Active Life Movement Screen - Lower Body
 Note tightness or where/when you feel pain in comments
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Chief Complaint/Goals *
History of Injury/Diagnosis
Watch First 1:35 of this video for instructions.
Standing Lumbar Pelvic FLexion
Instructions - Feet together, keep your knees straight and reach forward as far you comfortably can.
SLPF - “Toe Touch”
 Note tightness or where/when you feel pain. I.E. Back, Glutes, HS, or calves
Supine Hip Flexion Test
Supine Hip Flexion Left
Supine Hip Flexion Right
 Note tightness or where/when you feel pain. I.E. Front hip pinching, Groin?
Kneeling Heel to Butt
Kneeling Heel to Butt Left
 Note tightness or where/when you feel pain.  I.E. Knee?
Prone Heel To Butt
Prone Knee Flexion Left
Prone Knee Flexion - Right
 Note tightness or where/when you feel pain. I.E. Low back or pelvis movement?
Ankle Dorsiflexion Test
Ankle DF Left
Ankle DF Right
Comments - Note tightness or where/when you feel pain. I.E. Front of ankle or back of Calf?
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