Posture Pro 7 Manual - PosturePro.com

With Backpack Analysis, Q-Angle, and
Posture Number Analysis. Also with calibration
and self-leveling modes.
Build 7.0
©VenturaDesigns
2008 all rights reserved
(913) 239-8465
www.posturepro.com
sales@posturepro.com
NOTE: Always view the back pages for any last minute
changes.

Table of Contents
Contents
2.......Table of Contents
3.......License Agreement
4.......Introduction
5.......System Considerations
6.......Installation
7.......Leg Check Pro Info
8.......Overview
9.......Using a Digital Camera
10.......Getting Started
11.......Working With Records
12.......Moving an Exam
13.......Preparing for an exam
14.......Capturing Images
15.......Types of Exams
16.......Analyzing Images
17.......Importing Images
18.......Posture Analysis
19.......Absolute Measurements
20.......Calibrating Posture Pro
21.......Analyzing Images
22.......Alt. Exam Views
23.......Analyzing Images
24.......Using the Relative Plumb Line
25.......Using the Absolute Plumb Line
26.......Posture Number
28.......Posture Number Meaning
30.......Using the Plumb Line
31.......Moving Around the Screen
32.......Using Stick Models
33.......AutoDetect
35.......More on AutoAnalysis
37.......Sensitivity Control
39.......AutoDetect Troubleshooting
44.......Camera Tile Compensator
47.......Measuring the Q-Angle
49.......Using the Analysis Grid
50.......Results
51.......Additional Stresses
52.......Bilingual Reports
53.......Report Page
55.......Advanced Report Module
56.......Advanced Report Module
58.......Advanced Report Module
67.......Exam Scripts
68.......Posture Number tm
69.......Comparing Two Analysis
70.......Q-Angle Reports
72.......Deleting an Analysis
73.......Deleting a Record
74.......Restoring a Record
75.......Restore/Backup
76.......Group Print
77.......Posture Exercises
78.......Quick Report Feature
79.......Backpack Safety Module
82.......Effects of Time
83.......Exporting an Exam Image
84.......Master Report Editor
87.......Network Support
88.......Network Support
89.......Loss of Height
95.......Progress Graphs
96.......Tech Support
96.......Technical Support -
sales@posturepro.com

License Agreement
SOFTWARE LICENSE: This is a legal document between you, the end user and Ventura-
Designs. By entering and accessing the program, you agree to be bound by the terms of this
agreement, which includes the software license and software disclaimer of warranty (collectively
called the "Agreement". If you do not agree with the terms of this Agreement, do not
load the program on your computer and return to VenturaDesigns or to the place of original
purchase.
VenturaDesigns LICENSE
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computer program (the "Software") on a single terminal connected to a single computer (i.e.
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use it on more than one computer terminal at the same time. VenturaDesigns reserves
all rights not expressly granted to Licensee.
. OWNERSHIP OF SOFTWARE: As the licensee, you own the magnetic or other physical
media upon which the SOFTWARE is originally or subsequently recorded or fixed, but
VenturaDesigns retains title and ownership of the SOFTWARE recorded on the original disk,
copy(ies) and all subsequent copies of the software regardless of the form or media in or on
which the original and other copies may exist. This license is not a sale of the original SOFT-
WARE or any copy.
. COPYRIGHT: The SOFTWARE is owned by VenturaDesigns and is protected by United
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one copy of the software solely for backup or archival purposes, or (b) transfer the software to
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may not copy the written materials accompanying the software.
4. OTHER RESTRICTIONS: You may not sell, rent or lease the SOFTWARE to another person
or business. You may not reverse engineer, decompile, or disassemble the SOFTWARE.
5. TERMINATION: This license is effective until terminated. This License will automatically
terminate without notice from VenturaDesigns if you fail to comply with any provision of this
License. Upon termination you shall destroy the written materials and all copies of the SOFT-
WARE, including modified copies, if any.
LIMITED WARRANTY
VenturaDesigns warrants as the sole warranty to you that the diskettes on which this program
is furnished will be free of defects in materials and workmanship under normal use and conditions
for a period of ninety (90) days from the date of delivery to you as evidenced by a copy
of your receipt.
No distributor, dealer or any other entity or person is authorized to expand or alter either this
warranty or this Agreement; any such representation will not bind VenturaDesigns
IMPORTANT NOTE: Software cannot be returned if it has been unlocked.

Introduction
WHAT'S NEW in Build 6.0
Moving Records
We also added a feature that lets you move an exam from one record to another.
Posture Pro I represents the state-of-the-art in spinal screening technology. PPV
has been redesigned with increased speed, accuracy and ease of operation as the
goals. We have met and exceeded these goals. Below are a few of the new "highlights"
of Posture Pro V.
Level Correction Tool
New on screen tool ensures precise leveling of the picture by compensating for any
rotational tilt.
New Report Options
At the time a report is generated the user can select various report components to
be included or excluded.
Loss of Height
Software will now estimate the percentage of loss of height and convert to inches or
mm.
On screen leg checks using digital pictures and new measuring tools.
NEW SCREEN RESOLUTION REQUIREMENTS
NOTE: Screen size must be set to 1024 x 762. This is done through the Windows
control panel in Windows 95/98/XP). Using lower resolutions will cause
the program to take up more space on the screen than can be viewed and
scroll bars will be needed.
To get the most from your Posture Pro software we recommend the following minimum
hardware requirements:
Pentium processor (III or above, or equivalent)
128 MB RAM (Minimum)
Video display capable of 16M (True) colors at 1024 x762 resolution
Color inkjet printer
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System Considerations
NOTE: Posture Pro only needs an image size of 640x480. Larger size images will
cause a delay as PPV resizes the image to 640x480.
NOTE: The speed with which you capture and print an image is entirely dependent
on your system. Windows is a RAM hog, especially when processing
large video images. Load your system with as much RAM memory as you
can afford. It is the
Also, disable programs running in the background. This includes Antivirus
and other utility programs. You can see what is running by checking the right
corner of the Windows Taskbar.
SOFTWARE SECURITY
It's a sad fact that 50% of all software used is from illegal copies. To
help protect our product, we use a high level security program to protect
products.
Follow the directions on the package insert, or the tutorial program to
obtain the unlock code for this software
If you encounter as error code during installation, write down the exact
message, including error code numbers, and call VenturaDesigns tech support
at (913) 239-8465.
Levels of Access- access controlled by different unlock
codes
Level one give you access Leg Check Pro only.
Level two Not Currently Used
5

Installation
The easiest way to install the software is from the tutorial program. Advance to the
page referencing PPV installation and click the button on that page.
Select "Full Install" and at the end of the installation, click YES when asked about creating
Program Groups
The alternative method is to use the Run option of Windows.
1. Select Start
2. Select Run
3. In the Run box type D:\ppvinst\setup.exe
4. Click OK
Note: D is the CD ROM directory for most, but not all, computers. Replace D with the
drive letter of your CD ROM drive.
DEMO MODES
Posture Pro V will enter into a demo mode is a proper unlock code is not entered. In
the demo mode all of the PPV features can be used, including the new AutoDetect analysis
mode.
You can tell you are in the demo mode because the word "DEMO" will appear on the
analysis screen and the reports page will show all zeros and normal skeletal renderings
regardless of the exam results.
NOTE: To fully enable AutoDetect, a second level unlock code must be purchased from
VenturaDesigns. Without this code the software will still function, but the word "DEMO" will
appear across the screen and the report screen will display all zeros and the skeletal renderings
will appear normal, regardless of the exam results.
When the program files are installed, four sample images are placed in the PPV/00
folder. They are named AP.jpg and lat.jpg for the standard analysis, and bk1.jpg and bk2.
jpg for the backpack mode.
Use these images to test the software and how it performs on your system.
REMEMBER: You can fully test your software in the demo mode. Once we unlock the
software there can be NO refunds.

Leg Check Pro Info
Using Leg Check Pro
Leg Check Pro is the new feature built into
Posture Pro. Some customers will purchase
Posture Pro just for this feature. Level one access
to Posture Pro allows a user access to the
Leg Check Pro features only. The user must
understand all the features of Posture Pro like
creating a database, importing images and
reports.
So it is advisable for the customer that only
wants to use Leg Check Pro still review the entire Posture Pro manual and watch
the entire Video training DVD.
Specific instructions on the use of Leg Check Pro will be addressed later in this

Overview
Posture Pro V
Using captured images, you can bring patient posture images
into the Posture Pro (PPV) software for analysis, viewing,
storing and printing.
What you need:
1. Image capture device. PPV supports the most common
image file formats, meaning a wide variety of capture devices
can be used.
The strength of your system will determine the speed of
capture and display. Optimum configuration would be a Pentium
4 processor, or above with 256 MB of RAM.
Monitor display should be set to 16 million colors
(True Color). Monitors displaying only 256 colors will also delay
capturing and pasting while the computer reduces the 64 thousand
colors of the captured image to 256 colors and the quality
of the image will be affected. Set screen resolution to 800 x
600.

