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Postural Assessment

POSTURAL ASSESSMENT
Clients Name Date of Birth
Sport / Occupation Todays Date

Type of assessment Static Dynamic

Foot Position L R L R Key: L - Left


Notes
R- Right
N N N N N - Notable
Supinated Pronated

Knee L
Notes
R L R L R

N N N N N N
Knocked knee Bow legs Hyperextended

Hip
Notes
L R L R

N N N N
Medial rotation Lateral rotation

Pelvis N N
Notes
L R

N N
Lateral tilt Anterior tilt Posterior tilt

LX Spine N N
Notes

Lordosis Flattened

TX Spine
Notes
L R N N

N N
Scoliosis Kyphosis Flattened

Shoulder/Scapula L R
Notes
L R L R

N N N N N N
Elevated Winged Rounded/protracted

Neck L R N N
Notes

N N
Tilt Forward head Flattened
POSTURAL ASSESSMENT
Client Name Date of Birth
Sport / Occupation Todays Date

Type of assessment Static Dynamic

Observations

Right Left Left Right

Notes

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