1. Find a space that has a hard, level surface and allows approximately 4 feet on all sides of the subject.

2. Have the subject close their eyes, and keep them closed for the entire posture test.

3. Have the subject march in place for about 5 seconds (4-5 steps).

4. Have the subject look up, toward the ceiling, then back down, toward the floor, several times; stopping with their head facing forward, in what they consider their most natural position.

Vertical Alignment Front

5. Stand directly in front of the subject, approximately 4 feet away.

6. Check that the nose, the chin, the center of the chest, the navel, the inseam of the pants and the space between the ankles align.

Vertical Alignment Side

7. Step directly to the side of the subject, approximately 4 feet away.

8. Check that the ear, shoulder, hip and ankle align.

Horizontal Alignment

9. Step directly behind the subject, approximately 4 feet away.

10. Inspect the position of the ears, the shoulders and the hips. They should be aligned horizontally; perpendicular to the floor.

If this posture check indicates that there is a posture problem, it is likely that degenerative changes to the bones are underway. Over time, these degenerative changes will lead to chronic pain. This person should be seen for a complete spinal evaluation.