Corrective Exercise: Active Straight-Leg Raise FMS Score: ___________

Name: _________________________________________________ Course, Year, Section: ___________________________

(Family Name, First Name, MI) (Course) (Year) (Section)

1st Week
Exercises Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7
AM PM AM PM AM PM AM PM AM PM AM PM AM PM
Reps
Right
Sets
1. Active Knee Extension
Reps
Left
Sets
Reps
Right
Sets
2. Leg Raise with a Strap
Reps
Left
Sets
Reps
Right
Sets
3. With a Strap and Pull
Reps
Left
Sets
Reps
Right
4. With a Strap on 1 Leg, Sets
Raise other Leg Reps
Left
Sets
Reps
Right
5. Same as Exercise 4 Sets
But without Strap Reps
Left
Sets
Reps
Right
6. I to T (Russian Sets
Deadlift) Reps
Left
Sets

I hereby certify that the above entries true and accurate.

___________________________________
(Signature)
 Corrective Exercise: Active Straight-Leg Raise FMS Score: ___________

Name: _________________________________________________ Course, Year, Section: ___________________________

(Family Name, First Name, MI) (Course) (Year) (Section)

2nd Week
Exercises Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7
AM PM AM PM AM PM AM PM AM PM AM PM AM PM
Reps
Right
Sets
1. Active Knee Extension
Reps
Left
Sets
Reps
Right
Sets
2. Leg Raise with a Strap
Reps
Left
Sets
Reps
Right
Sets
3. With a Strap and Pull
Reps
Left
Sets
Reps
Right
4. With a Strap on 1 Leg, Sets
Raise other Leg Reps
Left
Sets
Reps
Right
5. Same as Exercise 4 Sets
But without Strap Reps
Left
Sets
Reps
Right
6. I to T (Russian Sets
Deadlift) Reps
Left
Sets

I hereby certify that the above entries true and accurate.

___________________________________
(Signature)