation. Repeated measures ANOVAs compared 12 postural variables and the discomfort score (p < .05).Results: The results demonstrated no significant differences between the postural variables for the four feet positions. The self-referred and standardised self-referred feet positions presented the lowest subjective sensation of discomfort.Conclusions: The positions of the feet analysed in this study do not interfere with the results of the postural assessment.

Balance Performance Is Task Specific in Older Adults

Balance ability among the elderly is a key component in the activities of daily living and is divided into two types: static and dynamic. For clinicians who wish to assess the risk of falling among their elderly patients, it is unclear if more than one type of balance test can be used to measure their balance impairment. In this study, we examined the association between static balance measures and two dynamic balance field tests. One hundred and twelve community-dwelling older adults (mean age 74.6) participated in the study. They underwent the Tetrax static postural assessment and then performed the Timed Up and Go (TUG) and the Functional Reach (FR) Test as dynamic balance tests. In general, low-moderate correlations were found between the two types of balance tests. For women, age and static balance parameters explained 28.1–40.4% of the variance of TUG scores and 14.6–24% of the variance of FR scores. For men, age and static balance parameters explained 9.5–31.2% of the variance of TUG scores and 23.9–41.7% of the variance of FR scores. Based on our findings, it is suggested that a combination of both static and dynamic tests be used for assessing postural balance ability.

Physical demands during the hauling of fishing nets for artisan fishing using rafts in beach of Ponta Negra, Natal-Brasil

The current article aims to analyse the activity and the repercussions in the health of the artisan fishermen who use rafts in the urban Beach of Ponta Negra in Natal - RN, with emphasis on the physical demands at the step of hauling the nets from the ocean. It has been taken as a reference the methodology of Work Ergonomic Analysis-WEA. 21 fishermen participated in the study (50% of the population). It was used applying observational techniques and methodologies (open and sistematic observations and simulations) interactional ( social and economic questionnaire, conversational actions, verbalizations, self confrontations and collective analysis) and health assessment (static postural assessment, movement flexibility of flexo extension of the shoulder and the ischiotibial muscle, lumbar region and hang grip. Applying the diagram of painful areas and the Nordic Questionnaire of mucleskeletal symptoms). The results were submeted to restitutions and validations with the raftmen. The hauling of the nets represents a high muscleskeletal risk, joining physical effort, adopting forced postures with the rotation of the spine and movement repetition, mainly flexo extension of vertebral spine, aggravated by the demand of strength fo the stabilizing muscles of the human body to keep the poise. The impacts of the activity of the fisherman of Ponta Negra, related to postures and strength demand were observed in the postural assessment and are related to the activity.