Postural assessment
checklist
Frontal View
¨ Overall body symmetry: symmetrical alignment of the left and right hemispheres
¨ Ankle position: observe for pronation and supination
¨ Foot position: observe for inversion and eversion
¨ Knees: rotation and height discrepancies
¨ Hip adduction and shifting: observe for shifting to a side as witnessed by the position of the
pubis in relation to the plumb line
¨ Alignment of the iliac crests
¨ Alignment of the torso: position of the umbilicus and sternum in relation to the plumb line
¨ Alignment of the shoulders
¨ Arm spacing: observe the space to the sides of the torso
¨ Hand position: observe the position relative to the torso
¨ Head position: alignment of the ears, nose, eyes, and chin
Posterior View
¨ Overall body symmetry: symmetrical alignment of the left and right hemispheres
¨ Alignment of the spine: vertical alignment of the spinous processes (may require forward
¨ bending)
¨ Alignment of the scapulae: inferior angle of scapulae and presence of winged scapulae
¨ Alignment of the shoulders
Head: alignment of the ears
Sagittal View
¨ Overall body symmetry: symmetrical alignment of load-bearing joint landmarks with the plumb line
¨ Knees: flexion or extension
¨ Pelvic alignment for tilting: relationship of ASIS to PSIS
¨ Spinal curves: observe for thoracic kyphosis, lumbar lordosis, or flat-back position
¨ Shoulder position: forward rounding (protraction) of the scapulae
¨ Head position: neutral cervical curvature (versus forward position) and level (position above the
clavicle)
Note: ASIS = Anterior superior iliac spine; PSIS = Posterior superior iliac spine
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