Postural Assessment Checklist Form

Submit the completed form by emailing it to submissions@healthassessment.com, faxing it to (555) 123-4567, or using the online submission form on our website. For physical submissions, mail the form to Health Assessment Department, 123 Wellness St., Health City, HC 12345. Ensure all fields are accurately and completely filled out before submitting. It is advisable to keep a copy of the submitted form for your records.

There are no specific important dates for this form in 2024 and 2025.

The purpose of the Postural Assessment Checklist Form is to provide a structured way to evaluate an individual's postural alignment. Fitness professionals and health practitioners use this form to identify imbalances and asymmetries in the body. The form guides users through observing different body views and recording discrepancies to provide a comprehensive posture assessment.

• 1. Overall body symmetry (anterior): Observe symmetrical alignment of the left and right hemispheres from the anterior view.
• 2. Ankle position: Observe for pronation and supination in the ankles.
• 3. Foot position: Observe for inversion and eversion of the feet.
• 4. Knees: Check for rotation and height discrepancies in the knees.
• 5. Hip adduction and shifting: Observe for shifting of the hips as seen by the position of the pubis in relation to the line of gravity.
• 6. Alignment of the iliac crests: Assess the alignment of the iliac crests.
• 7. Alignment of the torso: Check the position of the umbilicus and sternum in relation to the line of gravity.
• 8. Alignment of the shoulders (anterior): Observe the alignment of the shoulders from the anterior view.
• 9. Arm spacing: Observe the space to the sides of the torso.
• 10. Hand position: Observe the position of the hands relative to the torso.
• 11. Head position (anterior): Check alignment of the ears, nose, eyes, and chin from the anterior view.
• 12. Overall body symmetry (posterior): Observe symmetrical alignment of the left and right hemispheres from the posterior view.
• 13. Alignment of the spine: Check the vertical alignment of the spinous processes, possibly requiring forward bending.
• 14. Alignment of the scapulae: Observe the alignment and any winging of the scapulae.
• 15. Alignment of the shoulders (posterior): Observe the alignment of the shoulders from the posterior view.
• 16. Head position (posterior): Check the alignment of the ears from the posterior view.
• 17. Overall body symmetry (side): Observe symmetrical alignment of load-bearing joint landmarks with the line of gravity from the side view.
• 18. Knees (side): Check for flexion or extension of the knees from the side view.
• 19. Pelvic alignment for tilting: Assess the relationship of ASIS to PSIS for pelvic tilting.
• 20. Spinal curves (side): Observe for thoracic kyphosis, lumbar lordosis, or a flat-back position from the side view.
• 21. Shoulder position (side): Check for forward rounding (protraction) of the scapulae from the side view.
• 22. Head position (side): Observe neutral cervical curvature and level head position from the side view.

Failing to submit this form may result in incomplete or inaccurate assessments of postural alignment. Lack of submission can hinder the ability to identify and address postural issues.

• Inaccurate Posture Assessment: Without submission, the posture assessment remains incomplete and may lead to improper evaluations.
• Missed Health Interventions: Failure to submit the form can prevent timely interventions to correct postural issues.

• 1. Fitness Assessments: Use this form to evaluate clients' postures during fitness assessments.
• 2. Rehabilitation Evaluations: Apply this form for postural assessments in rehabilitation settings.
• 3. Ergonomic Evaluations: Utilize this form during workplace ergonomic evaluations.
• 4. Chiropractic Assessments: Use the form to evaluate spinal alignment in chiropractic assessments.
• 5. Sports Performance: Employ this form to assess and improve athletes' postural alignment.