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PostureScreen (iOS) – Your First 2-View Posture Assessment

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The following tutorial videos will demonstrate how to setup and properly perform a PostureScreen exam on the Apple iOS version.


CLOTHING REQUIREMENT: Please note for an effective assessment, it is recommended to have the client in the most revealing clothing as possible.  For example, tight gym clothing and sports top for women is preferred over clients wearing a baggy t-shirt.  If the clothes are baggy, we recommend using clothes pins to ‘tighten up’ the clothes against the body, to better reveal the body margins for analysis.  However, gym attire where body margins are clearly defined is obviously preferred. In the following example, the client is in clothing, but it is still suitable to assess landmarks.  For clinical use, tight fitting clothing is recommended for proper, uniform and reliable  assessments. Additionally, concerning Q-Angle, we recommend shorts above the knee, and if possible, not covering the knee, and avoid dark pants, as the software nor the clinician can accurately predict knee.   

A sample 2-View PostureScreen report is attached below.

This is an example walkthrough of an initial examination on the iPad using Augmented Reality Computer Vision AI. If you have an older iOS device, and are on at least iOS18 or later, your PostureScreen if up to date can still utilize computer vision, however, you will see a heads up target floating display in stead of real time landmarks tracking on the client. After you start digitization, on an older device, you will see the predicted landmarks.

Quick Demo: https://youtu.be/mZXGxSKWomI

Detailed Tutorial for 2 View Assessment Tutorial: https://youtu.be/J-qa9xMw8sk

Advanced Posture Features in PostureScreen

In this tutorial we will review the new assessment update that allows you to turn on additional postural mensuration for both the 2-View as well as the 4- View PostureScreen assessment. This feature is available in version starting in version14.5 of PostureScreen for iOS and later. The CVA, Head Tilt (flex/ext), Pelvic Tilt are still reported when turned on but are now optional for users.

CLOTHING REQUIREMENT: For accurate results in this study, men should remove their shirts and women should wear sports bras. This is especially true for using the new advanced thoraco-lumbar mensuration on the lateral view since a posterior tangent trace contour follows their body, and thus we do not want the AI to follow their clothing contours. Do not perform thoraco-lumbar digitization studies without proper attire.  We always recommend men wear shorts with no shirt, and women with shorts and sports top so you can see their body contours clearly.  Also please make sure for the thoraco-lumbar trace contour, you position the patient to have their forearm not occluding the view of the posterior thoraco-lumbar spine, otherwise you are digitizing their arm, not their spine.

Video Tutorial: https://youtu.be/8TqPW_vHpBk

Sample Reports Generated by PostureScreen:

https://www.postureanalysis.com/knowledge-base/sample-reports-generated-from-posturescreen-mobile/

Learn next how to perform a 4 view Posture Assessment:

https://www.postureanalysis.com/knowledge-base/posturescreen-advanced-4-view-evaluation-posture-analysis/

Step By Step 2 View Assessment:

1. Create a New Patient Record

  1. Tap “+ New” (top-right).
  2. Select PostureScreen as the exam type (two-view or four-view; we will use two-view here).
  3. Enter demographics once – subsequent studies on the same day will live under this record unless you deliberately create another exam for same-day comparisons. Required fields:
    • Sex (male / female only – algorithms depend on it)
    • First & last name
    • Height (use a stadiometer if unsure; pixel scaling for linear measurements depends on this)
    • Weight (needed to compute estimated head weight ≈ 7.5 % of body mass)
    • Date of birth
    • Optional but recommended for screenings: phone, e-mail address, EHR Client ID

2. Choose Background Handling & 2-View or 4-View PostureScreen exam

  1. Optional Choice “Remove background?” or “Keep Original Background”
    • The default setting can easily be changed for all exam types set in Settings → Image & Video →  Background Removal.  You can also easily restore the background later if it doesn’t turn out as expected.
  2. Select 2-View or 4-View PostureScreen exam – for the 2-View Exam, take exactly two photos (front & right side) or four (front, right , rear, left). You cannot take just one or  three photos. In this tutorial we chose 2-View.

3. Capture the Images

  1. Position the subject
    • Stand them on a flat, contrasting background.
    • Center the body between the on-screen green alignment bars.
    • Camera lens height ≈ mid-torso (so the entire body is within the green frame).
    • Keep the bottom alignment bar parallel to a horizontal reference (assuming client/patient is perpendicular to the wall they are standing in front of , you can make these parallel to floor tile grout,base boards, wall seam, etc.).
  2. Front view
    • Instruct the subject to look straight ahead with relaxed posture.
    • Use a volume rocker button to take the photo (or use the on screen photo capture button).
  3. Right side view
    • Ask the subject to rotate exactly 90 ° to their left so you are facing their right side.
    • Ensure the lens is perpendicular to the sagittal plane.
    • Capture the side photo the same way using the volume rocker or on screen capture button
  4. Verify both thumbnails appear then tap the Start Digitization button.

4. Automatic Landmark Detection & Manual Refinement

  1. The AI places landmarks instantly. Use pinch/zoom to inspect each point and edit as needed.
  2. Common corrections (side view)
    • External auditory meatus (EAM) – slightly anterior to the ear canal opening.
    • Lower neck is technically at the  base center of the neck point – at the height of the shoulder, center of the cervico-thoracic junction.
    • Greater trochanter or center of the hip – at femoral head level.
    • Lateral knee.
    • Lateral malleolus.
  3. Tap Next (›) when satisfied. Remember: the assistant or CA can simply do all the capturing and the editing can be done later; the clinician should confirm them later as  time permits.

5. Generate & Deliver the Report

  1. Tap the “Generate PDF” button, then tap the “PostureScreen 2-View Client PDF” button, tap the “Email PDF Report” button then tap Send.
    • All report text, branding, and color scheme are customizable in Settings › Reports.
    • Because the Apple Mail app is required, third-party mail clients (Gmail, Outlook) will not load the template.
  2. Optionally preview first: PDF Report.
    • Two-view report includes image set, landmark overlays, displacement table, and head-weight moment estimate.
  3. Copy narrative text – tap inside the report, Select All → Copy to paste into an EHR or SOAP note.
  4. Continue with additional modules (e.g., Range of Motion) or attach rehab exercises through your integrated WebExercises or PhysiTrack account.

6. After-Exam Best Practices

  • Background removal default – decide clinic-wide whether “Remove Background” or “Keep Original Background” looks more professional and set it once in settings for the type of assessment to be performed.
  • Re-digitize anytime – open the study → Edit Landmarks by clicking clipboard on an assessment then edit points if corrections are needed later.  There is no need to edit points during time limited face to face time with the client.
  • Multiple exams on the same date – if you perform an intervention and want immediate post-test data, tap “+New Exam” under the same patient and choose today’s date again for a Pre/Post comparison.
  • Export demographics – Settings › Data › Export › Patient CSV for follow-up marketing or outcome studies.
  • Always store your PDFs and images outside of PostureScreen in your EHR software for your patients as your records for patients should always reside in your practice software.

Quick-Glance Workflow (TL;DR)

  1. Open app → tap + New → choose PostureScreen (2 View).
  2. Enter demographics (sex, name, height, weight, DOB).
  3. Confirm background setting; choose 2 photos.
  4. Capture front photo(volume button), capture right side photo (patient turns 90 °).
  5. Start Digitization → inspect & tweak landmarks, esp. EAM & C7.
  6. Send → Email Report (Apple Mail template) or PDF Preview and send to Google Drive, Dropbox or another sharing service or push to your EHR System.
  7. Copy text or proceed to additional assessments/exercises.
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