PatientStanding
SittingSupine
PronePlan
Patient Information
Complete patient details before the functional assessment begins.
Patient Info
Chief Complaint
Standing Assessment
Posture → Balance → Functional movement → Gait. Complete all while patient is standing/walking.
General Posture Observation
Static postural analysis — anterior, posterior & lateral views
Postural Findings — check all that apply
B1. Single Leg Standing Balance Test
Time until reaches out / hops / foot down / touches WB leg. Open ≥30s, Closed ≥10s = pass
B2. Trendelenburg Sign
Contralateral shoulder elevation / pelvic shift — glut med weakness indicator
B3. Lunge / Kneel Test
Lunge to kneeling and return without lumbar kyphosis
B4. Squat Coordination Test
Squat to 90° knee flexion without lumbar kyphosis; note soleus shortening
Gait Analysis
Observe walking pattern — identify deviations and underlying causes
Gait Deviations
Seated Assessment
Patient seated — neurological screens, shoulder, cervical, and trunk tests.
Head / Neck Flexion Test
Deep cervical flexor endurance — SCM/suboccipital balance
Arm Abduction to 180° (Seated)
Scapular rhythm, trapezius balance, shoulder impingement screen
Seated SLR — Neutral Spine
Seated straight leg raise, lumbar in neutral lordosis
Seated SLR — Head Flexed
Differentiates neural tension from hamstring tightness (Slump test variant)
Trunk Flexion / Reflexion
Forward flexion reach — finger-to-floor distance, return asymmetry
Supine Assessment
Patient lying face up — muscle length, hip tests, core strength, neurological.
Thomas Test — Hip Flexor Length
Supine: assess psoas and rectus femoris length; thigh-to-table relationship
Hamstring Length Test (Passive SLR)
Supine passive straight leg raise — ≥80° = normal
Adductor Length Test
Supine — bilateral hip adductor flexibility
Patrick FABER Test — Hip / SI Joint
Knee becomes parallel with table — hip restriction, SI, adductor tightness
Pelvic Tilt Test (Supine)
3 positions: A. Supine B. Legs extended out C. Legs extended up
Static ¼ Sit-Up Test (Timed)
Abdominal endurance — timed hold in seconds
Hip Flexion Strength Test (Supine Leg Hold)
Dr. elevates SL — patient holds. Core stability and hip flexor strength
Prone Assessment
Patient face down — posterior chain strength, muscle length, coordination.
Hip Extension Coordination / Strength
Prone: glut max firing pattern, lumbopelvic stability, hamstring dominance
Hip Abduction Coordination (Side-Lying)
Glut med, TFL, piriformis firing pattern during abduction
Nachlas Test — Rectus Femoris / SI
Prone knee flexion — RF length and SI/lumbosacral involvement
M/L Trapezius Test (Prone)
Middle/lower trap strength — scapular retraction and depression
Push-Up Plus Test
Serratus anterior strength — scapular protraction at end of push-up
Muscle Length Tests — Upper Quadrant
Upper trap, levator scapulae, pec major, pec minor, TFL, piriformis
Upper Trapezius
Levator Scapulae
Pectoralis Major / Minor
TFL / IT Band + Piriformis
Clinician Summary
Treatment Plan
Evidence-based program recommendations generated from your assessment findings.
Colleyville Chiropractic
Functional Assessment — Clinical Note
Assessment Report
—
—
—