Practice Building with Postural Analysis – Kent Health Systems
Comfort Craft is back for our second segment for Massage Therapy Awareness Week.
Today, we are thrilled to hightlight David Kent, president & founder of Kent Health Systems, Inc. You probably also recognize David in our demonstrations of the Comfort Craft Model 300 tables https://www.comfortcraft.com/products/model-300.
In honor of Comfort Craft, David is offering a discount to all of our readers : SAVE 10% at www.KentHealth.com with Partner Code CC2014MTAW on select items.
Practice Building with Postural Analysis
By: David Kent, LMT, BCTMB
Postural analysis photos can be utilized like X-rays, CAT scans and MRIs to evaluate, educate clients, design treatment plans and document progress. They are a great tool for attracting new clients and selling treatment packages. This article will review how to build your practice by taking a quick postural analysis and delivering your objective findings using the technology carried with you daily.
Pictures
Keep the process simple by using the camera and screen built into smart phones, iPhones, tablets and iPads as they are powerful assessment and educational tools. They allow you to instantly take and review a series of photos. Showingclients pictures of their posture adds a whole new meaning to the saying “a picture is worth a thousand words”.The impact of clients seeing a picture of their high shoulder or forward head posture is very powerful. A lasting impression is made on the clients of your ability to quickly identify the musculoskeletal cause of their pain, provide visual evidence (objective findings) and provide a logical treatment plan.
Having photos taken can be stressful to anyone, so make clients more comfortable by letting them wear their regular clothing. To show the postural changes caused by wearing high heels, it is sometimes helpful to take postural analysis photos with the client wearing and not wearing their shoes. Prior to taking postural photos have the client complete a health intake form that gives you permission. Photos should be treated as confidential medical records.
Educate clients using postural analysis photos.
Reference Lines
Viewing the mid sagital, coronal and transverse horizontal planes against the body makes it easy to spot asymmetries and a logical reason to use a postural analysis chart during assessments. The chart is most effective when used in conjunction with a weight or plumb bob suspended from a line. Hang the plumb line from the ceiling, approximately 3 feet in front of the posture analysis chart. This distance will allow clients of all sizes to stand between the posture chart and the plumb line without touching either one. The Plumb Bob should be suspended from the ceiling and hang approximately ¼” from the floor (Photo 2a & 2b). To get the plumb line out of the way and conserve space when not in use, simply hook it over one of the pins holding the chart on the wall. If your chart hangs on the back of a door, hook the plumb line on a hook next to the door frame (Photo 2c).
A postural analysis chart and plumb line makes it easy to spot distortions.
Front & Back
Position the client’s heels approximately shoulder width apart and equally spaced from the plumb line (center line). The plumb line will indicate the position of the midsagittal plane in the photos. Also be sure the client’s heels are the same distance away from the posture chart to avoid creating a twist, torque or rotation in the body. By positioning the feet using the medial and posterior aspects of the heels, the client is free to rotate the lower extremities. Step back, align the plumb line with the centerline of the posture chart and take the photo (Photos 2a)
Side Views
Position the client so that the plumb line is immediately anterior to the lateral malleolus. This position allows the plumb line to represent the coronal plane to the body. Ask the client to place their hair behind the ears to expose the external auditory meatus: an anatomical landmark used as a reference point to determine the position of the head to the coronal plane. Step back, align the plumb line with the centerline of the posture chart and take the photo
(Photos 2b).
Findings
One front and side view photo, in many cases, is all that is needed to give a quick overview of your postural analysis findings. Photos make it easy for clients to understand the stresses their musculoskeletal system is enduring as you zoom-in on different postural analysis views and explain how your treatments can help. Reference the tables labeled Anterior View and Lateral View for the relationship of surface anatomy to anatomical structures. (photo 4)
Tables show the relationship of surface anatomy to anatomical structures.
Support
Have all the answers at your fingertips with trigger point, joint range of motion and muscle movement charts to explain the myofascial components of the client’s pain. Explain the relationship of your postural analysis and other objective findings to their pain. (Photo 3)
Support your objective finding with charts.
Market
Stand out from your competition and market how your assessments and treatments are special. Provide postural analysis as part of a package or to attract new clients. Build your practice by taking a quick postural analysis and delivering your objective findings.
SAVE 10% at www.KentHealth.com with Partner Code CC2014MTAW on select items.
David Kent, LMT, NCTMB, President and Founder of Kent Health Systems which teaches Human Anatomy Dissection, Manual Therapy and Practice Building seminars. David has developed a line of Postural Analysis Grid Chart™, 
Myofascial Trigger Point and Muscle Movement Charts and a series of DVD programs. Learn more at www.KentHealth.com
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