Your name: _________________________ Person you are evaluating name:___________

Body measurements:

Weight_____114.4 Ibs__

Height____5’01__

Body fat % _ (BIA in HPL or on own)

Body Classification: Endomorph____ Ectomorph_____ Mesomorph____

Lengths and Heights
Arm length: acromion to distal humerus 13.5 inch___Forearm length; proximal radius to styloid process radius______11 inch_Hand size: crease to tip of middle finger__7 inch__
Wing span: Right middle finger to Left middle finger-arms straight out____64 inch

Length Measurements
Structural/True: ASIS to inferior aspect of medial malleolus _ Left _ Right
Apparent/False: Umbilicus to Medial malleolus ____Left ____Right
Tibial Heights from anterior view: Y N
Femoral Heights from lateral view: Y N
Long sit test (Rotated Ilium): PAIN?
Short to Long-Posterior Rotation
Long to Short-Anterior Rotation

ROM
Hamstrings: _____Right _____Left (90/90)
Quads:______Right_____Left (on stomach, can they bring heel to their gluteus)
Pec Major_____Right_____Left (Table level to side, look like a T)
Pec Minor_____Right____Left (Table level, stand at head, are shoulders flat on table)
Rhomboids?Lats Y N (Arms overhead, laying on table)

BESS-used with Concussion pre and post testing, highly valid and reliable
Use blue Airex pad in the AT lab where we have class and follow directions on sheets; eyes, hips, feet position. Please turn in the scoring sheet.

FMS screening
Perform a screening on your client. Please attach the sheet you used to score your client. The directions for each exercise are on Moodle in Lab Manual 1. We have 3 testing kits available just please let me know when you want to do it and I will see that it is available for you. Do you think FMS is useful? Why or why not? www.functionalmovement.com

Basic Gait and Posture Evaluation

Have your patient walk comfortably and also run. I’d suggest you do a short video on your phone.

Location of initial contact WALKING
R heel: medial lateral neutral mid foot
L heel: medial lateral neutral mid foot

Location of initial contact RUNNING
R heel: medial lateral neutral mid foot
L heel: medial lateral neutral mid foot

Landing position WALKING
R: pronation supination neutral
L: pronation supination neutral

Landing position RUNNING
R: pronation supination neutral
L: pronation supination neutral

Shoe wear:
What are their favorite shoes (preferable sneakers)
How old are they?
Do they have any abnormal wear patterns?

Standing posture and alignment from the front/back view:
Achilles: valgus or varus
Toe in/toe out: R or L
Knee: valgus or varus or recurvatum
Hallux/Big toe: Bunion Y or N

Movement Assessment

Overhead Squat Test: please complete the form online and turn in
Single Leg Squat Test: please complete the form online and turn in

Application of Overhead and Single Leg Squat Test:
Please make suggestions/correctives for your client’s testing. The forms are on Moodle and many were discussed in class settings/lab throughout the course.

Mobility Assessments

From Anatomy for Runners lab assessment sheet
Test
Ankle DF: + –
Great toe DF: + –
Hip Extension: + –
Vertical Compression Test: + –
Bridge: + –
Isolating the big toe: + –

ACL intervention programs lab (Hospital for Special Surgery, NYC-Sports Safety Department, Dinan Foundation grant)

Would you implement the warm up program with your student athletes if were a coach?
Would you have your son/daughter implement the warm up program with their team(s)?
Would you complete online course for a certificate to gain knowledge and access to the program?
Have you torn your ACL or do you know someone who has?

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