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Academy of Neurologic Physical Therapy
Movement Analysis of Tasks Worksheets
The following worksheets provide a systematic framework for movement analysis of tasks that will
inform additional tests and measures, and ultimately facilitate the determination of the movement
system diagnoses. The tasks chosen for this framework – sitting, standing, sit to stand, walking, step
ups, and reach grasp/manipulation – were chosen following consensus procedure amongst the
original task force group (see Hedman et al 2017 6). We anticipate that further tasks can be added to
this framework as needed utilizing the same structure and format, following appropriate validation
testing.
This document and accompanying checklists are meant to be used by students and practicing
physical therapists to systematically and consistently analyze movement during task performance. In
doing so, we hope to strengthen the emphasis on movement analysis in everyday practice, lead to a
more consistency in examination procedures, and ultimately to improve the ability of physical
therapists to utilize movement analyses as one component of developing movement system
diagnoses.
Each task checklist consists of the following aspects:
1. Movement system constructs. For all tasks, the checklist involves answering a series of
questions (yes/no, with space for documenting observations) that aim to evaluate key movement
system constructs. The key constructs for all tasks –symmetry, speed, amplitude, accuracy,
alignment, postural control (verticality and stability) and coordination (smoothness, sequencing and
timing), and symptom provocation – are noted under each question and are applied to different tasks
as appropriate. For dynamic tasks (e.g. sit to stand, walking, step up and reaching), the constructs
are framed within a movement continuum (initiation, execution, termination and whole task analysis). 4
2. Movement system implications. In an effort to link movement analysis to underlying motor

impairments, we have indicated potential movement system impairments that may require further
testing. These tests and measures are listed in grey bars following one or multiple questions. These
include recommended tests and measures (based on the Guide to Physical Therapist Practice,
APTA) that may require further evaluation based on the results of the movement analysis. This list is
not meant to be all inclusive, but rather to be used as a guide to identify areas in need of further
testing. Where possible, these tests and measures have been categorized according to one of the
six systems involved in the movement system (nervous system, musculoskeletal, cardiovascular,
pulmonary, integumentary and endocrine).
3. Task and environment variations. Task and environmental regressions and progressions are
variations that are generally designed to make the task less or more challenging to perform. If a task
regression is required for task completion, we recommend the remaining evaluation be completed
with the regressions and documented on the worksheet (2 nd grey box on each worksheet). Any task
progressions should also be documented (space provided at end of each worksheet)
Version 1.0. April 9, 2021

 Academy of Neurologic Physical Therapy
2
Sitting Movement Analysis Worksheet

Movement Constructs Observations
Did the person Yes No

understand the Observations:
instructions?
If no, consider evaluating: Mental functions: Global (consciousness, orientation function, motivation, impulse
control), Specific (attention, ability to follow direction, memory, emotion, perception).
Can the person perform Yes No
the baseline task without Observations:
modifications?
If no: Was a demonstration needed? Were task variations required to complete the task? (Describe task regressions)
Are the body segments Yes No

aligned in all three Observations:
planes?
Constructs: alignment
Is the body oriented with Yes No

the line of gravity? Observations:
Constructs: verticality
If no, consider evaluating: Musculoskeletal: Muscle performance, skeletal integrity, joint integrity and mobility.
Neuromotor: Sensory integrity.
Is the individual able to Yes No
maintain upright position? Observations:
Constructs: stability
Is the amount of sway Yes No

(anterior/posterior and Observations:
mediolateral)
appropriate?
Construct: stability
Is the position maintained Yes No

without UE stabilization? Observations:
3
Construct: stability
Does the individual Yes No

maintain an appropriate Observations:
BOS?
If no, consider evaluating: Musculoskeletal: Joint integrity and mobility, muscle performance. Neuromotor: Sensory
integrity, motor function.
Does weight appear Yes No
equally distributed Observations:
between left and right
lower extremities?
Constructs: symmetry
If no, consider evaluating: Musculoskeletal: Joint integrity and mobility, muscle performance. Neuromotor: Sensory
integrity, motor function. Other: Pain.
Are there associated Yes No
symptoms with this task? Observations:
Constructs: symptom
provocation
If yes, consider evaluating: Cardiovascular: Aerobic capacity and endurance. Pulmonary: Ventilation and
respiration Other: Pain, activity avoidance.
Describe Task Progressions:
Other comments:
4
5
Sit to Stand Movement Analysis Worksheet

