Professional Documents
Culture Documents
Posture Assesment Form
Posture Assesment Form
Date: ______________
Name: _____________
Surname: ___________
Gender: M / F
Date of birth: ________
General Examination
a. Posterior view
1.
2.
3.
4.
5.
6.
Neck ________________________________
7.
8.
b. Lateral view
1.
2.
3.
4.
5.
6.
c. Anterior view
1.
Feet ___________________
2.
Knees _________________
3.
4.
5.
Neck/Head _____________
FUNCTIONAL TESTS
1.
2.
3.
4.
5.
6.
7.
8.
9.
10. Back
11. Shoulder
girdle strength:
13. Dynamic
balance ______________________________
14. Forward
General evaluation:
1.
2.
3.
a.
b.
1.
2.
attaining them.
3.
4.
5.
Name of therapist/instructor
SELF-EXERCISE FORM
Name ___________________________________ Date