IFAST Assessment. Name: Date: Sport: Review Health Risk Assessment on initial consult form. List Client Goals (what brings you here?

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Mariah Fox
6 years ago
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1 IFAST Assessment Name: Date: Sport: Review Health Risk Assessment on initial consult form List Client Goals (what brings you here?) Cardiovascular Measurements Blood Pressure Resting Heart Rate Body Composition Body Weight Body Fat % Circumference Measurements Neck Shoulders Upper Arm Forearm Chest Abdomen Hips Thigh Calf 1

2 Grip Right Left HRV Time of day Score 1

3 Posture Photos Instruct client to stand tall but comfortably. 1. Front 2. Left side 3. Left side, arms overhead 4. Left side, hands behind head, right knee up 5. Rear 6. Rear, hands on hips 7. Rear, arms overhead 8. Rear, hands behind head, right knee up 9. Rear, hands behind head, left knee up 10. Right side 11. Right side, arms overhead 12. Right side, hands behind head, left knee up Standing Gross-Movement Tests Overhead Squat foot pronation knee tracking: medial or lateral low back arches/rounds arms fall forward/thoracic kyphosis cervical spine forward weight distribution balance: good/poor Dynamic Lunge/Split Squat balance foot pronation knee tracks medially limited hip extension forward/backward lean quadriceps-dominant hip abduction or adduction Toe-Touch limited reach hip flexion v. spinal flexion lack of lumbar curve reversal lateral deviation/rotation 2

4 Standing Gross-Movements Tests, Continued Back-Bend, Arms Overhead limited shoulder flexion limited thoracic extension limited lumbar extension extension limited to single spinal level hinging limited hip extension Trunk Side-Bend flattened curve/stiff erector limited thoracic extension limited lumbar extension side-bend limited to single spinal level hinging limited hip extension Standing Trunk Rotation limited total rotation limited spinal rotation limited right or left hip rotation excessive foot pronation or supination Standing Apley s Scratch Test limited right or left shoulder flexion, abduction, or ER (unable to touch opposite scapula) limited right or left shoulder extension, adduction, or IR (unable to touch opposite scapula scapular winging substituting for rotation lumbar or hip extension to substitute for rotation Closed-Chain Dorsiflexion limited dorsiflexion/knee contact <4" from wall lifting the heel to touch the wall knee shifts into valgus and foot pronates/midline of patella medial to second toe 3

5 Seated Tests Seated Trunk Rotation limited thoracic rotation excessive lumbar rotation substituting pelvic rotation substituting scapular mobility Seated Apley s Scratch Test limited right or left shoulder flexion, abduction, or ER (unable to touch opposite scapula) limited right or left shoulder extension, adduction, or IR (unable to touch opposite scapula scapular winging substituting for rotation lumbar extension substituting for rotation Cervical Rotation Test unable to rotate chin over clavicle Cervical Sidebend Test unable to tilt head 45 degrees elevated shoulder to substitute Cervical Flexion Test unable to bring chin to sternum Cervical Extension Test unable to extend back 90 hinging of cervical spine 4

6 Manual Muscle Tests and Seated Special Tests (Measure tests positive or negative: SPF/SPL/WPF/WPL) Scaption Scaption, Thumbs Down ER at Side IR at Side ER at 90 Abduction Lift-off Test Shoulder Extension Elbow Extension Pronation/Supination w/elbows Flexed 90 Seated Hip Flexion Seated Active Hip ER Seated Active Hip IR Seated Tibial ER/IR Modified Thomas Test (clarify specific limitations) Right Left 5

7 Supine Tests Joint Motion Right Left Comments Seated Toe- Touch 1st MTP Joint Extension 0 70 Dorsiflexion, Knees Extended 0 15 Dorsiflexion, Knees Flexed 0 15 Plantarflexion 0 55 Eversion 0 15 Inversion 0 35 Knee Extension Knee Flexion Hip Flexion Hip Impingement Test/Psoas Tendon Test/Hip Scour FABER Test tibia parallel to floor Hip IR 0 35 Hip ER

8 Supine Tests, Continued Joint Motion Right Left Comments Active SLR at least 70 note transverse-plane pelvic rotation Passive SLR at least 70 Lower Trunk Rotation note distance from knee to table surface and symmetry GH Flexion Horizontal Shoulder Abduction 0 30 Shoulder Extension 0 80 GH Internal Rotation 0 70 GH External Rotation

9 Right Side-Lying Tests Comments Adduction Drop Test (Modified Ober) unable to adduct left hip across midline unable to extend left hip to neutral Active Hip Abduction moves at spine first left lower extremity deviates into flexion left lower extremity does not abduct to neutral Left Hip Abduction Muscle Test Left Hruska Hip Adduction Test Level 0 Level 1 Level 2 Level 3 Level 4 Level 5 8

10 Prone Tests Right Left Comments Prone Press-up Active Hip Extension spine moves first Active Knee Flexion spine/pelvis moves as knee flexes Passive Knee Flexion < 135 pelvic movement prior to 90 Hip IR 0 35 Hip ER 0 45 Craig s Test >15 hip IR at neutral hip alignment Lower Trap MMT 135 abduction thumbs up Middle Trap MMT 90 abduction thumbs up Rhomboid MMT 90 abduction thumbs up 9

11 Left Side-Lying Tests Comments Adduction Drop Test (Modified Ober) unable to adduct left hip across midline unable to extend left hip to neutral Active Hip Abduction moves at spine first left lower extremity deviates into flexion left lower extremity does not abduct to neutral Left Hip Abduction Muscle Test Left Hruska Hip Adduction Test Level 0 Level 1 Level 2 Level 3 Level 4 Level 5 Core Testing Push-up from Floor head, spine, pelvis do not lift as unit scapular abduction or elevation scapular winging thoracic spine rounds lumbar spine sags lumbar spine rounds Plank unable to maintain neutral spine (3 points of contact) hold time < 2 minutes Side Bridge unable to maintain neutral alignment hold time <90 seconds 10

12 Performance Testing Comments 12" 24" Box Landing Single Leg Long Jump Multifold Jump Vertical Jump 180 /360 Jumps Max Chin-ups Max Push-ups Lateral Agility Drill Max Strength Testing 11

Functional Movement Screen (Cook, 2001)

Functional Movement Screen (Cook, 2001) TEST 1 DEEP SQUAT Purpose - The Deep Squat is used to assess bilateral, symmetrical, mobility of the hips, knees, and ankles. The dowel held overhead assesses bilateral,