Movement phases and Observations
constructs
Initial Conditions
Observe starting posture. Observations:
Preparation Phase
Did the person understand the Yes No
instructions? Observations:
Can the person perform the Yes No
baseline task without Observations:
modifications?
Initiation Phase
Does movement begin with the Yes No
appropriate timing and in the Observations:
appropriate direction?
Constructs: sequencing, timing
If no, consider evaluating: Musculoskeletal: Range of motion, muscle performance. Neuromuscular: Motor
function. Other: Balance confidence, activity avoidance.
Execution Phase
Are the body segments (head, Yes No
trunk, and LEs) aligned in all 3 Observations:
planes throughout execution?
Constructs: alignment, stability
Does the person demonstrate Yes No

appropriate amplitude of forward Observations:
weightshift, with adequate hip and
knee flexion, ankle DF throughout
flexion and early lift phases?
Constructs: amplitude,
sequencing
Does the person demonstrate Yes No
appropriate trunk, hip, knee Observations:
extension during extension
phase?
smoothness
6
If no, consider evaluating: Musculoskeletal: Muscle performance, range of motion, joint integrity and mobility.
Neuromuscular: Sensory integrity, motor function, reflex integrity, posture, balance. Other: Balance confidence,
activity avoidance.
Termination Phase
Does the person maintain COM Yes No
over BOS without excessive Observations:
sway?
If no, consider evaluating: Musculoskeletal: Muscle performance, range of motion, joint integrity and mobility.
Neuromuscular: Balance, sensory integrity, motor function, reflex integrity, posture. Other: Balance confidence,
activity avoidance.
Whole Task analysis
Is the overall speed appropriate Yes No
for the task? Observations:
Constructs: speed
Is the whole task smooth, Yes No

continuous, and efficient? Observations:
Constructs: sequencing, timing,
smoothness
If no, consider evaluating: Musculoskeletal: Muscle performance, range of motion, joint integrity. Neuromuscular:
Sensory integrity, motor function, reflex integrity. Other: Balance confidence, activity avoidance.
Are there associated symptoms Yes No

with this task? Observations:
Constructs: symptom provocation
If yes, consider evaluating: Cardiovascular: Aerobic capacity and endurance. Pulmonary: Ventilation and
respiration Other: Pain, activity avoidance.
If the task is repeated, does the Yes No
performance stay consistent? Observations:
If no, consider evaluating: Cardiovascular: Circulation, aerobic capacity/endurance. Musculoskeletal: Muscle

performance. Pulmonary: Ventilation and respiration, aerobic capacity/endurance. Other: Pain, activity avoidance.
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Other comments:
Standing Movement Analysis Worksheet

Movement constructs Observations
modifications?
Are the body segments aligned Yes No

in all three planes? Observations:
Is the body oriented with the Yes No

line of gravity? Observations:
Constructs: verticality
If no, evaluate: Musculoskeletal: Muscle performance, joint integrity and mobility, skeletal integrity, posture, range of
motion. Neuromuscular: Reflex integrity, motor function, sensory integrity, balance.
Is the individual able to maintain Yes No
upright position? Observations:
Is the amount of sway Yes No

(anterior/posterior and Observations:
mediolateral) appropriate?
8
Is the position maintained Yes No

without UE stabilization? Observations:
Does the individual maintain an Yes No

appropriate BOS? Observations:
If yes, evaluate: Musculoskeletal: Muscle performance, joint integrity and mobility, skeletal integrity, posture, range of
motion. Neuromotor: Reflex integrity, motor function, sensory integrity, balance.
Does weight appear equally Yes No
distributed between left and Observations:
right lower extremities?
Constructs: symmetry
If No, evaluate: Musculoskeletal: Muscle performance, joint integrity and mobility, skeletal integrity, posture, range of
motion. Neuromotor: Reflex integrity, motor function, sensory integrity, balance Other: Pain
Constructs: symptom
provocation
If yes, evaluate: Cardiovascular: Aerobic capacity and endurance. Pulmonary: Ventilation and respiration Other:
Pain, fear, activity avoidance
Other Comments:
9
10
Walking Movement Analysis Worksheet

constructs
Initial conditions
Preparation Phase
If no consider evaluating: Mental functions: Global (consciousness, orientation function, motivation, impulse
control), Specific (attention, ability to follow direction, memory, emotion, perception)
modifications?
Initiation Phase
Does movement begin with the Yes No
appropriate timing and in the Observations:
Constructs: timing
If no, consider evaluating: Musculoskeletal: Muscle performance, joint integrity and mobility, range of motion.
Neuromuscular: Balance, motor function. Other: Balance confidence, activity avoidance.
Execution Phase
Do the body segments (weight RLE LLE
bearing limb, pelvis, trunk) achieve Yes No Yes No
and maintain an adequate position Observations: Observations:
during single limb support
Constructs: alignment, stability,
amplitude, smoothness
Neuromuscular: Motor function, balance. Other: Balance confidence, activity avoidance.
Is an appropriate base of support Yes No
maintained during double limb Observations:
support?
11
Is the swing limb advanced past the RLE LLE

