Assessments are undeniably important to reduce compensatory movement patterns that can increase the risk of injury when engaging in remedial exercise or athletic activities. I have many different techniques for assessing my patients.
I begin at the feet and look for any eversion of the foot in relation to the tibia. I also look for ankle pronation or supination, as well as excessive ankle dorsiflexion or plantarflexion.
At the knees, I look for valgus or varus stress, tibial torsion in relationship to the femur, internal or external femur rotation, and any excessive knee flexion or hyperextension. At the hips, I look for any abnormal elevation, anterior or posterior pelvic tilt, pelvic rotation or lateral flexion. When assessing the upper body, I look for any thoracic offset, rotation or flexion. I also check the shoulders for rounding or unusual elevation discrepancy. When assessing the head position, I check to see if the ear is in line with the shoulder, noting if there is a forward head posture.1-2 In addition, I will check to see if the load-bearing joints appear forward of the lateral malleolus or if the person appears to have a side lean.