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Name: Date

D.O.B Weight Height L/R


Limb Length Current injury
Subscap Triceps Biceps Suprailiac Bodyfat

Beighton
Score Low back Knee Elbow Pinky Thumb Total
□ □L □R □L □R □L □R □L □R
Desirable Above Avg Average Below Avg Poor
5 4 3 2 1
Thomas 1
5⁰ below Horizontal 5⁰ above 10⁰ above >10⁰ above
(Thigh)
Left Right

Desirable Above Avg Average Below Avg Poor


5 4 3 2 1
Thomas 2
80-90⁰ 70-79⁰ 60-69⁰ 50-59⁰ 40-49⁰
(Knee)
Left Right

Desirable Above Avg Average Below Avg Poor


5 4 3 2 1
Thomas 3
Aligned 0-5⁰ 5-10⁰ 10-15⁰ >15⁰
(Aligment)
Left Right

Desirable Above Avg Average Below Avg Poor


Active 5 4 3 2 1
Internal 30-40⁰ 20-30⁰ 10-20⁰ 5-10⁰ 0-5⁰
Rotation Left Right

Desirable Above Avg Average Below Avg Poor


Active 5 4 3 2 1
External 40-50⁰ 30-40⁰ 20-30⁰ 10-20⁰ <10⁰
Rotation Left Right

Desirable Above Avg Average Below Avg Poor


5 4 3 2 1
Core
90sec 67-89 44-66 20-43 <20sec
Endurance Back
Sit-Up
Hold
3 2 1 3 2 1
Leg Lower 0⁰ <30⁰ >30⁰
Score Diagonal Lift Score
Test
Core stabiliy
Core stabiliy
Desirable Above Avg Average Below Avg Poor
5 4 3 2 1
Hamstring >90⁰ 85-90⁰ 80-84⁰ 75-79⁰ <75⁰
Flexibility
Left Right

Desirable Above Avg Average Below Avg Poor


5 4 3 2 1
Adductors
>1,75 1,6 - 1,75 1,5 - 1,6 1,4-1,5 >1,4
Flexibility Score
Spread
(ratio)
Desirable Above Avg Average Below Avg Poor
5 4 3 2 1
Ankle >12cm 10-12cm 7-9cm 4-6cm 1-3cm
Mobility Left Right
* Calculate ratio to limb length and/or height

Desirable Average Poor


3 2 1
Stork 60sec stable 60sec "shaky" less than 60sec
Balance Test Left Right
* Eyes closed

Desirable Above Avg Average Below Avg Poor


Overhead 5 4 3 2 1
Squat Thighs to
Arms
parallel

Desirable Average Poor


Inline 3 2 1
Lunge
Left Right

Desirable Average Poor


3 2 1
Landing
Proficiency Left Right Double
* Barefoot fom the box (small box & medium box)

Desirable Above Avg Average Below Avg Poor


5 4 3 2 1
Push-up >60sec 45-60 30-45 15-30 <15sec
Row & Bridge >40sec 30-40 20-30 10-20 <10sec
ISO Holds Left on Right on
Row Hold
top top

Push-up
* 60seconds recovery between trials

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