R82 – Measurements and clinical examination Alignment (PPAS) The Posture and Postural Ability Scale for assessment of postural ability in standing, sitting, supine and prone, followed by assessment of quality of posture in frontal and sagittal view. Level 1: Unplaceable in an aligned posture, Level 2 : Placeable in an aligned posture but needs support, Level 3: Able to maintain position when placed but cannot move, Level 4: Able to initiate flexion/extension of trunk, Level 5: Able to transfer weight laterally and regain posture, Level 6: Able to move out of position, Level 7: Able to move into and out of position. Quality of posture: Yes = 1, No = 0 points Standing Level (1-7) Sitting Level (1-7) Assessment of postural ability Supine Level (1-7) Prone Level (1-7) Standing Head midline Trunk symmetrical Pelvis neutral Legs separated and straight relative to pelvis Arms resting by side Weight evenly distributed Quality of posture - frontal view Sitting Head midline Trunk symmetrical Pelvis neutral Legs separated and straight relative to pelvis Supine Head midline Trunk symmetrical Pelvis neutral Legs separated and straight relative to pelvis Arms resting by side Arms resting by side Weight evenly distributed Weight evenly distributed Prone Head to one side Trunk symmetrical Pelvis neutral Legs separated and straight relative to pelvis Arms resting (elevated, mid-position) Weight evenly distributed Standing Head midline Trunk in neutral position Pelvis neutral Legs straight, hips/ knees extended Feet mid-position/flat on floor Weight evenly distributed Quality of posture - sagittal view Sitting Head midline Trunk in neutral position Pelvis neutral Hips mid-position (90°) Knees mid-position (90°) Feet mid-position/flat on floor Supine Head midline Trunk in neutral position Pelvis neutral Legs straight, hips/ knees extended Feet resting in normal position Weight evenly distributed Prone Trunk in neutral position Pelvis neutral Hips extended Knees extended Arms resting (elevated, mid-position) Weight evenly distributed Scoliosis The degree of scoliosis was noted according to the CPUP classification and graded as: Scoliosis present? NO YES Mild scoliosis: discreet curve visible only on thorough examination in forward bending. Moderate scoliosis: obvious curve in both upright and forward bending. Severe scoliosis: pronounced curve preventing upright position without external support . Reference: Rodby-bousquet (2014). Reference: Persson-Bunke et al (2015) - https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-015-0801-1 R82 A/S | Parallelvej 3, 8751 Gedved, Denmark | +45 7968 5888 | R82@R82.com | Etac.com
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