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Golf Physical Self-Evaluation

 

 

Evaluation 1: Introduction

I have signed and understand the waiver form.

 

 

Evaluation 2: Overhead Deep Squat Test

Full Overhead Complete Deep Squat
Arm Crossed Complete Deep Squat
Arms Crossed Limited-Can Dorsiflex with both ankles
Arms Crossed Limited-Can't Dorsiflex on my RIGHT ankle
Arms Crossed Limited-Can't Dorsiflex on my LEFT ankle
Arms Crossed Limited - Both ankles limited

 

 

Evaluation 3: 90/90 Test

Complete-Both Arms Rotate Past Your Spine Angle
Partial-Only Your Right Arm Rotates Past Your Spine Angle
Partial-Only Your Left Arm Rotates Past Your Spine Angle
Incomplete-Neither Arm Can Rotate Past Your Spine Angle

 

 

Evaluation 4: Pelvic Tilt Test

Complete - You can tilt in both directions
Partially - You can't flatten out your lower back
Partially - You can't increase the arch swayback in your lower back
Incomplete - You are unable to tilt in either direction

 

 

Evaluation 5: Toe Touch test

Complete-You can touch both toes
Partial-You can only touch your right toe
Partial-You can only touch your left toe
Incomplete-You cant touch either toe

 

 

Evaluation 6: Single Leg Balance Test

Complete- You Can Stand On Both Legs for Longer Than 28 sec.
Partial - You Can Only Stand On Your Rt. Leg for Longer Than 28 sec.
Partial - You Can Only Stand On Your Lt. Leg for Longer Than 28 sec.
Incomplete - You Can't Stand On Either Leg for Longer Than 28 sec.

 

 

Evaluation 7: Reach Roll Lift

Complete - You Can Lift Both Arms Off the Ground
Partial - You Can Only Lift Right Arm Off the Ground
Partial - You Can Only Lift Left Arm Off the Ground
Incomplete - You Can't Lift Either Arm Off the Ground

 

 

Evaluation 8: Seated Trunk Rotation Test

Passed - Complete Turn Both Sides
Partial - Shoulder Turn Limited Right
Partial - Shoulder Turn Limited Left
Incomplete - Shoulder Turn Limited Both Sides

 

 

Evaluation 9: Hip Windshield Wiper Test

Complete - Both Hips can Fully Rotate past 45 degrees
Partial - Only the Right Hip Can Fully Rotate past 45 degrees
Partial - Only the Left Hip Can Fully Rotate past 45 degrees
Incomplete - Neither Hip Can Fully Rotate Past 45 Degrees

 

 

Evaluation 10: Open Book Test

Complete - You Can Touch the Floor with Both Arms
Partial - You Can Only Touch the Floor with Your Right Arm
Partial - You Can Only Touch the Floor with your Left Arm
Incomplete - You Cant Touch the Floor w Either Arm

 

 

Evaluation 11: Supine Lat Test

Complete - Both Arms Can Lie Flat on the Ground
Partial - Only the Right Arm Can Lie Flat
Partial - Only the Left Arm Can Lie Flat
Incomplete - Neither Arm Can Lie Flat

 

 

Evaluation 12: Bridge with Leg Extension Test

Complete - Both Legs Can Bridge for 10 Seconds
Partial - Only the Right Leg Can Bridge for 10 Seconds
Partial - Only the Left Leg Can Bridge for 10 Seconds
Incomplete - Neither Leg Can Bridge for 10 Seconds

 

 

Evaluation 13: Side Bridge Test

Complete - Both Legs Can Bridge for 3 Seconds
Partial - Only the Right Leg Can Bridge for 3 Seconds
Partial - Only the Left Leg Can Bridge for 3 Seconds
Incomplete - Neither Leg Can Bridge for 3 Seconds