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Aesthetics and Pilates Studio

Pilates Evaluation Sheet

Personal data: _________________________________________________________________________

_____________________________________________________________________________________

Main complaint: _______________________________________________________________________

History of this injury: ___________________________________________________________________

_____________________________________________________________________________________

Inspetion: ____________________________________________________________________________

Palpation: ____________________________________________________________________________

Specific tests:

• Step down test: ______________________________________________________________________

• Pelvic lift test: _______________________________________________________________________

• Abdominal plank: ____________________________________________________________________

• Teste alongamento de isquiotibiais: _____________________________________________________

Goals with Pilates:

General observation (how the student performs the exercises):

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