In particular, examination must exclude scoliosis, kyphosis, and spondylolisthesis, as well as various forms of spinal deformities, such as at back, round back, and swayback. A thorough clinical examination with function tests will allow postural weakness to be distinguished from deformities and idiopathic disorders at an early stage. The differential diagnosis must differentiate functional postural deficits from organic spinal disorders. This is referred to as postural deterioration. The child will push the pelvis forward and greatly increase the lumbar lordosis.
WEBER TEST FULL
Second-degree postural weakness occurs when the child is unable to actively achieve full erect posture and slumps backward right at the start of the arm -raising test.In first-degree postural weakness, the child can actively achieve full erect posture but within 30 seconds slumps into a backward bending posture with increased thoracic kyphosis and lumbar lordosis.Patients with full muscular function will usually be able to achieve and maintain full erect posture with minimal backward bending in the arm -raising test.
Matthias identifies two degrees of postural weakness: A child with postural weakness will exhibit increased thoracic kyphosis and lumbar lordosis. The child with normal posture compensates for the shift in the center of gravity by leaning the entire body slightly backward. Raising the arms shifts the body’s center of gravity forward. The child is asked to raise both arms straight in front and keep them in that position. The examination is performed with the patient standing.
Matthias Postural Competence Tests assess the competence of the back and trunk muscles in children and adolescents. The numerators are the values for the upper abdominal muscles and upper back muscles, respectively the denominators are the values for the lower abdominal muscles and lower back muscles including theįTF is the Fingertip to Floor distance. Where A represents the strength of the abdominal muscles and Β the strength of the back muscles. Normal results for the Kraus Weber tests are indicated by this index: Kraus Weber Tests – F What do the positive Kraus Weber Tests mean? The examiner measures the distance to the floor. The patient is then asked to bend over with the knees extended and arms stretched out in front. Kraus–Weber Tests – Eį: The patient stands barefoot with hands at his or her sides. The patient is asked to raise his or her legs o the examining table with the feet extended and to maintain that position for 10 seconds. The examiner immobilizes the patient’s trunk and hips against the examining table. Kraus–Weber Tests – DĮ: The patient is prone with a cushion beneath the pelvis. The patient is asked to raise his or her body o the examining table and to maintain that position for 10 seconds. The examiner immobilizes the patient’s hips and feet against the examining table. Kraus Weber Tests – Test Cĭ: The patient is prone with a cushion beneath the abdomen and the hands clasped behind the head.
This tests all of the abdominal muscles with the effect of the psoas neutralized. The examiner immobilizes the patient’s feet. Kraus Weber Tests – Test BĬ: The patient is supine with the hands clasped behind the head but with the legs flexed. Sitting up 90° counts for 10 points sitting up 45° counts for 5 points. Kraus Weber Tests – Test Aī: The patient is supine with the hands clasped behind the head. The patient is then asked to raise his or her extended legs 25 cm and to hold them at this height for 10 seconds. Kraus–Weber Tests consists of 6 tests as following:Ī: The patient is supine with the legs and feet extended and the hands clasped behind the head. See Also: Thomas Test How do you perform the Kraus Weber Tests procedure? It was introduced by Hans Kraus and Sonja Weber in 1940s. Kraus Weber Tests is a group of 6 tests that’s used to evaluate the competence of the trunk and pelvic muscles groups.
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