Using a Digital Camera
Posture Pro V can accept image files from a wide range of sources. As long as the
file is in a bmp, gif, jpg, pix format, it can be imported into PPV.
You can even paste an image that is on the Windows clipboard.
Posture Pro V does not directly pull images from a digital
camera. There are too many camera versions to be able to do
that. A simple to use, file import screen is used. So how easy
and fast it is to get the images from the camera to the software
depends entirely on the camera or device you are using.
When selecting a digital camera, the most important consideration is the quality of
the lens, not the number of megapixels.
For that reason, we prefer SONY or Canon cameras.
About Mega Pixels
Most new cameras can take pictures in the megapixel range. Posture Pro only
need an image of 640x480, or .3 megapixels. Set you camera for the image size closest
to 640x480. If you import an image that is much larger than that, things slow down while
PPV resamples the image down to 640x480.
9

Getting Started
9
Getting Started
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PPV features a simplified control panel with most of the important controls on-screen.
The following is a brief overview of each feature.
1. Add a new record. A record holds all exams for a particular patient or event.
2-3. Remove or restore a record.
4. All exams are stored as thumbnail images for instant recall.
5. Enter descriptive notes for the active record.
6. Access reference materials.
7. Control Image Options
8. Search record list
9. Advance to next set of exams, or select two exams for comparison.
10. Start a posture exam.
11. Record list is stored alphabetically and can be searched rapidly using (8).
12. Change Record Information.
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3
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8
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Working With Records
PPV is an image database program that stores
individual records in that database. Within a record
can be stored hundreds of individual posture exams.
A new record is created for each patient or
event. If you are doing spinal screenings outside
the office you simply name the record whatever
name that will identify it to you later. (Gold's Gym,
June 1999).
Records are stored alphabetically, last name
first. The letter of the alphabet for the last name is
then added to the record index identifier.
To find a record, click on the first letter of their
last name, in the record index identifier.
Records can be retrieved by using the search
feature at the bottom of the screen. Begin entering
the name and the search feature will begin to narrow
the search until the name is visible on the list.
To work within a record, simply highlight it. If it
is an existing record with exams, those exams
will appear as thumbnail images.
To delete a record, simply highlight the
record by clicking on it, and click on Remove
Record. You will be asked to verify this action.
When you select Yes, the record will be removed.
TO ADD A RECORD
Click on Add record from the top of the
screen. The box on the right will appear.
Enter the patient's (Event) name, assign an ID number (Optional) and any other
notes you want to associate with this record. Click on Create to add this record to your
list.
Records are added in alphabetical order. If you have a lot of records you may need
to use the Search feature to call up the record to begin working in it.
To edit record information, click on the INFO button at the bottom of the screen.
This will reopen the record information box. Make changes and select Update. Changes

Moving an Exam
In the event you have saved an exam into the wrong patient record, we have provided a
method to move that exam to the correct record.
. Click on the thumbnail of the exam to move.
. At the next screen select "View Exam"
. At the exam screen will be a button named "Selected". Check that box.
4. Return to the Main Screen.
5. Select the destination record from the record list.
. The "Move Exam" button now becomes active. Click that button to move the exam from
the current location to the new destination location.
. The thumbnail of the exam will now be in the destination record.

Preparing for an exam
Once you have a record active, you are almost ready
to perform a posture exam.
There are several Image Options to set according to
how you want the program to perform. A check mark next to the option name means it is
currently active.
When checked, any image imported into PPV will be rotated 90 degrees counterclockwise.
This compensates for turning the camera sideways to capture a head-to-foot shot.
AutoReport
This feature automatically generates and displays the skeletal renderings after an
analysis is saved.
IMPORT FROM FILE
Use this when using a digital camera.
PASTE FROM CLIPBOARD
Some video cameras or web cams may let you capture an image and copy it to the
Windows clipboard. It can then be pasted directly into PPV.
Disable Thumbnails
Use this to turn off thumbnail of exams. Use if available RAM memory is not adequate.
Absolute Measurements
Check this if you want to display offsets in mm or inches, in addition to degrees.
Enable Stick Model
On the Posture Analysis screen you can display a stick model of the posture results.
Check to display.

Capturing Images
Capturing Images
Using PPV is really quite easy once
the hardware has been set up. Program
use is reduced to three main components;
Capture, Analyze and Print or
Store.
NOTE: Make sure your tripod has a
bubble level either built-in or placed on
it to ensure that the camera is level. You
can also simply hold a bubble level on
top of the camera if you don't want to use
a tripod.
1. Place the person 7-9 ft from the
camera, positioned in the viewfinder so
the head, shoulders and waist appear in
the viewfinder or turn the camera sideways
to fit the whole body in the viewfinder.
2. Place 1/2" or 1.25" round dots
(Available at office supply stores) on anatomical
landmarks (More on this later).
3. Capture and import the AP image,
then the lateral.
If using a digital camera, both images can be captured and then brought into PPV.
4. After analysis, you can print a picture report or send the information to a patient
NOTE: for the most accurate exams, place markers directly on the skin. If you place
the markers on the clothing, make sure you take the picture before the subject moves.
Make sure you use some type of level device. Either a
tripod with a built-in level, or a simple, small level that can be
placed on the camera.
Frame your shot, and then check the camera level before
taking the picture.
Since we are measuring angles, it is very important that
the camera be level.
4

Types of Exams
Posture Pro V Can be used for two types of
exams, fast screening, or clinical exams.
SCREENINGS
Use lateral view only, to generate the Posture
Number. Click on EAM, Center of shoulder, center
of hip, center of knee, and just in front of the ankle.
Start at the ear and work down.
Exam Mode
Use the full compliment of points as noted on
the right.
LANDMARKS
AP VIEW
Head
Eyeballs or earlobes or the dots on
the glasses.
Shoulders
The AC joints.
Hips
The ASIS.
Knees
Center of kneecap.
Ankle
Level of the lateral malleolus.
Lateral View
Head
Center of ear.
Shoulder
Center of shoulder.
Hip
Center of hip.
Knee
Center of knee.
Ankle
Just in front of ankle.
Using the manual or auto mode may affect which points to use.
5
You can create an easy
way to measure the head
points by placing the dots
on a pair of glasses.
Use a pair of clear safety
glasses for best results.

Analyzing Images
Analyzing an Image
After selecting a record in which to work, from
the Main Menu, click on Posture Analysis.
You will see the following screen.
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3
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6
17
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9
19
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18
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13
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20
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Analysis Screen Overview
1. Work area. This is where images are placed for analysis.
2. Enter name of person being analyzed (The time and date will be stamped automatically).
3. Click here to import AP or lateral images.
4. Hot spots representing the areas to be analyzed next.
5. Initiate Q-Angle Measurement for right or left leg.
6. Use the AP four point connector lines to generate an AP relative plumb line.
7& 19. Calculate a person's Posture Number tm and display the value.
8. Save exam
9. Cancel exam.
10. Display for additional cervical forces.
11. Displays total number of angle deviation.
12. Toggles between Exam and Screening mode.
13. Prints a "Quick Report".
14. Toggles between a regular exam and Backpack exam.
15. Two "dragable" plumblines for quick reference use.
16. Changes the rotation direction of the picture. NOTE: You must change the direction then bring
the picture back in.
17. View. This button lets you view the Effects of Time and then return back to the analysis
screen.
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15
20. Set Absolute
Measurements

Importing Images
Step one in analyzing an image is bringing an image
into PPV. This is initiated by clicking on either the AP or Lat
button on the left. If "Import Image" is checked on the Main
screen, a standard Windows file import screen will appear.
Point the import screen to where the images files are located,
and then double click on the name of the file to use. If you
select a file by mistake, simply cancel the next screen and try
PPV will automatically crop the image and place it on the analysis screen. Make
sure to allow a little bit of room at the top and bottom of the camera's viewfinder, because
we do crop a little bit off the top and bottom.
IMPORTANT!
When taking a picture that includes head to toe information, rotate the camera
90 degrees. MAKE SURE THE RIGHT HAND IS TOWARD THE CEILING. Otherwise
the picture will rotate the wrong direction.
If you do rotate the picture the wrong way, the button in the upper left-hand
part of the Posture Analysis screen can change the rotation direction of the imported
image.
You will need to click on the button to change it's direction, then re-import the
image. It will not rotate an image that is already on the screen.
Checking PPV's AutoRotate feature on the main screen will cause the image to be
automatically cropped and rotated and then placed on the screen.

