Step 1 Standing: Posterior View
Posterior posture examination is the most important posture examination.
By identifying the positions of each joint from head to toe, the doctor can check the joint’s imbalance and the interrelationship of muscles. This test predicts what the next posture screening should focus on.
Step 2 Standing: Foot and Ankle
In standing posture, the doctor performs foot and ankle joints examination focusing on the shape of the foot, the balance between the left and right, and the formation of the foot arch.
The foot is the most basic structure that supports and maintains the weight of the human body. If the feet are off balance, the spine and pelvis can easily become deviated again even after they have been corrected. Therefore, feet are so important in the MBR treatments.
Step 3 Standing: Lateral View[Photo]
Posture examination of the lateral view can identify the interrelationship of each joint from head to toe.
This test can identify the strength and weakness of the lower extremity muscles, the anterior and posterior pelvic tilt, core muscles, hunched back and head forward.
Step 4 Standing: Flexion/Extension/Side Flexion
Step 5 Seated Position 1
Sit-up posture screening is the first step of the cervical spine and neck ROM test.
By comparing Flexion, Extension, Rotation and Lateral Flexion of the neck muscles, the doctor can check if the problem lies on the upper cervical or on the lower cervical spine and determine which spinal segment needs to be treated.
Step 6 Seated Position2: Upper Extremities
The upper extremity of the fingers, wrists, elbows, and shoulders motion examination checks the symmetry of the movements of each joint.
In particular, the asymmetry of finger and wrist movement causes neck and shoulder pain and limitations of movement.
Step 7 TMJ Assessment
The axis of TMJ movement is located on the C2, and the TMJ acts as a lever for the C2 which is the balancing axis of the human body, making the TMJ evaluation especially important.
The TMJ evaluation focuses on the opening pathway, deviation, deflection, ROM, and the joint noises (e.g., clicking, crepitus) during opening.
Step 8 Supine Position
The supine posture test examines the lower extremities and pelvis, assessing pelvic problems and kinematic movements that may occur in the lower extremities.
The degree of distortion of the pelvis, the balance of the left and right hips, the movement of the knee joint, and the balance of the left and right ankle joints are important.
Step 9 Static Palpation
The static palpation is a simple way to check the mobility of the cervical, thoracic, lumbar and sacrum when lying down, which allows to specify the location of incomplete dislocation or pain in the spinal segment.
Step 10 Prone Position
The prone screening test focuses on the symmetry of the pelvic bone and sacrum, the movement of the hip joint, and the difference in length of the leg.
The prone posture examination is an important test that can pinpoint the cause of the distortion in the spine by comparing its result with the result of the posterior posture examination.