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Differences in study methodology and quality, condition under which posture was assessed (static/ dynamic), and postural measurement should be considered as reasons for lack of consistency of outcomes (see Table 4).
This process was termed "postural measurement session 1".
Following this postural measurement session another study participant had a set of 24 postural measurements taken.
This method ensured that by the commencement of the 2nd postural measurement session it was not possible to identify any marks on the skin left by the removal of the adhesive markers prior to their replacement before the second postural measurement session.
Postural measurement session 1 included a total of 24 separate measurements, involving shoulder range of movement[ 30], scapular angular and linear measurements[ 29] and other measurements of posture[ 33].
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Following the postural measurements made on the second subject the initial subject had a second set of postural measurements including the thoracic kyphosis assessment procedure re-measured.
Following this other postural measurements were taken in supine and standing.
The most suitable non-invasive 3D reference standard for postural measurements has not been unanimously determined in this field of research.
The investigator verbally relayed the postural measurements to an assistant who transcribed them onto a dedicated assessment page and at no time was the investigator able to see the recorded information.
This finding supports the conclusions of Borstad [ 36] who reported that following a series of postural measurements in a group of 50 subjects without symptoms that the supine method of measuring pectoralis minor length appeared to lack validity.
The main outcome measurements were correlations between angular measurements of posture, and correlations of postural measures with Northwick Park neck pain questionnaire, deep cervical flexor muscle performance, global neck flexor muscle and shoulder girdle endurance, and demographic factors.
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