Posture Analysis
Let the Analysis Begin!
NOTE:
Always have
the person
stand facing
the camera,
and RIGHT
shoulder
toward the
camera.
It's important to note that you do NOT have to perform a full body posture
analysis. However, you will need this full body shot if you intend to use the AP
and Lateral gravitational lines as part of the analysis.
Even if you use a full body shot you do NOT have to
use the knees and ankles as part of the analysis. PPV will
use what is on the screen at the time of saving to use in the
report.
Where you click on the mannequin determines which
area will be marked. When you move the mouse over a
hotspot, the arrow will change to a pointing finger. Click on
the hotspot and you will zoom into the approximate area of
the points to click.

Absolute Measurements
Converting Degrees To mm or Inches
If Posture Pro is given a known measurement
of something that appears in the picture, it can accurately
convert all angle results into distance measurements.
If you keep the distance between the camera and
the subject uniform between pictures, you only have
to calibrate Posture Pro once to use this feature.
You will need to calibrate each time the distance
between the camera and subject changes.
You do not need to tell Posture Pro the distance between the camera and subject.
It just needs to remain constant. The easiest way to do this is to place two pieces of
tape on the floor. One piece where the subject will stand and the second where the
person taking the picture will stand.
To calibrate Posture Pro do the following:
1. Cut out a cardboard rectangle of a known distance, around 12 inches or 300
mm.
2. Have a subject hold the rectangle with the edge against the ear, as shown in
the picture
3. Take an AP digital picture, as you would normally.
4. On the Main PPV screen in the Image Options box, check Absolute Measure
ments.
5. Import that AP picture into Posture Pro, from the Posture Analysis screen.
6. Click on the button marked Absolute Measurements on the Posture Analysis
Screen. It is circled in the picture above.
7. The mouse changes to a crosshair. Now make one click at the top of the card
board rectangle, and the second click at the bottom of the rectangle.
8. After the second click, a gray box appears. Enter the known length of the card
board piece and select either "inches" or "mm".
9. Select OK.
Posture Pro is now calibrated, and will remain accurately calibrated as long as
the distance between the camera and subject remains the same.
Now when you perform an exam, distance measurements, in a light blue text box,
will appear under the angle measurements. If you don't want to display the distance
9

Calibrating Posture Pro
Step 1-Take a picture with a
person holding an object of known
height near their shoulder, as in the
picture. Import that picture into Posture
Pro.
Step 2 - Click on the Calibration
button.
The mouse arrow will change
to a crosshair. Make one click at the
top of the object in the picture, and
a second click at the bottom of the
object.
After the second click, an arrow
will be drawn on the object and
a screen will open. Enter the known
height of the object. In this example
it is 11 inches. Select OK and you
are done calibrating Posture Pro.
You will only need to do this
once.
NOTE: This calibration procedure
assumes the distance from the
camera to the subject will remain
0

Analyzing Images
The following are the landmarks typically used in posture
analysis
AP VIEW
HEAD: Center of eyeballs or tips of ears
SHOULDERS: A/C joints
HIP: ASIS
LATERAL VIEW
HEAD: External Auditory
Meatus
SHOULDER: Center of
Shoulder
HIPS: Center of the hip, or
the Greater Trochanter
Analysis Procedure (MANUAL MODE)
1. On the body model, click on the area to measure.
2. Click on the two points being used. NOTE: Work from Left to Right side of the
screen.
3. After the second point is clicked, a line representing the angle will be generated.
4. Repeat this procedure for all points in the AP analysis. See the next page for
tips on analyzing posture in the lateral view.

Alt. Exam Views
Alternate Exam Views
Posture Pro has the ability to perform exams on AP, PA, R-Lateral or L-Lateral
images.
By default the screening orientation is AP and R-Lateral As shown in the following
image
To change this orientation, hold down the
Shift key and left click on either the IMPORT AP
or Import Lat button. Whichever you click on will
change to the opposite orientation.
The picture to the right shows the picture
orientation if both import buttons are clicked.
The software should remember the last setting
used.
NOTE: Regardless of the orientation used,
the skeletal renderings will remain a PA and R-
Lat view.

Analyzing Images
When you are done,
you should have a screen
that looks something like
that on the right.
Note: In this example
we have not included
analysis for the knees or
Analyzing Lateral Cervical Posture (Looking for Translations)
When analyzing lateral cervical posture you are looking for the relationship of the head
and how it is positioned over the shoulder. You have normal posture when a plumb line
passes through the center of the ear and the center of the shoulder. If the head is forward
of this position, it's called an Anterior Translation. If it is behind the neutral position it's
called a Posterior Translation.
In the lateral cervical analysis we are actually
clicking three times. Click on the point on the shoulder,
then click on the EAM of the ear, and then make a very
special click that represents the back edge of the neck.
Why Three Points?
Calculating Excessive Cervical Forces
If we know the weight of the head, the length of
the muscles attached to it, and the amount of head
movement forward to neutral, we can calculate additional
forces placed on the muscles. Dmitry Esikov,
PhD in physics, has developed the formula we use to
predict these additional forces.
Because we must estimate the weight of the head
and the length of the muscles, the formula cannot be
100% accurate. It can be used as a valid reference
to show and explain additional forces placed on the muscles and the spine, and used as
a indicator of patient progress. This amount will appear on the analysis screen and in the
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Using the Relative Plumb Line
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Using the AP Connected line and Posture Numbertm
Button
PPV uses a multi point plumb line to mark the AP and lateral posture. Using
these two tools we can get an overview of how the patient's posture compares to the
straight line normal profile. Below is how an analysis would look using the standard
angle tools (red lines) and the plumb lines (blue lines)
We know that a plumbline should equally bisect the body in the AP view and should
pass through the ear, center of shoulder, center of hip and just in front of the ankle in the
lateral view.
By creating a Relative plumbline with 4-5 segments, we can see how different parts of
the body relate to each other.
Click on AP Connected Line button. The mouse arrow changes to a crosshair. Now
make four clicks
1. Bridge of nose
2. Episternal notch
3. Belly Button
4. Center of the space between the feet. After last click the line will be drawn.
Lateral Plumbline Points to Click to Get a Person's Posture Number tm
Click on Get Posture Number button, then make five clicks
1. EAM of ear
2. Center of shoulder
3. Center of hip
4. Center of knee
5. Just in front of ankles. After the last click
the line will be drawn
You can actually perform a complete
lateral exam in this fashion. A
plumb line will be drawn, the pelvic tilt
estimated, the forward head travel calculated
and the additional cervical forces
will be calculated.

Using the Absolute Plumb Line
On each posture analysis screen are two dragable absolute plumblines, at the right
edge of the screen.
To use, simply put the mouse over one of the green plumb lines, left click and drag to a
new location of the screen.
The plumb lines will reset to their original position whenever you save or cancel an
analysis.
5

Posture Number
What’s Your Posture Number? tm
For me, posture exams
have been all about showing
a connection between
what a person sees in the
mirror and the biomechanics
of the spine, rather
than making a diagnosis.
A posture exam should be
an “indicator”. Much like
a sphygmomanometer can
yield a high blood pressure
test result, or a glucometer
can yield a high
blood sugar level, a simple
posture exam can provide
an indicator that further
testing is necessary. It can
also provide an indicator of
progress.
While Posture Pro can provide a detailed fourteen-point posture analysis of the AP view, I’ve
come to rely on the lateral view results to tell me more important information about the patient’s
biomechanics. With only five clicks of the mouse on a lateral digital image Posture Pro can estimate
the following:
. Amount of forward head travel
. Deviation of the upper body from a plumb line
. Additional Gravitational forces placed on the spine
4. Additional tension forces placed on the cervical muscles
5. Hip Tilt
. Deviation of the lower limbs from a plumb line
. Skeletal positions of the spine and pelvis
. Skeletal positions of the spine and pelvis is left untreated over time

Posture Number
That’s a lot of powerful information
from just five mouse
clicks and 59 seconds of your
time. You can clearly show a
patient, using their own photographs,
that their posture might
be affecting the way their spine
is moving. Perhaps causing
some areas to move too much,
while other areas move too
little.
For most DCs, the essence of
what you do, regardless of technique
or practice philosophy, is
to find these areas of hyper or
hypo mobility and fix them.
To facilitate this patient education process, I’ve devised a method of combining the information obtained
in a lateral posture exam to calculate a person’s Posture Number tm . This number then becomes
an easy identifier of the extent of the problem, and an easy way to track progress. At screenings it is
now easy to ask “What’s Your Posture Number? tm ”
This new version of Posture Pro also comes with a new brochure in BrochurePro Lite titled “What’s
Your Posture Number? tm ”, and comes with files to create a 2’x3’ poster of the same name.
I’ve registered the phrase Posture Number, and “What’s Your Posture Number? tm ” and copyrighted
the code algorithm used to create the posture number. So, only Posture Pro can calculate this number
and only Posture Pro users can ask the question “What’s Your Posture Number? tm ”
On our website, www.posturenumber.com we will have a database of practitioners able to answer the
question “What’s Your Posture Number? tm ”
Lateral Plumbline Points to Click to Get a Person's Posture Number tm
Click on Get Posture Number button, then make five clicks
1. EAM of ear
2. Center of shoulder
3. Center of hip
4. Center of knee
5. Just in front of ankles. After the last click
the line will be drawn
You can actually perform a complete
lateral exam in this fashion. A
plumb line will be drawn, the pelvic tilt
estimated, the forward head travel calculated
and the additional cervical forces
will be calculated.

