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DoDEA School Health Services Manual 2942.0 Volume 1 Revised: 2016 DRAFT
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All students must remove shoes or sneakers before screening.
Screening Procedures
1.
The student is directed to stand erect with weight evenly distributed
on both feet, facing the screener with feet together, knees straight,
and arms relaxed at sides. Students should be encouraged to avoid
slouching or standing “at attention.” The screener should check the
student from the front looking for the following:
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Elevated shoulder
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Unequal space between arm and side
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Uneven waist creases
2.
Next, the student is directed to bend forward at the waist (toward the
screener) with hands together and head tucked in (as in a “diving”
position). The screener should examine for the following:
•
Asymmetry (uneven contours) of the rib cage or upper back,
i.e., one side higher than the other
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Rib hump present in the upper or lower back
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Curve in the spinous process alignment
3.
The student is asked to turn so that his or her back is facing the
screener. The screener should observe for the following:
•
Elevated shoulder
•
Hip prominence
•
Curve in spinous process alignment
•
Unequal space between arm and side
•
Unequal creases at waist
4.
The student is asked to assume the diving position once more,
bending forward at the waist with head tucked in. The screener
should observe for the following:
•
Asymmetry (uneven contours) of the rib cage or upper back;
i.e., one side higher than the other
•
Rib hump present in the upper or lower back
•
Curve in the spinous process alignment
In the procedure outlined above, the screener remains primarily in one
place, allowing the student to do the turning. This saves time and makes the
screener’s job easier. For consistency, the screener should start with the
student’s RIGHT shoulder, move to the LEFT shoulder; moving from shoulder to
back to hip. After the screening is completed, the school nurse notifies the
sponsor/parent/guardian of students with positive findings.