Fms/fcs Score Sheet
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1
2FMS/FCS Score Sheet
NAME: _________________________________________________ DATE: _____________________
TEST
RAW SCORE
FINAL SCORE
COMMENTS
DEEP SQUAT
L
HURDLE STEP
R
TT Height:
L
INLINE LUNGE
R
L
SHOULDER MOBILITY
R
Hand Length:
L -/+
Shoulder Clearing Test
R -/+
L
ACTIVE STRAIGHT LEG RAISE
R
TRUNK STABILITY PUSH UP
Extension Clearing Test
-/+
L
ROTARY STABILITY
R
Flexion Clearing Test
-/+
Total Screen Score:
MOVEMENT CONTROL
MOTOR CONTROL SCREEN
RIGHT
LEFT
TARGET
SYMMETRY
Ankle Clearing
(Beyond/Within/Behind Malleolus)
Beyond
Pain
Where is it felt?
FORWARD REACH
Wrist Extension Clearing -/+
Horizontal Adduction Clearing -/+
HORIZONTAL REACH
FOOT LENGTH
EXPLOSIVE CONTROL
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Parent category: Miscellaneous