Posture Number Meaning
Meaning of Posture Numbers
0 - 5, little to no structural stress is detected, monitor & re-evaluate
in 6 months
6 - 10, beginning of structural stress and increased tension on the
musculo-skeletal system, monitor closely and re-evaluate in 90 days
11 - 15, structural stress is evident, a full chiropractic exam is
recommended immediately to detect beginnings of VSC
16 - 20, stress and tension are causing symptoms that need to be
addressed
immediately with chiropractic care
20 - 30, structural damage is occuring and needs to be prevented and
corrected with chiropractic care
30+, structural damage has occured, life-long problems already exist,
life-long chiropractic care is necessary
Posture Pro Coding Options
Codes that apply (usually, this Report must be given on a different day
than the X-ray Report of Findings to justify a separate billing):
1) EM Counseling: 99211-25 (5 min) = Report of Findings = service
doc-patient face to face counseling; (in Nevada, the relative value unit
is RVU = 0.59) = [Discussion with patient about one of more of "Diagnostic
Results, Impressions, Prognosis, Risks/Benefits of management,
instructions for management, and or follow-up]. The modifier -25 means that this code
is a separate service, i.e. a Report of findings. So if the DC went through
the Postural Report and then showed them the exercises, it would be
an approximate 15 minute service.
2) Depending on the time used to explain their posture and Mirror
Image exercises, there are increasing RVU amounts possible:
(a) 99212-25 (10 min) = "; (RVU = 1.03)
(b) 99213-25 (15 min) = ", (RVU = 1.42)
(c) 99214-25 (20 min)

(d) 99215-25 (25 min).
3) Code 97750 Physical performance test or measurement complete
with written Report (relative value unit = 0.77). For examples in Nevada,
from low-medium-better, one unit is $56USA; for 99213, we have $56 x 1.42 =
$79.52....and for 97750, we get $56 x 0.77 = $43.12.
Additionally, it appears to us that:
1) A DC could bill for both codes:
a. 99212 + 97750 = $57.68 + $43.12 = $100.80 OR
b. 99213 + 97750 = $79.52 + $43.12 = $122.64.
2) A DC could bill for both codes because 97750 is posture
evaluation with written report and one of the 9921-* is a face to face report of
finding.
DISCLAIMER: The above information is for reference only. No claim of reimbursement
is made or implied.
9

Using the Plumb
The information provided by these lines can be quite valuable. They provide a reference
to how the body segments (Head, Torso, Hips) relate to each other in the X,Y axis.
Seeing a break in the line can indicate a lateral translation of that segment, or a rotation
of the segment. The angles that appear at the top and bottom represent the angle
generated by points 1 & 3 and points 3 & 4 respectively.
1
2
3
4
Plotting a Person's Balance Point
When you use the two plumb line tools, you are also determining
the person's "balance point". Normally, this point will be as
shown by the black dot in the picture on the right.
By taking many factors into account, we have created a formula
to predict where this balance point is for the person being
analyzed. This feature should be used as an approximation.
0
Use the plumbline to reveal
possible rotations or lateral translations.

Moving Around the Screen
Moving An Image Around the Screen
Should you need to move an image to reposition it on the screen, simply Right Click
over the image and while holding the mouse button down, drag the image where you want
it to be.
If you need to get a better look at a part of a picture, simply press Ctrl-shift and then
Right Click. You can move around the zoomed image by using the scroll bars to the right or
bottom.
Press Save Results When Done
Note: Thumbnail images of the exam will be placed after the last placed exam. Each
record can hold hundreds of exams. Use the Next/Previous buttons to navigate through
large groups of exams within a record.

Using Stick Models
Using Stick Models in the PPV Analysis Screen
If you click on Stick Model in the Image Options box of the main PPV screen, you will
generate Stick figures that represent the person's posture result.
By clicking on the numbers in the tiny white boxes next to the stick figure, you can advance
their posture to the next level of distortion.
By unchecking Stick Model, the models will not appear on the Posture Analysis screen.

AutoDetect
Using the AutoDetect Mode
Every Posture Pro V, version 2 comes with two types of
image analysis. The manual mode, described in detail in the
previous pages, and the optional AutoDetect analysis mode.
By using advanced image processing software, we can
"tell" Posture Pro V to detect certain colors in a picture and if
the right pattern of colors is present, to then plot screen coordinates.
Once the coordinates are reported back to Posture
Pro, the rest of the posture exam can be performed.
An example of a dot pattern is shown on the right. Posture
Pro, in the AP view, will look for either a three or five set dot
pattern. AutoDetect will find only the target color and ignore
background colors, even if the colors are close.
For instance, PPV can discriminate between
the colors in the target dots and the
similar color in the skirt.
To use AutoDetect you will need to set your
display to 224 or 32 bit (True Color). This is
done through the Windows Control Panel.
Using a true color display provides a greater
difference between similar colors and returns
fewer errors in detection.
For dots we recommend using . . .
Avery # 05467 3/4" Red Glow
Other colors will work, but the above produce
the most consistent results.

AutoDetect
Turning on AutoDetect involves a simple combination of keystrokes at the time of the
exam. Up to that point, everything is the same as for a manual exam.
NOTE: Always
have the
person stand
facing the
camera, and
RIGHT shoulder
toward the
camera.
1. Select either Exam (Three dot pattern in the AP, two dot pattern
in the lateral)
2. Move the mouse over a target dot.
3. Press Ctrl-Shift and while holding down those keys, Left Click.
You will see an hourglass appear and the exam will be performed
on the image that was selected.
Repeat the procedure for the other image.
IMPORTANT!
If you select "Screening" make sure there are only six dots (Head,
shoulders, hips) in the AP view and two dots (Ear and center of shoulder)
in the lateral view. More dots will cause a recognition failure.
If you select "Exam" make sure you have the full compliment of
dots as shown in the picture.
4

More on AutoAnalysis
When using the AutoAnalysis mode, each picture needs to be analyzed separately.
You will place the mouse arrow over a colored dot on the AP picture and press Ctrl-Shift
and then left click the mouse, and then repeat the procedure for the lateral picture.
If the AutoAnalysis successfully detects the dot pattern and color, you will see a picture
similar to the one below.
The AutoAnalysis mode will detect and report the following.
Lateral head tilt, shoulder offset, pelvic offset, knee and ankle offset in the AP view.
Anterior translation and pelvic tilt in the lateral view.
In addition, the program will estimate additional cervical forces and the person's balance
point.
In the AP view, a red arrow provides a visual indication to which side is high.
The AutoDetect mode also draws the balance point lines estimating the offset in the
AP view between the head and episternal notch (Possible head rotation or lateral translation),
and the offset between the hips and the floor. These numbers are in yellow.
5

More on AutoAnalysis
In the lateral view the ear, shoulder, hip and ankle dots will be connected. This provides
information regarding forward head offset and pelvic tilt.
You might notice in the lateral view, all the dots are connected except the dot on the
knee. This is normal. To estimate hip tilt we calculate the angle generated between the dot
on the knee and the dot on the hip. In the picture it's represented as 2 degrees. We make
the calculation but don't draw the line.

Sensitivity Control
Sensitivity control and error panel
PPV is very precise in its color discrimination. It can compensate
for subtle differences in color and detect the target markers.
If there is a problem, PPV will display the dot pattern recognized
by the software in an effort to help you locate the offending color than might be in the background
or on an article of clothing. To illustrate this we have created a potential problem for
PPV by using an article of clothing that is close to the color of the target dots.
When PPV cannot locate the target dots in the correct pattern, a window will open that
shows the dots, and their screen position, as recognized by PPV. In the above sample the
display shows the normal dots for the head, shoulders, hips, ankles and knees, but also
shows a cluster of dots around the skirt area.
To solve this confusion you can use the bottom sensitivity slider to decrease the sensitivity
to these nontarget colors. By moving the slider from .5 to .25, and performing another
AutoAnalysis, the program increases the color discrimination for the target dot and a complete
exam is performed, as shown on the next page.
The top slider adjusts for dot size. Typically this is used for the 1.25" dots and a closeup
picture.

Sensitivity Control
AutoDetect Problems
AutoDetect works by being able to discriminate between different color RGB (Red
Green Blue) values and other image values. How well AutoDetect works depends on two
main factors.
1. Display. The more colors your monitor can display, the better PPV is in finding the
right color. You want your display set to the highest value possible. This is usually 24 or 32
bit (true color). You can use 16 bit (64k) if this is the only setting you can use and still maintain
an 800x600 screen resolution. Some display cards reset your screen resolution when
you increase the number of colors being used.
2. Quality of the image. The better the quality of the original image, the better the AutoDetect
mode will work. We recommend using a digital camera with a flash. This seems to
provide the best picture quality and the highest contrast between colors.
What If AutoDetect Just Won't Work?
No problem. Simply redo the exam using the manual mode. PPV effortlessly switches
between manual and auto. You can even perform a manual exam on one image and auto
on the second image.

AutoDetect Troubleshooting
AutoDetect
For a complete AP clinical exam, the software looks for five pairs of dots over the following
locations.
For the head it is best to use a pair of safety glasses and put the dots on each side.
This makes it very convenient and fast to measure the head points, without putting any
dots on the patient’s skin.
For the shoulders, palpate the AC joints and place the dots just below. Make sure the
dots face toward the camera and NOT toward the ceiling.
For the hips, palpate the ASIS and place a dot over each.
For the knees, place the dots in the center of the kneecaps.
For the ankle, place a dot where the ankle curves into the foot.
For the Lateral View Place one dot over . . .
Center of ear
Center of shoulder
Center of hip
Center of Knee
Just in front of ankle
9

AutoDetect Troubleshooting
Taking the pictures
Camera
Virtually any digital camera will work. We process the images at a resolution of 640x480
so your camera should be set to that output. Larger resolution images just take up file size.
They will be reduced to 640x480 by the Posture Pro software. So again, just use 640x480.
For accuracy, place the camera on a tripod that can be leveled. For accurate pictures, the
camera must be level when the pictures are taken.
Make sure the flash always fires. Even if there appears to be enough light, fire the flash.
For dots we recommend using either . . .
Avery # 05467 3/4" Red Glow
or
Avery 05497 1.25" Red Glow
Picture Quality
It’s important that we receive quality pictures. Not only for the processing software, but also
for your report. You want it to look as best as possible.
We will work with you to help you get the best quality from your photos.
On the following pages are some common photo mistakes. If you can avoid these you won’t
have to redo the exam.
Remember to look at your photos with a critical eye.
40

AutoDetect Troubleshooting
Make sure the background does not contain
similar colors. The red in the poster is picked up
by the software making the picture impossible to
analyze.
Also, note the red toenails. This will also throw off
Stand as close to the person as possible. In this
photo, the person taking the picture was too far
back.
But the real reason the picture could not be
processed was the red dot lying on the edge of
the table.
4

AutoDetect Troubleshooting
The dots on the shoulders were burned out by
the flash. If you can't see the dots, neither will the
software. Switch to a different color dot.
Also, the pattern in the T-shirt appears to have
some of the same green tones as the dots.
This person’s pant color is too close to the target
color. Using the larger dot size and moving closer
to the subject will eliminate the confusion.
4

AutoDetect Troubleshooting
Person taking the picture was standing too far
away. Fill the frame with the subject.
There are no points on the knees. There must be
10 dots.
The subject has a red dot attached to the left
index finger.
There appears to be a package of dots on the
table.
Any of these artifacts will cause the analysis to not
work.
This is a good picture.
Neutral background with nothing else in the picture.
Correct number of dots.
Dots are clearly visible.
Subject fills the frame from top to bottom.
4

Camera Tile Compensator
Using the Camera Tilt Compensating Tool
It is absolutely critical that the pictures you take for Posture analysis be plumb level.
Any tilt in the pictures will cause the analysis to be incorrect.
You can place a bubble level on the camera, as noted earlier in this manual, or you can
utilize the new camera tilt compensation tool in Posture Pro
Can you tell the difference between these two pictures?
The picture on the left
is plumb level and the one
on the right has been rotated
1 degree clockwise.
If the picture on the
right was analyzed, it would
show a greater problem
than really exists, or in the
case of a re-exam, could
show no improvement
when there really is improvement.
The new Posture Pro
camera tilt compensation
tool will detect this rotation
and compensate the analysis
readings to not reflect
For example, if the analysis showed a forward head travel of 6 degrees, but the camera
tilt compensator showed a picture tilt of 2 degrees, the 6 degrees would be changed to
4 degrees to reflect the accurate reading.
Using this tool you don't have to worry about leveling the camera again.
44

Camera Tilt Compensator
Using the Camera Tilt Compensator
The Tilt Compensation Tool works by having an
item in the picture that is known to be plumb level.
In the picture on the right it is a piece of tape on the
wall that was placed with the help of a laser level. You
could also use a plumbline, or create a grid pattern on
the back of the wall. Anything that will show a vertical
plumbline in the picture.
Then, no matter how tilted the picture is, Posture
Pro can compensate for it.
Here's how it works:
Import posture picture into Posture Pro as you
normally would. Make sure there is something in the
picture that you know to be vertically level.
Next, click on the check
box for either the AP or lateral
in the Camera Tilt Compensation
area of the Control Panel.
This will cause the picture
to zoom in, and the mouse arrow
changes to a crosshair.
Make one click at the top
of the reference plumbline in
the picture and a second click
at the bottom of that line. After
the second click the picture will
zoom out and the amount of
deviation will be noted in the
text box to the right of the AP or
Lat indicator in the Camera Tilt
Compensation Box.
45

Camera Tilt Compensator
Before Tilt Compensation After Tilt Compensation
The Camera Tilt Compensation tool does not reorient the picture. It calculates the
amount of tilt and adds or subtracts accordingly on the screen results.
NOTE: Because each picture taken can have a different amount of tilt due to operator
error, this process must be repeated for each picture imported onto the screen.
But using the tilt compensator will make sure your pictures are an accurate representation
of the person's posture.
4

Measuring the Q-Angle
Q-Angle Measurement
The Quadriceps Angle (Q-Angle) is formed
by a line drawn from the ASIS to the center of the
kneecap, and a line drawn from the center of the
knee cap to the Tibial tuberosity. The angle formed
by the intersection of these two lines should be less
than 20 degrees in men and 25 degrees in women.
The higher value for women is due to a wider pelvic
stance.
The Q-Angle best represents the proper alignment
of the upper and lower leg. An abnormally high
Q-Angle can cause stress on the entire kinetic chain
of the lower extremity causing many conditions from
low back pain to foot pain. The following are some
problems that may cause an increased Q-Angle:
• Wide Hips (female runners)
• Knock Knees (•genu valgum)
• Pronation of the feet
• Subluxating Patella
• High riding patella (• patella alta)
• Weak Vastus Medialis
Of particular importance is the role excessive
pronation of the foot plays in an increased Q-Angle,
and how tracking of this angle can show the necessity
and show the results of a custom foot orthotic.
When the foot excessively pronates, the lower
leg rotates inward, this rotation brings the kneecap
along with it. This is what increases the Q-Angle.
Recent studies have show an immediate decrease
in the Q-Angle after insertion of a custom, full-length
foot orthotic. (Immediate changes in the quadriceps
femoris angle after insertion of an orthotic device.
D. Robert Kuhn, DC, Terry R. Yochum, DC, Anton R. Cherry,
Sean S.Rodgers http://www.mosby.com/scripts/om.dll/
serve?article=a127171)
4

Measuring the Q-Angle
To measure a Q-Angle
you will first palpate and
place markers over the
1. ASIS
2. Center of Kneecap
3. Over the Tibial Tuber
- osity
Next, import, as usual,
the AP picture to analyze.
You may analyze the entire
posture as usual, then add
the Q-Angle, or you can perform
the Q-Angle test only.
To measure the Q-
Angle, click on the button
marked "Q-An" under the AP
mannequin, on the side you
want to measure.
The arrow will change
to a cross-hair, and zoom
in for a closer view. Always
measure from the top
down, using the following
sequence. If, necessary, use
the scroll bars that appear on the
screen to move up and down the
picture.
Click 1-ASIS
Click 2-Center of Knee cap
Click 3 Tibial Tuberosity
NOTE: No line will be drawn until the last click is made.
When the third click is made the software will create the Q-Angle line.
NOTE: When using AutoDetect, use a different color dot for the Tibial Tuberosity
marker. The Q-Angle measurement is NOT a part of AutoDetect. It must be measured
manually, as described above.
4

Using the Analysis Grid
Using the Analysis Grid
Clicking on the button marked "Grid" will cause an AP and Lateral grid to appear
on the screen. This will give instant visual feedback on AP offsets, and in the
lateral view, will create an absolute plumbline using the shoulder as the reference
point.
The grid can be used in a manual or AutoDetect exam, and in a backpack
49

