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Name of athlete:

Date of test:
Mobility testing scoresheet:

Circle / highlight the score achieved by athlete


Test L R Scoring parameters
Wall-Facing Squat 0 pain, feet 12” (30cm) or more from wall and thighs above parallel
*heels must be on 1 feet 8-12”(20-30cm) from wall, thighs at least parallel, mostly
floor straight arms
2 feet 6-8”(15-20cm) from wall, thighs at least parallel, straight arms
3 feet 3-6”(7-15cm) from wall, thighs at least parallel, straight arms
4 feet less than 3” (7cm) from wall, thighs below parallel, straight arms
Knee-to-Wall 0 0 toes are touching the wall, knee can’t touch/foot collapses
1 1 foot 1”/2.5cm from wall, knee touches with strong foot position
2 2 foot 2”/5cm from wall, knee touches with strong foot position
3 3 foot 3”/7.5cm from wall, knee touches with strong foot position
4 4 foot 4”/ 10cm from wall, knee touches with strong foot position
3D Balance 0 0 unable to hold balance on 1 foot
1 1 0-30 seconds
2 2 30-59 seconds
3 3 achieves 60 seconds but foot flattens or client hops/moves foot
4 4 achieves 60 seconds with strong foot position
Sit & Reach 0 back pain preventing attempt
1 fingers more than 3” /7.5cm away from foot and knees bent
2 fingers more than 1” / 2.5cm away from foot and knees bent
3 fingers reach between 1” past to 1” to the foot, knees straight
4 fingers reach 3+”/7.5cm past sole of foot, knees straight
Back Scratch – 0 0 pain attempting the movement
score side based 1 1 4+”/10cm between fists, top arm angled, scapular winging, some rib
on the top arm flare or torso shift
*remove one point 2 2 3-4” /7.5-10cm between fists, top arm angled, scapular winging
if arms have an 3 3 2-3” /5-7.5cm between fists, top arm close to vertical, some scapular
asymmetrical score winging
Ex. R side up is 2, L 4 4 less than 2” /5cm between fists, top arm is vertical, minimal scapular
side up is 4 would winging
count as 1 & 4

Total score:
Remarks:

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