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Postural Analysis Form
Retracted
Scapulae
☐ Elevated
☐ Other
Thoracic spine
☐ Normal flexion
☐ Lumbar/thoracic spine
☐ Increased flexion
(kyphosis)
☐ Straight
☐ Flat
☐ Convex toward right
☐ Convex toward left
☐ Normal extension
Lumbar spine
☐ Excessive extension
(lordosis)
☐ Flat
iUSP147_Postural Analysis Form _v1
☐ Lumbar/thoracic spine
☐ Straight
☐ Convex toward right
☐ Convex toward left
Page 1 of 4
☐ Normal
Ribcage
Pelvis
☐ Rotated R L
☐ Neutral pelvis
ASIS & PSIS level
ASIS & symphysis pubis
in...
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