Results
PPV Results Page
If you have enabled AutoReport on the Image Options
box of the Main screen, you will immediately see
the results page when you save an exam.
If this feature is not enabled, you can still see the
results by clicking on the thumbnail picture of the exam that has been placed in the record
of the patient.
The results screen shows skeletal renderings of what could be happening under the
skin. The skeletal positionings are in an exact relationship to the results.
By clicking on the Normal Posture button, you can toggle between the normal posture
profile and the profile of the exam. This is effective in showing the changes when they are
very subtle.
Also on this page are the results of the additional cervical forces, the balance point,
and the amount of total posture deviation.
From this screen you can:
Return to Main Screen (Left arrow)
View the actual exam (Right arrow)
Print a report (Report)
EFFECTS OF TIME
This button will advance a person's results to the extreme to show what could happen
if the area was left unattended. In the lateral view the pelvis will change even if the initial
result is 0. This simulates the compensation of a forward head posture over time as the effects
move down the spine.
50

Additional Stresses
Posture Pro will estimate the amount of additional gravitational and "pull" tension in
the cervical spine, based on the amount of forward head travel calculated from the lateral
view . We combine these two different forces into a percentage of additional forces
being placed on the cervical spine. This is an estimate only.
Additionally, we can estimate additional forces, and their location, based on AP
results. These additional forces are represented by the red and green lines in the picture
above. The numbers to the right of the lines represent the additional stress being placed
in the area. In creating this percentage we take into account the severity of the offset
angle, the flexibility of the area and the relative strength of the muscles to overcome additional
force. Again, this is an estimate only.
These additional force lines will animate when the "Effects of Time" button is
pressed.
NOTE: The Vertical line in the cervical area on the lateral and AP picture represent
the same force line from two views. The % number to the left of the AP cervical line represents
the additional force shown in the AP and Lateral view of the same line.
5

Bilingual Reports
Posture Pro has the capability or printing all reports in either English or Spanish.
To use this feature, simply select the report language from the Main screen. All reports
will print in the selected language until another language is selected.
All operational text on pages and buttons will remain in English, regardless of the
language selected. Only the reports will reflect the language change.
To learn how to create a custom report in whatever language you can type, or to edit a
standard report, go to the section on the new Master Report Editor.
5

Report Page
Report Screen
The PPV report screen provides an opportunity to print a picture/text report of the
analysis.
Header/Footer
The top of the report is called the "Header", the bottom, the "Footer". These areas
can hold custom information that will print on each page. The header and footer will hold
about two sentences each. To change the Header or Footer, click on the Header/Footer
button. You will open the header/footer text box where you can add your custom text.
Printer Setup
Click here to change any printer settings. By default, the PPV report will be sent to your
current default printer.
Print Report
Sends the report to the printer.
Left Green Arrow
Click here to return to the previous screen.
5

Report Page
Report Page
The report page will print as seen below. It will print the Header/Footer, a short narrative
report explaining the procedure and the results. It will also print the patient's analysis,
along with the skeletal renderings for that exam.
It is recommended that a report be sent when submitting a PPV service for reimbursement.
Current CPT code is 97750, Computer Posture Analysis.
54

Advanced Report Module
Using A.R.M.
Advanced Reporting Module
ARM adds robust features to the standard Posture Pro report
screen.
These features include:
� Switch between the standard view and the new Graph
view.
� New Comparison mode calculates the changes
between exams and shows the results.
� Alternative Comparison mode for rapid comparisons.
� New Multi-page reports.
This manual covers the changes to the standard report
screen. You should be first familiar with the use of the standard
report features before using these advanced features.
55

Advanced Report Module
When you click on the report button a new window will appear listing all the
exams and report options within the current record. The most current exam
will be at the bottom of the list. The exam you selected by clicking of the
thumbnail image at the Main screen will have an * next to it.
Type of Report
You can select to print a report of the current (selected) exam only, the current
exam with an additional graph page, or a comparison report of the current
and previous exam with an additional graph and summary page (Three pages
total).
Includes
Placing check marks in this area includes various components of the exam
into the report. If the exam does not contain that information, like a leg length
check, that option will be grayed out and you cannot add it.
Make Default
This option will make your selected settings the default report style, until you
change it.
5

For the first example of how to use the report generator, let's
select the Current Exam with Graph option.
Click on the Current Exam with Graph option (1)
Verify the Includes options (2)
Click on the OK button (3)
Posture Pro will now generate an "on-the-fly" report, as shown
on the next few pages.
5

Advanced Report Module
At this point the report screen looks just like the standard
report screen. That’s because it is. But click anywhere
on the picture and the following screen appears.
5

Advanced Report Module
What appears on the screen is a graphical representation of
the exam. Since all the values should be 0, it’s very easy to
show the exam abnormities. The graph is preceded by an
expanded narrative description of the exam.
You can toggle between these two views by clicking on the
screen image.
When you select Print, a two page report will print. Page one
will be the standard report and page two will be the graph/
narrative screen.
59

Advanced Report Module
Using ARM for Comparison Reports
The Advanced Report Module offers two powerful methods
of comparison exam reporting. First we will look at a very
fast comparison method.
As in the standard
version of
PPV, you can
select two images
for comparison
by right
clicking on the
two images and
then clicking on
the red or black
squares in the
lower left hand
corner. The following
screen will appear. What is different on this screen
from the standard report
screen is a new button
named Profiles.
When you click on that
button, the screen on
the next page will appear.
0

Advanced Report Module
What you are looking at is a quick graphic comparison of the
two exams. The graph on the top represents the exam on
the left. The exam on the bottom represents the exam on the
right.
When selecting two exams for comparison, you should always
select the oldest exam first, followed by the latest
exam. This will always put the old exam on top and the new
exam on the bottom.
NOTE: When you print this page the quality of the printout is
dependent on the display driver and the printer. When printing
is requested, PPV takes a snapshot of the screen and
prints out an image file. Enlarging this image file can cause it
to have a jagged appearance. For a quality comparison report
we suggest using the alternative comparison report feature.

Advanced Report Module
Advanced Comparison Report
When you click on Report from the skeleton results screen, a
new window opens showing a list of all exams within the current
record. The current exam is highlighted.
There are three check boxes above the exam list.
Current Exam
Displays and prints the standard report containing the Exam
screen and the skeletal renderings. It also prints a short narrative
on the same page.

Advanced Report Module
Current Exam With Graph
Displays and prints the standard report containing the Exam
screen and the skeletal renderings. It also prints a short narrative
on the same page.
In addition, it will display a graph and extended narrative report.
Current and Previous Exam With Graphs
(For Comparisons)
Displays and prints the standard report containing the Exam
screen and the skeletal renderings for both the current and
a previous exam. You need to select the second exam after
you check this box. It also prints a short narrative on the
same page.
In addition, it will display two graphs and extended narrative
report. Plus it creates an easy to understand comparison report
of the two exams.

Advanced Report Module
USING THE EXTENDED REPORTS
If you selected either of the two extended reports options,
you access these on the screen by clicking anywhere on the
screen. The following is the sequence of screen images depending
on the extended exam selected.
Current Exam
With Graph
Click anywhere
on the screen.
The graph exam
will appear. Click
again and the
standard exam appears.
You don’t have to
click on the
screen to simply
print the
reports.
4

Advanced Report Module
Current and Previous Exams With Graphs
The standard report for the current exam will appear on the
screen.
Click once to see the standard report of the previous exam.
Click again to see the graph reports, with the comparison
reports.
As you scroll down the page
you will see that a second
graph is present. The second
graph represents the older
exam. Both graphs have a
date stamp to verify which is
which.
Below the second graph is a
recap of the numerical comparisons
between the two
exams.
Areas of improvement and/or
decline will be noted for easy
review.
When you print the exam
you will have three pages
print out.
Page One: The picture exam
of the current exam
Page Two: The picture exam
of the older exam
Page Three: The Graph
report comparing the two
exams.
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Advanced Report Module
With these three report options, plus the new Quick Comparison
feature, you have a great deal of flexibility in viewing
or printing reports.
Understanding the Use of the Comparison Feature
When you print or view a comparison report, at the bottom
of the third page will be a text report comparing the current
exam to a previous exam. The current exam will be represented
by the graph at the top of the page and the previous
exam at the bottom.
The software automatically calculates areas of improvement
or regression and displays the results in the table at the bottom
of the report page. At the end of the table, the report
shows the overall amount of improvement in both degrees
and percentage.
It’s important to note that the report may show both an improvement
and regression in the same area. In the example
show on the previous page, the initial exam showed a +3
anterior cervical result and a -3 result on the second exam.
This equals three degrees of improvement, but was offset by
three degrees of regression. The formula we use will show
that these two results cancel each other in the final, overall
improvement report. So remember, it is possible to have both
an improvement and regression in the same area on the
comparison report.
Should you have any problems with this new report feature, please call Dr. Ventura at (913)
829-0404 or send an e-mail to info@posturepro.com

