The evaluation of upright posture caused by simple movement test
Ivana Jelínková1, Monika Řorfová1, Heiko Wagner2
1Department of Anatomy and Biomechanics, Faculty of Sport and Physical Education, Charles University, Prague, Czech Republic.
Journal of Back and Musculoskeletal Rehabilitation
|November 20, 2014
Summary
Poor posture, especially in the cervical-thoracic spine, can be evaluated using a simple movement test. Postural quality, not movement quantity, is key for achieving upright posture.
Area of Science:
- Biomechanical analysis
- Spinal kinematics
- Posture assessment
Background:
- Increasing prevalence of poor posture, particularly in the cervical-thoracic spine.
- Need for effective evaluation methods for posture and spinal movement.
Purpose of the Study:
- To develop a model-based evaluation of posture and segmental spinal movement.
- To assess the influence of shoulder position on cervical-thoracic spine posture.
- To evaluate upright posture using a simple movement test.
Main Methods:
- Recruited 25 subjects with forward head posture.
- Measured kinematics of the cervical-thoracic spine, pelvis, and thorax in the sagittal plane using motion analysis.
- Assessed external humeral rotation and shoulder adduction influence on posture.
Main Results:
- Developed a kinematic model for evaluating upright posture.
- Demonstrated a strong correlation (Pearson r = 0.89; p < 0.01) between trunk gradients in initial and final positions.
- Electromyography was used as a control measure.
Conclusions:
- Postural quality is more critical than the quantity of spinal movement for upright posture.
- Upright cervical-thoracic spine posture is achieved when the pelvis and thorax are in a horizontal position.
- Findings have implications for clinical practice in posture correction.
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