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Single-arm tool for assessment of anomalous head posture
Allapitchai Fathima1, Ravindran Meenakshi1
1Department of Paediatric Ophthalmology, Aravind Eye Hospital, Tirunelveli, Tamil Nadu, India.
Indian Journal of Ophthalmology
|October 3, 2022
Summary
This study introduces a low-cost, single-arm tool (SAT) for accurately measuring anomalous head posture (AHP). The SAT offers a reliable and affordable alternative for assessing conditions like nystagmus and strabismus.
Area of Science:
- Ophthalmology
- Medical Devices
- Biomedical Engineering
Background:
- Anomalous head posture (AHP) assessment is vital for managing nystagmus and incomitant strabismus.
- Traditional tools like goniometers can be inaccurate due to complex alignment, while CROM devices are expensive.
- Existing digital solutions require costly hardware like iPhones.
Purpose of the Study:
- To develop and demonstrate a low-cost, reliable, single-arm tool (SAT) for assessing AHP.
- To provide an accessible method for measuring head tilt, chin posture, and face turn.
Main Methods:
- Modified a clinometer into a SAT for measuring head tilt and chin posture using its gravitational reference.
- Adapted a compass into a SAT for face turn measurement, using the line of direction as a reference.
- Developed a do-it-yourself method for constructing and utilizing the SAT.
Main Results:
- The SAT is presented as a reliable and low-cost device for AHP measurement.
- The study demonstrates the method for creating and using the SAT for various AHP components.
- The SAT offers an innovative solution for accessible head posture assessment.
Conclusions:
- The single-arm tool (SAT) provides a reliable and cost-effective method for measuring anomalous head posture.
- This DIY approach democratizes AHP assessment, making it more accessible to clinicians and researchers.
- The SAT is a valuable tool for routine clinical practice and follow-up assessments in ophthalmology.

