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Abstract Background: Postural changes are disorders that affect adolescent females, whether in public schools and/or international schools which may lead to chronic muscle soreness and musculoskeletal pain.Purpose of the study: it was aimed to determine mechanical posture changes in adolescent females at public schools compared to international schools. Methods: This was conducted on two hundreds adolescent females, age from(13-17) years, with BMI>20 and <30kg/m2, from AL-Fouad international schools, Qaitbay international school and public schools (High school for girls, Preparatory school in Al-Quba in Minya al-QamhAlsharquihand Martyr Walid Al-Nimr preparatory school in Al-Talaen). They were assigned into two equal groups; group (A) represented public schools and group (B) represented international schools. Posture changes were examined by posture screen mobile app (PSM) and a photographic method(kinovea) to assess mechanical changes from two views (lateral and frontal views from standing position). Self-reported questionnaires were also used in form of Back Posture Evaluation Instrument (BackPEI)to identify the presence of back pain and evaluates posture, behavioral habits, socioeconomic and hereditary) and Depression Anxiety Stress Scales-21(DASS-21) to provide measure of anxiety, depression and stress signals.Results:Statistical analysis of posture changes by PSM indicates that from frontal view there were significant changes between both groups in favour to group A compared to group B. Statistical analysis indicated that there’s significant difference between both groups (A&B) at back pain and behavioral habits, hereditary factors, socioeconomic status,stress and anxiety more at group A than group B. Conclusion:Girls at public schools had high prevalence of frontal posture changes, back pain, stress and anxiety due to bad behavioral habits and socioeconomic factors |