Posture Pro Zone Headings Zone 1 : (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward with left leg crossing over the midline to load onto a slightly dorsiflexed, supinated heel and mid foot strike with extreme and excessive loading of left side lateral lines due to extreme shifting of body weight when loading left leg. Client steps forward with right leg crossing over midline to load onto a slightly dorsiflexed and supinated mid foot plant onto a a pronated foot when fully loaded. The right knee almost appears to collapse when loading the right leg fully. Zone 2: (pelvis, lumbar spine,and trunk interface). Purpose: Load Transfer and Central Stability. Gluteus medius muscle is very weak when loading left leg and is causing severe lateral left side leaning. Functional short leg left along with left knee damage is causing severe gait and balance issues. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. Client self acknowledges breath holding while working and walking. Arm swing is very limited with inefficient opposing arm and hip coordination present. Client is also hyperlink thoracic cage with significant left to right rotation in thoracic cage. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. Severe damage to C7 and entire zone 4 structures along with compensatory adjustments from imbalances in zone three and below is also affecting gait coordination.

Gait Assessment: Zone 1: (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward with left leg with a slight hip drop onto an out-toed, dorsiflexed and supinated heel strike with plantar flexion on lateral 4 toes. Client steps forward with right leg with a slight hip hike onto an out-toed, dorsiflexed and supinated heel strike with plantar flexion on 4 lateral toes. This results in reduced power and propulsion. Client stated concerns about not having as much jumping power as he would like. Zone 2: (pelvis, lumbar spine, and trunk interface). Purpose: Load Transfer and Central Stability. There is limited hip flexion on the left and limited hip extension on the right during gait. The left hip stays retracted and right hip protracted throw most of the gait cycle, creating SI joint and sacral/lumbar dysfunction. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. There is significant left side flexion during gait in upper thoracic region. There is limited activation of both shoulder/scapular complexes during gait, affecting arm swing and opposite arm/hip coordination. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. — ANS State: Sympathetically Activated — Interoceptive Signal: Hypervigilant — Observable signals: There is significant left flexion of head and neck with slight right head rotation and chin down with left and downward eye gaze during gait.

Gait Assessment Zone 1: (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward with left leg towards the midline with dorsiflexed out-toed heel strike with flat plantar flexion of foot. Client steps forward with the right leg onto a dorsiflexed heel strike and pronated plantar flexion foot. Zone 2: (pelvis, lumbar spine, and trunk interface). Purpose: Load Transfer and Central Stability. The left hip flexion is limited and right hip extension is limited, with excessive SI joint and hip rotation. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. The right arm/scapular rotation and swing is more limited than the left side. The upper thoracic cage is shifted to the right over zone 2. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. — ANS State: Sympathetically Activated — Interoceptive Signal: Hypervigilant — Observable signals: The client appears to be in a hyper vigilant state through the entire gait cycle, especially when observing zone 4.

Gait Assessment: Zone 1: (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward with right leg slightly towards the midline onto an out-toed supinated flat foot. Client steps forward with left leg onto an out-toed supinated flat foot strike. Zone 2: (pelvis, lumbar spine, and trunk interface). Purpose: Load Transfer and Central Stability. There is a consistent left retraction and right protracted hip position during flexion of legs during gait. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. There is limited right arm swing in flexion and limited thoracic cage movement in general during gait. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. — ANS State: Sympathetically Activated — Interoceptive Signal: Hyper vigilant — Observable signals: Consistent right neck and head flexion with left head rotation, chin up and left eye vigilance gaze during gait.

