Spine & Chest

Posture Evaluation

Assessment of posture and postural defects in developmental age.

Updated: September 2026·Medically reviewed by Dr. Daniele Priano

Quick Answers

Is my teenager's 'closed' posture a serious problem?
In most cases the curved or 'closed' posture of adolescents is an attitude — a habitual posture that the teen is able to correct when prompted. It is heavily influenced by factors such as rapid growth, still-developing muscle tone, fatigue, study habits, and time spent sitting. Regular physical activity and some ergonomic advice are often enough. If, however, the curve does not correct actively or is associated with pain, further evaluation is warranted.
When does posture suggest a real scoliosis?
An asymmetric posture becomes suspicious for scoliosis when, on bending forward, a prominence on one side of the back (rib hump) is noted that persists in different positions. Other signs are uneven shoulders or hips that do not correct. In these cases an orthopaedic visit allows distinguishing a postural attitude from a true structural deviation of the spine. Learn more about Scoliosis
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A child getting up from a desk chair to change position, with the mother nearby.

Posture changes

One position does not define a disease. Persistent asymmetry, pain and changes over time matter.

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Postural assessment in children and adolescents mainly helps distinguish a flexible posture from a true structural change in the spine or limbs. One shoulder sitting higher, a rounded posture or the way a young person sits does not automatically mean scoliosis or an orthopaedic condition.

During the appointment, we observe the child standing and moving, shoulder and pelvic symmetry, spinal flexibility and any structural signs. Daily habits, sedentary behaviour, sport and study workstations may affect comfort, fatigue and sitting posture, but should not automatically be treated as causes of spinal deformity.

Fixed asymmetry, a rib hump, stiffness, persistent pain or progression during growth warrant further assessment. Otherwise, the aim is to avoid both overlooking a real sign and medicalising normal variation in posture.

Dott. Daniele Priano - Ortopedico Pediatrico

🎒Beyond the Heavy Backpack

Children's posture is influenced by many factors: rapid growth, hours sitting at school, electronic device use. Before worrying, an evaluation to rule out structural problems is useful. Often, practical advice and a targeted exercise program are enough to improve body awareness.

Assessment and treatment

When to seek evaluation

  • Hunched or asymmetric posture
  • Back pain in children/adolescents
  • Long screen time habits
  • Heavy backpack use concerns
  • Before or during growth spurt

What is evaluated

  • Standing and sitting posture
  • Spine alignment on multiple planes
  • Shoulder and pelvis symmetry
  • Head position
  • Muscle flexibility evaluation

Treatment options

  • Postural education
  • Specific strengthening and stretching exercises
  • Ergonomic advice
  • Treatment of any structural problems found

Frequently Asked Questions

Is my teenager's 'closed' posture a serious problem?▼
In most cases the curved or 'closed' posture of adolescents is an attitude — a habitual posture that the teen is able to correct when prompted. It is heavily influenced by factors such as rapid growth, still-developing muscle tone, fatigue, study habits, and time spent sitting. Regular physical activity and some ergonomic advice are often enough. If, however, the curve does not correct actively or is associated with pain, further evaluation is warranted.
When does posture suggest a real scoliosis?▼
An asymmetric posture becomes suspicious for scoliosis when, on bending forward, a prominence on one side of the back (rib hump) is noted that persists in different positions. Other signs are uneven shoulders or hips that do not correct. In these cases an orthopaedic visit allows distinguishing a postural attitude from a true structural deviation of the spine. Learn more about Scoliosis
Does postural exercise really help?▼
Exercises may help strength, mobility, control and comfort when directed at a problem identified during assessment. Goals and progression should be individualised; exercise does not automatically correct a structural bony deformity. Response is reviewed over time and the programme adjusted.

Important Notice: The information on this page is for educational and informational purposes only and does not constitute medical advice. Each clinical case is unique: the appropriate treatment is determined during the specialist consultation, based on a thorough clinical examination and, where necessary, diagnostic imaging. For any doubts or concerns, please consult a specialist.