Skeletal
Alignment Assessment Form
Name ______________________
Date ____________________
Assessors
___________________________________________
Side
View Assessment
| Category |
None |
Slight |
Moderate |
Marked |
Comments |
|
Total lean:
‚Fwd. ‚Back
|
|
|
|
|
|
Knees:
‚ Hyperext. ‚Hyper flex
|
|
|
|
|
|
Pelvis:
‚Increased ‚Decreased |
|
|
|
|
|
| Lumbar spine: swayback |
|
|
|
|
|
| Hip flexors (tight) |
|
|
|
|
|
| Thoracic spine:
round shoulders |
|
|
|
|
|
| Pectoralis minor
syndrome |
|
|
|
|
|
| Cervical Spine:
Forward Head |
|
|
|
|
|
Arm position:
‚ Hang fwd.
‚ back |
|
|
|
|
|
Front
or back view assessment
|