Dynamic Postural

PTA Dynamic Postural Assessment

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 doesnt follow hand
(without prompting)
Segmented head movement
Stance leg not straight

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PTA C4 Assessment Sheets 1 of 2 Provider Code 21953

Static Postural
PTA Static Postural Assessment
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 C4 Assessment Sheets 2 of 2 Provider Code 21953