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"A neck pushed forward one inch in front of the plumb line of correct alignment – common with slumped posture – is already putting seven pounds of stress on the cervical spinal column," he said.
Many attempts have been made to quantify normal sagittal spinal alignment and lordosis using a C7 plumb line and segmental angulations of the spinal vertebrae.
They have people responsible for the plumbing of the steel, which is basically the alignment; the leveling.
It is thought that a vertical alignment between these two stars checked with a plumb bob was used to ascertain where north lay.
You can ensure proper alignment of the top plate by hanging a plumb bob (a carefully balanced weight that hangs from a line) from one edge of it and seeing where the plumb line comes down at the bottom plate.
The level and alignment do not require the kind of fancy laser plumb bobs and rangefinders that fill engineering catalogs.
More recently, Glassman et al investigated the relationship between global alignment and measures of HRQOL, and found that sagittal vertical axis (measured as the offset between C7 plumb line and the posterosuperior corner of S1) was correlated with pain and a decrease in function as measured using ODI and SF-12 [ 3, 4].
Level is level and plumb is plumb.
"Oh man," Plumb thought.
Or out of alignment".
We need alignment.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com