Background: Anomalous head posture (AHP) measurement is crucial in the management of nystagmus and incomitant strabismus and also during follow-up assessments. The types of AHP include chin posture, head tilt, and face turn. Goniometer is a low-cost tool widely used to measure head posture. This has two arms: one reference arm and one measuring arm. The drawback of this device is that the examiner has to maintain the reference arm exactly parallel or perpendicular to the floor and the other arm has to align the AHP. Since not all the examiners are comfortable in aligning both the arms simultaneously, the measurements obtained by a goniometer end up being less accurate. A device named cervical range of motion (CROM) is more reliable but expensive. There is an iOS application created for the purpose of head posture assessment, but an iPhone is expensive.
Purpose: To demonstrate a low-cost, innovative, reliable single-arm tool (SAT) for assessment of AHP.
Synopsis: A clinometer is a device that is used to measure the heights of buildings. In this device, the gravitational force of the earth determines the reference line. We have modified a clinometer into a SAT by incorporating a long plastic arm to it, which is used to measure head tilt and chin up/down measurements. For the purpose of face-turn measurement, we modified a compass for direction into another type of SAT by fitting a yoke dial and a long plastic arm to measure face turn. Here, the principle is to have the line of direction as a reference. The direction of the patient's seating arrangement is determined and taken as the reference direction. The amount of the patient's face turn is measured by finding out the angle between reference direction and direction of the nose.
Highlights: This video shows the method of making SAT in a do-it-yourself manner and also demonstrates the method of measuring AHP. SAT is a reliable and low-cost device.
Online Video Link: https://youtu.be/UwoHARok85c.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9789808 | PMC |
http://dx.doi.org/10.4103/ijo.IJO_1212_22 | DOI Listing |
Viruses
December 2024
Department of Research, Altino Ventura Foundation (FAV), Recife 50070-040, Brazil.
Deformities, body asymmetries, and muscle contractures are common consequences of atypical postural patterns in children with c ongenital Zika syndrome (CZS). This study aimed to evaluate the posture of children with CZS, considering their neurological and visual impairments. Ophthalmological assessment included binocular best-corrected visual acuity (BCVA) using Teller Acuity Cards II (TAC II) and an ocular motility evaluation.
View Article and Find Full Text PDFJ Clin Med
December 2024
Department of Orthopedic Surgery, Borntouch Orthopaedic Clinic, Seoul 05269, Republic of Korea.
Posterior neck, trapezius, and interscapular pain, exacerbated by poor posture such as forward head and rounded shoulders, is common. In this study, we aimed to assess the clinical outcomes of isotonic saline injections at nerve entrapment points (NEPs) within the sternocleidomastoid (SCM) and scalenus medius (SM) muscles for alleviating spinal accessory nerve (SAN) and dorsal scapular nerve (DSN) compression in patients suffering from posterior neck, trapezius, and interscapular pain. In this retrospective study, 68 patients were included, with 34 receiving isotonic saline injections and 34 undergoing Extracorporeal Shock Wave Therapy (ESWT) as a control.
View Article and Find Full Text PDFJ Clin Med
December 2024
Faculty of Biomedical Engineering, Silesian University of Technology, 44-100 Zabrze, Poland.
: The study aimed to assess the dynamics of changes in the torques of derotating and redressing forces acting on the apexes of deformation curvature arches during active, kyphosis-inducing exercises using the D4S device. : The study group included 12 girls aged 9 to 10 years (age X = 9.36, SD = 1.
View Article and Find Full Text PDFJ Clin Med
December 2024
Stichting CardioZorg, Kraayvel 5, 1171 JE Badhoevedorp, The Netherlands.
: While the diagnosis of postural orthostatic tachycardia syndrome (POTS) is based on heart rate (HR) and blood pressure (BP) criteria, the pathophysiology of POTS is not fully understood as multiple pathophysiological mechanisms have been recognized. Also, cardiac function, being dependent on preload, afterload, contractility, and HR, has not been properly studied. Preload and contractility changes can be inferred from stroke volume index (SVI) changes during a tilt test.
View Article and Find Full Text PDFBrain Sci
December 2024
Department of Pathophysiology and Transplantation, University of Milan, 20122 Milan, Italy.
Background/objectives: Recurrent acute otitis media (rAOM) is a common disease in childhood, but its impact on the vestibular system remains poorly understood. The present study aimed to evaluate the long-term effects of rAOM on balance and vestibular function in pediatric patients.
Methods: A total of 55 children, aged 8 years (25 males and 30 females), with a documented history of rAOM, no AOM episodes in the past year, and no previous ear surgery were assessed.
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