Limits of Normality and Symmetry in Standing Back Shape and Posture: 3D Mapping and Analysis of Young Adults

Abnormalities of posture are a common cause of pain and disability. Objective measurement systems for postural evaluation are not widely accessible in the UK especially on the National Health Service. Within physiotherapy practice one of the most common methods of assessing posture and/or back shape is by visual observation which is prone to error and lacks objectivity. The study has sought to produce normative values for back shape and posture indices in young asymptomatic adults. A convenience sample of 100 Teesside University (TU) students were recruited. This study used a 3‐D Digitizer. Data was analyzed using SPSS. The acromion and the inferior scapular angle in the dorsal frontal plane differed between the right and left shoulders of the back in females. The distance between the inferior angle of the scapula and the apical thoracic vertebrae also differed. No other statistically significant differences were found in distances between key landmarks. Overall young adults are very symmetrical. Frontal plane angles showed that overall healthy young adults have relatively straight spines. The left inferior angle of the scapula in females was found to be rotated anteriorly in comparison to the right shoulder. Results will provide a normative database for clinicians who routinely assess back posture

Exercise therapy in Type 2 diabetes

Structured exercise is considered an important cornerstone to achieve good glycemic control and improve cardiovascular risk profile in Type 2 diabetes. Current clinical guidelines acknowledge the therapeutic strength of exercise intervention. This paper reviews the wide pathophysiological problems associated with Type 2 diabetes and discusses the benefits of exercise therapy on phenotype characteristics, glycemic control and cardiovascular risk profile in Type 2 diabetes patients. Based on the currently available literature, it is concluded that Type 2 diabetes patients should be stimulated to participate in specifically designed exercise intervention programs. More attention should be paid to cardiovascular and musculoskeletal deconditioning as well as motivational factors to improve long-term treatment adherence and clinical efficacy. More clinical research is warranted to establish the efficacy of exercise intervention in a more differentiated approach for Type 2 diabetes subpopulations within different stages of the disease and various levels of co-morbidity

Train crashworthiness and its impact on society

In an environment where resources are scarce, decisions to spend more on safety or risk reduction need to be made on a rational basis. The assessment of such a situation must reflect the impact on society as a whole. When death and injury are involved the assessment, hence becomes very complicated. This paper discusses how societal cost models can assist in making these difficult decisions and an example is analysed based on train crashworthiness