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PTA Posture Assessment Forms

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PTA Static Postural Assessment

Client Name Date

Anterior & Posterior View


Tick where seen & refer to
Movement Management Plan

 Lower Body
L R
Foot & ankle Toe - Out
complex Toe - In
Pronation
Flat Feet
High Arch

Knee/Hip Knock Knees


Bow Legs

 Upper Body
L R
Spine Scoliosis
Scapula Deviation
Shoulder Deviation
Head Tilt
Rotation

Comments __________________________________________
___________________________________________________
___________________________________________________
___________________________________________________

Lateral View
Tick where seen & refer to
Movement Management Plan

 Lower Body
L R
Ankle Dorsiflexion
Plantarflexion
Knee Flexed
Hyperextended
Pelvis Anterior translation
Y N
Is the deviation symmetrical?
Tilt: Anterior
Posterior

 Upper Body
Y N
Lumbar spine Lordosis
Flat
Thorac spine Kyphosis
Flat
Trunk Rotation (Symmetry)
Comments __________________________________________
Shoulders Forward
___________________________________________________
Head position Forward
___________________________________________________
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PTA Dynamic Postural Assessment

Client Name Date

Ankle Complex - Sagittal Step


Tick where seen & refer to
Movement Management Plan
 Front View
L R
Medial deviation of knee
Medial deviation of hip
Stance foot toe-out
Excessive pronation of placing foot

 Side View
L R
Heel lifting on stance foot
Heel lifting on placing foot
Poor control of tibia on placing foot
Poor control of tibia on stance foot
Excessive flexion of trunk

Hip Complex - Lateral Step/Lunge


Tick where seen & refer to
Movement Management Plan
 Front View Stepping Leg
L R
Knee not stacking (over foot)
Hips not stacking (over foot)
Head not stacking (over foot)

 Front View Trunk


L R
Excessive flexion of trunk
Excessive lateral flexion of trunk

 Front View Stance Leg L R


Lateral border of foot off ground

Thoracic Spine - Transverse Step & Reach


Tick where seen & refer to
Movement Management Plan
 Back View L R
Scapula - segmented movement
Spine - poor lateral flexion
Excessive trunk rotation
Head doesn’t follow hand
(without prompting)
Segmented head movement
Stance leg not straight

© Copyright PT Academy

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