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National Posture Institute (NPI) Survey Report
2015 State of the Industry Survey:  Posture, Health, and Fitness Report

The National Posture Institute (NPI) believes that posture, exercise performance, injury prevention, and education surrounding body alignment and exercise selection are important areas of concern for fitness and allied-health/medical professionals. NPI created its 2015 State of the Industry Survey to determine whether professionals were prepared to work with clients on posture correction/exercises and to review the current state of the industry and upcoming trends. This report will review NPI’s State of the Industry’s 2015 Survey results.

NPI surveyed personal trainers, physical therapists, physiotherapists, group exercise instructors, athletic/sports performance specialists, P.E. teachers, chiropractors and other allied-health, medical and fitness based professionals for this study. The majority of our respondents work as personal trainers/exercise professionals in settings such as health clubs/fitness facilities, home-based training, private practice training, corporate offices/fitness centers and college/universities. An additional group of respondents work as physical therapists, chiropractors, ergonomic specialists, athletic trainers and other allied health/medical professional in hospitals, medically-based fitness sites, sports performance sites and private clinics.

Respondents indicated that they work with a diverse client age group from young children (29%) to (80+) older adults (51%). Respondents stated their client base includes children/adolescents, stay at home moms/dads, corporate executives, office workers, athletes, academics, retirees and health/medical professionals.

As indicated on the survey, clients/patients “sometimes” inquire about posture and body alignment and 78% of professionals are actively educating them on the subject. Professionals also indicated that they generally conduct assessments on their clients. When asked about conducting posture assessments, 75% say they conduct posture assessments on a regular basis. Balance/agility skills, muscular strength and endurance assessments are also predominantly being used by professionals. When asked about corrective exercise programs, 53% say they use them. However, when asked whether corrective exercises for posture related injuries are being administered the responses were almost tied.

The survey shows that 69% of respondents have received training on how to conduct and create programs that focus on posture and body alignment. While some received little training from personal training organizations, others note that they learned some information about posture through books and/or magazine articles. The majority of respondents received educational training from the National Posture Institute (NPI); It was listed as the primary organization to learn about posture education, assessments and exercise movements.

Professionals indicated that they prefer using free weights, suspension and body weight training as opposed to commercial strength training/circuit training equipment when working with their clients/patients. The most popular exercises mentioned were: squats, lunges, step-ups, bicep and triceps curls, back rows, push-up variations, frontal/lateral raises and planks. It should come as no surprise then that exercise tubing, stability balls, body weight exercises and free weights/dumbbells took top spots when asked about the modalities being used while training.

Professionals believe that the most prevalent postural deviations seen in their clients are “forward head posture,” “rounded shoulders,” and “muscular imbalances”. They also indicated that the most common injury sites are the “lower back,” “rotator cuff,” and the “knees”. Respondents believe that the programs that could most likely cause an injury are power lifting, heavy lifting, Olympic style lifting, Crossfit and plyometrics.

Summary

The results show that fitness, health and allied-health/medical professionals are becoming more aware of posture, body alignment and exercise selection. They are actively developing programs for their clients/patients with posture and body alignment in mind. Professionals are predominantly working with clients/patients that range from ages as young as 5 (five) to 80+ years old. Respondents stated their client base includes children/adolescents, stay at home moms/dads, corporate executives, office workers, athletes, academics and health/medical professionals.

Professionals are conducting fitness and posture assessments; many of the respondents have learned to perform postural assessments and corrective exercises from the National Posture Institute. Clients/patients “sometimes” inquire about posture, but professionals that responded to this survey are actively educating them on the subject.

Fitness, health and medical professionals must continue to learn about posture and body alignment. As professionals, being aware of these areas allow for greater vigilance when selecting programs, methods and exercises for clients/patients. Professionals must continue taking the initiative and actively discussing the subject of posture with their clients/patients. Though their current responsibilities are great, professionals must not overlook the negative effects of poor posture and body alignment. Lastly, professionals must take an active role in becoming strong role models that can educate the public about proper posture, alignment and exercise performance.  

 
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