stance limb with a smooth and Yes No Yes No
efficient trajectory with an adequate Observations: Observations:
step length on each side?
Constructs: amplitude, symmetry,
smoothness
Do the limbs (UE & LE) consistently Yes No

move in a symmetrical, alternating Observations:
pattern (temporal and spatial)?
Constructs: symmetry, sequencing,
timing, amplitude, smoothness
Does the body (pelvis, trunk) RLE LLE

progress forward to achieve an Yes No Yes No
adequate trailing limb position on Observations: Observations:
each side? Constructs: amplitude,
speed
Does the swing limb consistently RLE RLE

achieve adequate clearance? Yes No Yes No
Constructs: amplitude, accuracy Observations: Observations:
Neuromuscular: Motor function, balance, sensory integrity. Other: Balance confidence, activity avoidance.
Is turn executed in a smooth and RLE LLE
continuous manner with appropriate Yes No Yes No
contributions from each limb? Observations: Observations:
Constructs: alignment, stability,
speed, smoothness
Is there a marked decrease in Yes No

speed during the turn? Observations:
Constructs: speed
Termination Phase
Does the person maintain COM Yes No
over BOS without excessive sway? Observations:
Whole Task analysis
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Is the overall speed appropriate for Yes No

the task? Observations:
Constructs: speed
Is the whole task smooth, Yes No

continuous, and efficient? Observations:
Constructs: timing, smoothness
Sensory integrity, motor function, reflex integrity. Other: Balance confidence, activity avoidance.
If yes, evaluate: Cardiovascular: Aerobic capacity/endurance. Pulmonary: Ventilation and respiration Other: Pain,
fear, activity avoidance
If the task is repeated, does the Yes No
performance stay consistent? Observations:

Is the overall path straight to the Yes No
intended destination? Observations:
Constructs: accuracy, stability
If no, consider evaluating: Cardiopulmonary: Aerobic capacity and endurance. Musculoskeletal: Muscle
performance, joint integrity and mobility, range of motion. Neuromuscular: Motor function, balance, sensory integrity.
Other: Activity avoidance, balance confidence.
Other Comments:
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Step Ups Movement Analysis Worksheet

constructs
Initial conditions
Preparation Phase
Constructs:
If no, evaluate: Mental functions: Global (consciousness, orientation function, motivation, impulse control), Specific
(attention, ability to follow direction, memory, emotion, perception)
modifications?
Step up RIGHT Step up LEFT

Initiation Phase
Does movement begin with the Yes No Yes No
appropriate timing and in the Observations: Observations:
Constructs: timing
If no, consider evaluating: Musculoskeletal: Muscle performance, joint integrity and mobility. Neuromotor: Reflex
integrity, motor function.
Execution Phase
Do the body segments (head, Yes No Yes No
trunk, and stance limb) maintain Observations: Observations:
alignment during unilateral stance?
Constructs: alignment, stability
Does the person demonstrate Yes No Yes No

appropriate amplitude to clear the Observations: Observations:
swing limb?
Constructs: amplitude, accuracy
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Is the placement of the leading Yes No Yes No

limb onto the next surface Observations: Observations:
completed with a smooth,
continuous, and efficient
trajectory?
appropriate amplitude of Observations: Observations:
ascent/descent and weight shift
during ascent/descent onto
contralateral limb?
Constructs: amplitude
Is the whole-body ascent/descent Yes No Yes No

and weight shift excursion Observations: Observations:
trajectory?
Constructs: sequencing, timing,
smoothness
appropriate amplitude to clear the Observations: Observations:
trailing limb?
Constructs: amplitude, accuracy
Is the movement of the trailing limb Yes No Yes No

onto the next surface completed Observations: Observations:
with a smooth, continuous, and
efficient trajectory?
Neuromotor: Reflex integrity, motor function, sensory integrity, balance.
Termination Phase
Does the person maintain COM Yes No Yes No
over BOS without excessive Observations: Observations:
sway?
If no, consider evaluating: Musculoskeletal: Muscle performance, joint integrity and mobility, skeletal integrity,
posture, range of motion. Neuromotor: Reflex integrity, motor function, sensory integrity, balance.
Whole Task Analysis
Is the overall speed appropriate for Yes No Yes No
the task? Observations: Observations:
Constructs: speed
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Is the whole task smooth, Yes No Yes No

continuous, and efficient? Observations: Observations:
If no, consider evaluating: Neuromuscular: Sensory integrity, motor function, reflex integrity, balance.
Musculoskeletal: Muscle performance, range of motion, joint integrity. Other: Balance confidence, activity avoidance.
Are there associated symptoms Yes No Yes No
with this task? Observations: Observations:
If the task is repeated, does the Yes No Yes No
performance stay consistent? Observations: Observations:

Other Comments:
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Reach, Grasp and Manipulate Movement Analysis Worksheet

Movement phases and Observation
constructs
Initial conditions
Preparation Phase
modifications?
Initiation Phase
Reach/Grasp/Manipulate RIGHT Reach/Grasp/Manipulate LEFT
Does movement begin with the Yes No Yes No

appropriate timing and in the Observations: Observations:
Constructs: timing
Neuromuscular: Motor function, balance. Other: Balance confidence, activity avoidance.
Are the body segments (head, Yes No
trunk, and stance limb) aligned Observations:
in all 3 planes?
17
If no, evaluate: Musculoskeletal: Muscle performance, joint integrity and mobility, skeletal integrity, posture, range of
motion. Neuromuscular: Reflex integrity, motor function, sensory integrity, balance.
Execution Phase
Does the reaching limb Yes No Yes No
demonstrate appropriate range Observations: Observations:
of motion to approach the
cup?
accuracy
Is the grasp of the reaching Yes No Yes No

hand onto the cup surface Observations: Observations:
trajectory?
Construct: timing,
smoothness

appropriate height of lifting the Observations: Observations:
cup off the surface of the
table?
Construct: amplitude,
accuracy
Termination Phase
Does the person manipulate Yes No Yes No
the cup so as to empty its Observations: Observations:
contents into the receptacle?
accuracy, smoothness
Does the person place the cup Yes No Yes No

back down on the table Observations: Observations:
surface with appropriate force
control?
Construct: smoothness
Whole Task Analysis
Is the overall speed Yes No Yes No
appropriate for the task? Observations: Observations:
Construct: speed
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Is the whole task smooth, Yes No Yes No

continuous, and efficient? Observations: Observations:
Constructs: timing,
smoothness
Sensory integrity, motor function, reflex integrity, balance. Other: Balance confidence, activity avoidance.
Are there associated Yes No Yes No
symptoms with this task? Observations: Observations:
Constructs: symptom
provocation
If the task is repeated, does Yes No Yes No
the performance stay Observations: Observations:
consistent?

Other Comments:
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Academy of Neurologic Physical Therapy

Movement Analysis of Tasks Worksheets

Each task checklist consists of the following aspects:

2. Movement system implications. In an effort to link movement analysis to underlying motor

Version 1.0. April 9, 2021

Sitting Movement Analysis Worksheet

Did the person Yes No

Are the body segments Yes No

Is the body oriented with Yes No

Is the amount of sway Yes No

Is the position maintained Yes No

Does the individual Yes No

Sit to Stand Movement Analysis Worksheet

Does the person demonstrate Yes No

Is the whole task smooth, Yes No

Are there associated symptoms Yes No

If no, consider evaluating: Cardiovascular: Circulation, aerobic capacity/endurance. Musculoskeletal: Muscle

Standing Movement Analysis Worksheet

Are the body segments aligned Yes No

Is the body oriented with the Yes No

Is the amount of sway Yes No

Is the position maintained Yes No

Does the individual maintain an Yes No

Walking Movement Analysis Worksheet

Is the swing limb advanced past the RLE LLE

Do the limbs (UE & LE) consistently Yes No

Does the body (pelvis, trunk) RLE LLE

Does the swing limb consistently RLE RLE

Is there a marked decrease in Yes No

Is the overall speed appropriate for Yes No

Is the whole task smooth, Yes No

If no, consider evaluating: Cardiovascular: Circulation, aerobic capacity/endurance. Musculoskeletal: Muscle

Step Ups Movement Analysis Worksheet

Step up RIGHT Step up LEFT

Does the person demonstrate Yes No Yes No

Is the placement of the leading Yes No Yes No

Is the whole-body ascent/descent Yes No Yes No

Is the movement of the trailing limb Yes No Yes No

Is the whole task smooth, Yes No Yes No

If no, consider evaluating: Cardiovascular: Circulation, aerobic capacity/endurance. Musculoskeletal: Muscle

Reach, Grasp and Manipulate Movement Analysis Worksheet

Does movement begin with the Yes No Yes No

Is the grasp of the reaching Yes No Yes No

Does the person demonstrate Yes No Yes No

Does the person place the cup Yes No Yes No

Is the whole task smooth, Yes No Yes No

If no, consider evaluating: Cardiovascular: Circulation, aerobic capacity/endurance. Musculoskeletal: Muscle

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