Exam Scripts
It's very easy to explain the exam results
using Posture Pro V. The report shows the
patient the points that were selected and the
results. A typical report of findings might go
like this . . .
"Mrs. Smith you see these numbers?
You know what these numbers should be,
they should be zero.
We know that normal posture is the head
level, shoulders level, hips level, etc.
These numbers should be zero and they
aren't. We need to find out why they aren't all
zeros. This could be happening from a muscle
imbalance, a skeletal distortion or both.
Most likely it's a combination of the two.
We have other exams in our office that
can help pinpoint where the problem is and I
have the skill and experience to correct this.
We take new patients on Tuesdays and Fridays. Which day is better for you?"
59 Seconds Screening Mode
What's Your Posture Number tm
The purpose of a spinal screening is to
give just enough information to show that a
problem exists and further examination is
necessary. You can do this easily with Posture
Pro. By examining only the head position as it
relates to the shoulder, you can measure the
amount of forward head travel and then relate
it to other problems down the spine, due to the
compensatory nature of the spine.
To do this, bring in a lateral picture as usual. Perform an exam on the cervical area.
RIGHT click on the head of the lateral mannequin. This causes the dual skeletal images
to appear. These images show all the points used in a full posture evaluation, and how a
line drawn through them should look. You use this image to explain the subject's results
and to show all the points that would be used in a full analysis. When combined with the
Quick Report feature, a powerful and quick screening exam can be achieved.

Exam Scripts-
Posture Number tm
0 - 5, little to no structural
stress is detected, monitor & reevaluate
in 6 months
6 - 10, beginning of structural
stress and increased
tension on the musculo-skeletal system, monitor closely and re-evaluate in
90 days
11 - 15, structural stress is evident, a full chiropractic exam is
recommended immediately to detect beginnings of VSC
16 - 20, stress and tension are causing symptoms that need to be addressed
immediately with chiropractic care
20 - 30, structural damage is occuring and needs to be prevented and
corrected with chiropractic care
Posture Pro is the only system in the world that can generate a person's's Posture
Number tm . In less than a minute you can take a lateral picture, make 5 key clicks using
the Get Posture Number button and instantly generate the person's Posture Number.
The amount and quality of the information gleaned is very important. With those five
clicks you have established
1. Amount of Forward Head Travel
2. Estimated the pelvic tilt
3. Estimated the additional forces, in both pounds of pull and gravitational forces,
placed on the cervical spine.
4. Measure the drifting of the upper and lower body from an absolute plumbline.
So the Posture Number exam actually shows the overall compensations taking place
in the spine and pelvis.
High Posture Numbers, in the 25-40 range, provide a clear indication that further
exams are necessary.

Comparing Two Analysis
PPV has a feature allowing for the rapid
side-by-side comparison of two exams.
To activate the compare feature, select
the first image by placing the mouse arrow
over the image and Right clicking over it. A
black square will be placed in the lower left
hand corner of the screen. Repeat this process
for the second image. A red square will
appear next to the black square.
NOTE: You may select two images from
the same record, or an image from one record
and one image from another record.
Simply select a new record and then Right
click over the image to add it to the compare
feature.
To activate the compare screen, click on
You can simply view this screen, or send to the printer.
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Q-Angle Reports
Q-Angle Reports-Quick Report
If you click on Print from the
skeletal analysis screen, you will
generate a Q-Angle quick report.
This is comprised of two
sections. On top will be a screen
shot of the actual analysis. On
the bottom will be a picture
representation of the q-angle
results, along with text that
describes the importance of the
Q-Angle.
NOTE: Quick Reports are
not saved for recall. Print as
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Q-Angle Reports
Q-Angle Reports-Standard Report
If you want to save and
recall Q-Angle exams, you will
first save the exam.
Do this by clicking Save
on the posture analysis screen
that holds the Q-Angle exam.
This saves the exam as a
thumbnail image, just like other
exams.
You are then taken to
the skeletal rendering screen,
where you will click on the Report
button.
The report options box will
open, as shown on the right.
If you want to include the Q-Angle results as part of the report, check the box marked "Q-Angle".
A Q-Angle report page will be added to the standard posture report.
If you want to ONLY print a Q-Angle report, check the box marked "Don't Print General Report."

Deleting an Analysis
You can remove an unwanted analysis at any time. Because you are deleting a
part of a record, we make you go through several steps before you can remove the
analysis. The sequence is a follows.
First, select the thumbnail image
to remove. You will then be taken to
the results screen at the right.
Next, click on the right Green arrow
to go to the analysis history screen,
shown below.
From here you can
click on Remove Analysis.
You can also scroll
through the other analysis
in the record using the left
and right Green arrows.
Return to the main
program by using the left
Green arrow at the bottom
of the screen.

Deleting a Record
Deleting a Record
Deleting a record is as simple as selecting the record by clicking on it from the record
list, and then clicking on Remove Record. You will be asked to verify your intention. The
entire record is then moved to the Removed folder and is removed from the record list.

Restoring a Record
If you need to restore a record, simply click on the Restore button from the Main
screen. You will be presented with a list of records in the Removed folder.
To Restore a Record
1. Select the record to restore.
2. Click on Restore
3. Click on Cancel.
The record will be restored.
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Restore/Backup
Recover/Backup
You can backup or restore your entire PPV patient database by selecting one of
these buttons.
For Backups: After clicking the Backup button, point Posture Pro to where you want
the backup records sent. This can be to a zip drive, CD-RW, or another location on your
hard drive. A folder will be created with the name PPARC (For Posture Pro Archive) and
a set of numbers behind it. The higher the number, the more recent the backup. If backing
up to a CD, remember to change the file properties to be NOT "read Only. If you do
not change the files back Posture Pro cannot create any new records. Call for details.
For Restores: Click on the Restore button. Point Posture Pro to where the backup
folders are. Select the backup folder by double clicking on it, then click on OK.
Backup and Restore creates backups and restoration of the entire patient database
at one time.
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Group Print
Group Print
The Group Print feature of Posture Pro lets you print all the exams for a single patient
at once, or print exams from all the records that match a certain date range. This lets you
wait for a convenient time to print reports and not have to search through all the records to
determine what needs to be printed.
First select the type of report. You have two to choose from. Regular report
and report with graph.
Next select if you want all the reports for a single patient, or a date range
for the entire database.
When Select OK, Posture Pro will tell you how many reports are to be
printed and how much physical room will be needed on the hard drive.
CAUTION: Each report printed using Group Print will require about 2.5MB
of hard disk space. Make sure you have enough hard drive space before pressing
the Print button.

Posture Exercises
Every PPV package comes with exercises designed to help correct the Forward Head
Posture profile.
These exercises can be accessed from the main screen of Posture Pro in the Reference
Module section.
We recommend that every patient exhibiting a deficient posture profile be prescribed
these exercises to be performed on a daily basis.
A re-exam should be performed every 10 visits.
On the Main Posture Pro CD is an option to review the exercises as performed in realtime
on video clips. It is helpful to review with the patient the first time, prior to handing out
the printed exercises.

Quick Report Feature
New Quick Report Feature
From the Posture Analysis screen you can
now initiate a "Quick Report", bypassing the
need to save an exam and print from the main
report module.
The Quick Report is used primarily at
screenings, either posture or backpack. The QR
captures the analysis screen images and print
sa report with those images at the top and a
special section at the bottom.
The example at the right shows a posture
Quick Report. The image and text at the bottom
explains the importance of identifying Forward
Head Posture.
The Quick Report for a backpack analysis
shows Backpack Safety Tips in the lower area.
Remember, you do not save a Quick Report.
If you want to save the exam you just sent
to the Quick Report module, click on the Left
Green Arrow, as seen on the right, and you will
return to the exam screen. You can now save
the exam by clicking on Save.

Backpack Safety Module
Backpack Analysis Module
The Backpack Analysis Module is an optional plug-in for Posture Pro V. It requires a
Level 2 access code. Once entered, this code allows access to the main Posture Pro features
and the backpack module.
The Backpack Analysis Module consists
of an optional posture analysis screen
designed for determining the safety of a
child's backpack. This is combined with a
special Quick Report that uses pictures and
text about backpack safety integrated with
the posture analysis screen.
To begin, open the Posture Analysis
screen as normal. If the backpack module
is enabled you will see a backpack symbol
on a button in the upper right-hand corner
of the screen. Click on this button and the
Backpack Safety Calculator will appear on
the screen.
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Click this button to
open the backpack safety
calculator
The use of this calculator is
explained on the next page.

