Posture Assessment

Name: Date:

Age/Gender:

Height: Weight:

Hand Dominance: Leg length: Right- Left-

Diagnosis:

Plumb Alignment

Side View Left: Right:

Back View Deviated Left: Deviated Right:

Segmental Alignment

Feet Hammer toes Hallux Valgus Low Anterior arch Anterior foot varus

Pronated Supinated Flat long arch Pigeon toes

Knee Medial rotation Lateral rotation Knock knees Tibial torsion
hyperextension Flexed Bow legs
Pelvis Leg in postural Rotation Tilt Deviation
adduction
Low back Lordosis Flat Kyphosis Operation
Upper Kyphosis Flat Scapula abducted Scapula elevated
back
Thorax Depressed Elevated chest Rotation Deviation
chest
Spine Total curve Lumbar Thoracic Cervical
Abdomen Protruding Scars
Shoulder Low High Forward Med rotated
Head Forward Torticollis Lateral tilt Rotation