Movement Paradigm Scoring 4.0

Breathing Pattern

0 – Apical
2 – Mixed
4 – Diaphragmatic

Bracing

5 – Full intra-abdominal pressure that can be maintained while breathing
4 – Full intra-abdominal pressure that can not be maintained while breathing
3 – Moderate intra-abdominal pressure that can be maintained while breathing
2 – Moderate intra-abdominal pressure that can not be maintained while breathing
1 – Minimal ability create intra-abdominal pressure
0 – No ability create intra-abdominal pressure

Hinge pattern during sit test

20 – Hip Dominant
10 – Mixed
0 – Knee Dominant

Foot compensation during Hinge

2 – Feet remain flat.
1 – Toes lift off the ground.
0 – Heels lift off the ground.

Shoulder flexion creates spinal motion

Shoulder Flexion Test. Performed free standing. Patient instructed to keep elbows straight and palms up, and raise arms towards the ceiling. Clinician to observe both from the front and the side of the patient. Place your hand on the spine if necessary.

3 – None
2 – Minimal. Occurs past 150 degrees.
1 – Moderate. Occurs between 150 – 120 degrees.
0 – Severe. Occurs at less than 120 degrees.

Lateral Flexion Compensation during Single Leg Stance

3 – No lateral flexion compensation
2 – Lateral flexion compensation on the left
2 – Lateral flexion compensation on the right
1 – Lateral flexion compensation on both legs
0 – Inability to balance

Single leg balance is hip or knee dominant for elevation of leg

4 – Hip dominant
1 – Knee dominant
0 – Inability to balance

Lateral Flexion Compensation during Single Leg Stance

3 – No lateral flexion compensation
2 – Lateral flexion compensation on the left
2 – Lateral flexion compensation on the right
1 – Lateral flexion compensation on both legs
0 – Inability to balance

Single Leg Standing Plantar Flexion

Patient stands normally and is asked to balance on the ball of one foot. Clinician observes for creasing of the toes. Toe pressure is acceptable. Toe flexion is not. Competence is an ability to have a 2 second hold. Patients are not allowed to use anything to assist with balance. Multiple attempts are allowed.

5 – Competence w/o Toe Flexion on both feet
4 – Competence w/o Toe Flexion on one foot
3 – Toe Flexion present on both feet
2 – Toe Flexion present on one foot
1 – Inability to balance on both feet
0 – Inability to balance on one foot