Backpack Safety Module
Enter weight of the backpack
here.
Enter weight of the child
here.
This shows the percent of
body weight of the backpack.
Press this button to begin
the calculation.
This displays whether
weight should be removed or
can be added.
This shows how much
weight should be removed or
can be added.
This button converts between
pounds and kilograms.
It has been well established that a backpack should only carry up to 15% of the
child's body weight. The backpack calculator in PPV will easily show how much weight
should be removed or can safely be added.
In addition, you can import pictures of the child wearing the backpack to perform a
posture analysis.
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Backpack Safety Module
When used with the Quick
Report print feature on the Posture
Analysis screen, a fast, powerful
and educational backpack safety
analysis report can be generated.
In addition to the software
features of the Backpack Safety
Module, there are also multimedia
educational and marketing tools
available on the Backpack Safety for
Kids CD ROM that is received when
the optional backpack module is

Effects of Time
Effects of Time
After you perform an exam, or
view an exam previously saved, you
can show the possible "Effects of
Time".
This feature advances the exam
results to the extreme for each area.
The lateral view will advance
the hip tilt even if the hip results are
zero. This is because it is common
for the hip to tilt forward in response
to the head moving forward.
NOTE: The effects of time will
not print. It will revert back to the
actual exam results.
To initiate the Effects of Time from the posture analysis screen, simply click on View,
then click on Effects of Time.
You can also select a previous exam, and from the skeletal rendering screen, select
Effects of Time.

Exporting an Exam Image
There may be times when you want to use the posture exam as an image file to
create a PowerPoint slide, Word document or an image for a web site. Posture Pro will
export exams as a compressed JPEG image file. You can name the file and direct Posture
Pro to the location where the file will be saved.
From the Main Screen, click on the
exam to export.
From the Skeletal Rendering screen
click on View Exam
From the exam screen click
on Export.
From here you will
name the file, and point
to the location where the
file will be saved. You will
need to create this folder
in advance if it does not
already exist.
Posture Pro will
then save the exam as
a compressed image file
of about 50k at 800x600
resolution.
NOTE: What is saved is the exam screen only, not any of the skeletal renderings or
any report screen components like text or graphs.

Master Report Editor
MASTER REPORT EDITOR
You can select three report types from the main screen of Posture Pro; Reports printed
in English, Spanish or a Custom Report.
The Master Report Editor lets you edit the text associated
with any Posture Pro report and use it as the Custom
Report.
This means you can edit the standard English or Spanish
reports to better suit how you practice, or the variation of
Spanish spoken in your area. It also means you can create
reports in any language you can type.
STEP 1. From the Main Posture Pro screen, select
CUSTOM from the Report Language drop down
box.
STEP 2. Click on a Thumbnail exam picture. This
will take you to the report screen.
STEP 3. Click on Report and select the report
type to edit.
IMPORTANT: The type of report you select to
display will determine the report that you can edit.
Each type of report will have to be displayed and
edited using the above method. You can only edit one
type of report at a time.
After selecting the type of report you are taken to
the Print Report screen.
STEP 4. Click on the EDITOR button.
NOTE: If this button is not active, or visible, you did
not select CUSTOM from the Report Language box on
the main screen. Return and make that selection and
1
4

Master Report Editor
1 2
3
5 6 7
1. Shows the Report type you have selected.
2. Shows the current report section to be edited.
3. Shows the default text in the report (non-editable)
4. Text Editing Area. This is where you make changes.
5. Click here to restore edited text to original content.
6. Close without saving
7. Close and Update this Custom Report.
When you Close and Update, you will return to the Print Report screen and the changes
you made will be visible.
Always print a report after you make changes, to make sure everything looks OK.
4
5

Master Report Editor
To edit a report, simply select the section to edit and begin deleting the text that
is there, and replacing it with your own text. Any area that is in a white rectangle, is a
non-editable field. These special fields contain exam information. You cannot delete
these fields, or change what is already typed in them.
After editing all the different subsections in the report (Use the drop down arrow
next to the Section box to select each subsection for editing), select Close and Update.
You will be returned to the Print Report screen where you can view the changes
you have made.
For further information, watch the video help file on this topic.

Network Support
Network Support
Level 4 Access Only
New in build 5.02 is support for running Posture Pro across a network. You must have
level 4 access to POsture Pro for this feature to be enabled.
The main feature here is the ability to place the patient data folder (PPDATA) anywhere
on your hard drive, or any network drive attached to your computer.
The read/write access of the different computers sharing the drive will determine if that
computer has the ability to perform an exam, or simply view and print exams.
Here is how this works.
1. On the network drive, create a folder that will hold the patient data. Keep the name
within 8 letter and numbers. For example, PPnet rather than PPnetwork.. And don't use any
spaces, PPnet rather than PP net. NOTE: Don't name the folder PPDATA. Posture will create
that folder for you.
2. From the Posture Pro main screen clikc on the button named "Open Database . . "
If the new location is empty, Posture
Pro will create a folder named PP-
DATA and transfer any current patient
data from the default location (C:\PPV\
PPDATA), into the new location. This
may take a few moments if you have a
lot of data in the default folder.
That opens a Choose Database
Path screen. Here you
change the current location to the
new location.

Network Support
When switching to the new location, only open the folder name above the PPDATA
folder, and not the PPDATA folder itself. IN the example below you will see that we have
pointed Posture Pro to the PPNet folder. Posture Pro will then look for the PPDATA subfolder
and either open it if it is there, or create it if it is not.
Other Use of This New Feature
While designed for use across a network, this new feature also opens up another use.
You can create different Posture Pro databases on the same hard drive. For example, if
a clinic has two doctors, using this new feature they each can have their own Posture Pro
database location that holds only their patients. No more sharing the database.
Posture Pro will always open using the last database used, so the other doctor simply
needs to use the Choose Database button to point Posture Pro to the patient database
location to be used.
Posture Pro can use as many different databases as you need.

Loss of Height
Estimating Loss of Height
Loss of hieght has been implicated as a cause of early death by several studies.
Posture Pro can estimate loss of height by applying physics calculations to the
amount of forward head travel.
The following pages will show how to use Posture Pro to measure Loss of
Height.
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Leg Check Pro
Getting Started:
Leg Check Pro uses the same database structure and several other operations common
to the parent Posture Pro software.
You should read the instruction manual for Posture Pro and watch the video training to
learn how to do things like create a record, print reports, backup records, etc.
Here are the basic steps in the process.
1. Create a record to hold the test results
2. Click on Posture Analysis to get to the analysis screen.
The next few pages will explain the rest of the leg lenght testing procedure in detail.
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The Camera Tilt Compensation area and the new Loss of Height
area on the Posture Analysis screen are the two primary components
in the loss of height feature.

Loss of Height
. Import both and AP and Lateral image. Loss of height is only calculated if both images are analysized.
. Using either AutoDetect of manual mode, analyze both images. If using the manual method make
sure the AP connected line measurement is included. It is automatically included when using Auto-
Detect. After analysis your screen should look something like the screen above.
. Next we have to take any tilt out of the camera using the camera tilt compensation feature.
OK
If you know your camera is level click on the OK button.
If you are not sure if your camera is level you must do the following.
Click on the AP check box and the screen will zoom into the AP
posture picture and the mouse arrow will change to a cross-hair.
Using the plumbline guide you have placed in the background
before you took the picture, click on the top and bottom of the
plumbline. Because we know this line if plumb level, Posture Pro
can correct all the exam results.
Repeat this process for the lateral picture.
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Loss of Height
OK
Now the loss of height area looks like the picture on the left.
It shows a loss of height of .3%. If you fill in the height field
with the patient's height, in this case 5 inches, Posture Pro
will calculate a loss of height of . 0 inches.
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Progress Graphs
Progress
Graphs
By clicking on the "History"
button on the PPV main
screen, you can generate
different types of progress
graphs and picture reports.
This feature gives the user
instant feedback regarding
posture progress over time.
To begin, select the record
to analyze.
Click on the
History button.
The screen on
the left will appear.
Here you
can select from
different types
of reports that
utilize picture or
graph summaries
of progress.
The most
common comparison
is the
Posture Number
graph.
NEW FEATURE
From the
HIstory Report
Style screen select
PN progress
only (highlighted
in pink) and click on OK. Posture Pro will generate a graph progress report whose focus is
the patient's Posture Number.
Experiment with the other types of progress reports to find which suits your purpose
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Tech Support
Technical Support - sales@posturepro.
com
(913) 239-8465
Technical support is available 10-4 Central Time, Monday
- Friday.
You may also send e-mail questions to sales@posturepro.com
Don forget to visit our technical support forum at www.
posturepro.com
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