Functional Movement Screen Scoring Sheet
Date: Name: Age: Level:
Team/School: Height: Hand Dominance: q R q L Swing Dominance: q R q L
Sport/Position:
Weight: Leg Dominance: q R q L Throw Dominance: q R q L
1. Deep Squat
TOE TOUCH TEST:
q Able
q Not able
• Upper torso is parallel with
tibia or toward vertical
• Femur below horizontal
• Knees aligned over feet
• Dowel aligned over feet
• Upper torso is parallel with
tibia or toward vertical
• Femur below horizontal
• Knees aligned over feet
• Dowel aligned over feet on
a 2x4
• Tibia and upper torso are
not parallel
• Femur not below horizonta
• Knees not aligned over
feet
• Lumbar flexion noted
2. Hurdle Step
Inches: __________
Left Leg Up
Right Leg Up
• The hips, knees, and
ankles remain aligned in
the sagital plane
• Minimal movement in the
lumbar spine
• Dowel and hurdle remain
parallel
• Alignment is lost between
hips, knees, and ankles
• Movement in the lumbar
spine
• Dowel and hurdle do not
remain parallel
• Contact with foot and
hurdle
• Loss of balance at any
time
3. In-Line Lunge
Inches: __________
Left Leg Forward
Right Leg Forward
• Minimal to no torso
movement
• Feet remain in sagital
plane of the 2x6
• Knee touches 2x6 behind
the heel of front foot
• Movement noted in torso
• Feet do not remain in
sagital plane on the 2x6
• Knee does not touch 2x6
behind the heel of front
foot
• Loss of balance at any
time
4. Shoulder Mobility
Distance (tip of middle finger
to distal crease): __________
Impingement Tests:
____________ Left
____________ Right
3 2 1 0
L top: _____
R top: _____
3 2 1 0
3 2 1 0
SCORE 6.5=9.75. 6.75=10.1, 7.0=10.5,
7.25=10.86, 7.5=11.25, 7.75=11.63, 8=12
8.25=12.38, 8.5=12.75, 8.75=13.1. 9=13.5
• Fists should be within one
hand length
• Fists should be within one
and a half hand lengths
• Fists fall greater than one
and a half hand lengths
5. Active Straight Leg Raise
3 2 1 0
L: _______
R: _______
• Malleoi resides between
mid-thigh and ASIS
• Malleoi resides between
mid-thigh and mid-patella
• Malleoi resides below mid
patella
6. Truck Stability Push Up
Prone Press Up Test:
________________
• Males perform one
repetition with the thumbs
above head
• Females perform one
repetition with thumbs in
line with the chin
• Males perform one
repetition with thumbs in
line wit the chin
• Females perform one
repetition with thumbs in
line with the clavicle
• Males unable to perform
one rep with hands in line
with chin
• Females unable to perform
one rep with thumbs in line
with clavicle
7. Rotary Stability Quadruped
Kneeling Lumbar Flexion Test
_______________ Left Up
Right Up
• Performs one unilateral rep
while keeping torso parallel
to board
• Knee and elbow touch in
line with the board
• Performs one diagonal rep
while keeping torso parallel
to board
• Knee and elbow touch in
line with the board
• Unable to perform diagona
repetitions
Total Score Tests 1-7: /21 Initials of Tester: