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A Description of the Common Compensatory Pattern in Relationship to the Osteopathic Postural Examination

Journal: The AAO Journal Date: 1993/12, 3(4):Pages: 18-23, type of study: article

Free full text   (https://www.academyofosteopathy.org/assets/aaoj/AAOJ_Winter1993.pdf)

Keywords:

article [2544]
compensatory pattern [6]
diagnosis [394]
posture [97]

Abstract:

Postural evaluation is an integral part of a comprehensive musculoskeletal work-up. Many methods have been developed to assist the physician with this most fundamental task. A number of decades ago a device which used plumb and level lines was developed to assess anatomical asymmetry in the standing patient. More recently, the use of bilateral scales has been employed by certain practitioners to determine loadbearing imbalances side-to-side and front-to-back. Very recently , sophisticated computer software programs have been developed and applied to the previously mentioned diagnostic designs to make it possible for the examiner to objectify multiple parameters related to the postural examination. The upright postural evaluation methodology common to the clinical disciplines of osteopathy, chiropractic and allopathy is inherently limited. One, it requires the patient to assume an erect weightbearing position. For many patients this position would be difficult or even impossible. Two.for the minimal amount of information obtained, it is time consuming. Three, modern analytic equipment can be expensive. Four, it does not conclude with sufficient information necessary to allow the practitioner to correct existing articular lesions.


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