Gait Posture Assessment: Zone 1: (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward with right leg towards the midline with a slightly dorsiflexed, supinated foot onto a heel strike into pronation foot loading. Client steps forward with left leg first slightly outward then towards the midline before landing onto a flat foot strike. Zone 2: (pelvis, lumbar spine, and trunk interface). Purpose: Load Transfer and Central Stability. There is excessive hip and SI joint rotation with slight left hip drop during gait. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. There is a consistent left and right rotation movement pattern in upper zone 3 during gate (right retracted and left protracted). Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. There is consistent right neck and head flexion and left head rotation with eye gaze shifted slightly down and to the left. — ANS State: Sympathetically Activated — Interoceptive Signal: Hypersensitive

Gait Assessment: Zone 1: (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward with left leg with a hip drop upon loading the left leg onto slightly dorsiflexed out-toed, then onto a flat foot stance. Client steps forward with right leg with a hip hike upon loading the right leg on to a limited dorsiflexed flat foot stance. Zone 2: (pelvis, lumbar spine, and trunk interface). Purpose: Load Transfer and Central Stability. Left hip drops when loading left leg and right hip hikes upon loading the right leg. The left leg extends better than the right leg and the right leg flexes better than left leg. The right hip does not posteriorly rotate well when right leg goes into flexion. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. There is poor left shoulder/scapular cross coordination with opposing right hip/leg. When the right leg flexes, there is very little motion and retraction of opposite left arm/scapula complex. There is stiff rigid motion in thoracic cage during gait. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. — ANS State: Sympathetically Activated — Interoceptive Signal: Hypervigilant — Observable signals: Client also has a combination of upper chest breathing and breath holding patterns during gait.

ZONE 1 — Load Entry & Ground Interaction: Right step length notably shorter than left. Bilateral ankle dorsiflexion limited — right > left — driving early heel rise and forefoot loading compensation. Right foot out-toeing approximately 20–25 degrees, suggesting right hip external rotation dominance or femoral retroversion pattern. Bilateral knee valgus present under load, more pronounced on right. Weight distribution shifted anteriorly and slightly right-weighted at rest. ZONE 2 — Load Transfer & Central Stability: Right lateral trunk lean during left single-leg stance phase — classic right hip abductor insufficiency pattern. Right pelvic drop on swing phase. Lumbar spine held rigidly throughout gait cycle — no natural lordosis variation during load transfer. Excessive anterior pelvic tilt. Load appears to dump directly into L4/L5 level rather than distribute through the zone. SI joint loading asymmetry is palpable. ZONE 3 — Load Distribution, Rotation & Breath: Thoracic rotation severely restricted bilaterally — trunk moves as a relatively rigid block. Arm swing reduced bilaterally with right > left reduction. Right shoulder elevated and protracted compared to left throughout gait. Breath appears held or minimised during faster walking — upper chest pattern at rest, minimal rib excursion. No natural thoracolumbar counter-rotation during gait. ZONE 4 — Orientation, Vigilance & Regulation: Persistent forward head carriage with chin protruded. Jaw visibly braced throughout assessment — masseter bulk prominent at rest. Eyes maintain a fixed, forward-vigilant gaze — scanning quality. Shoulders elevated bilaterally, more pronounced on right. Client appears braced and ready-to-defend throughout. Autonomic impression: Sympathetically Activated. Interoceptive impression: Hypervigilant — client reported pain at multiple points during gait that were disproportionate to the observed movement demand.

Gait Assessment: Zone 1: (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward with left leg onto out-toed supinated flat left foot. Client steps forward with right leg onto a slightly pronated out-toed flat foot. Zone 2: (pelvis, lumbar spine, and trunk interface). Purpose: Load Transfer and Central Stability. Clients hips and trunk rotates in the same direction when moving into flexion. There is a significant right side lean in trunk and waist during gait. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. There is poor cross coordination between opposing arm and hips with very limited swing movement in both arms. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. — ANS Signal: Mixed — Interoceptive Signal: Dissociated — Observable signals:

Gait Assessment: Zone 1: (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward with right leg with hip hike and loading on an out-toed, limited dorsiflexion flat foot. Client steps forward with left leg with hip hike upon loading left leg onto an out-toed, limited dorsiflexed supinated to a flat foot plant. Zone 2: (pelvis, lumbar spine, and trunk interface). Purpose: Load Transfer and Central Stability. There is excessive rotation and inferior/superior movement in hips and SI joints and hips suring gait. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. Thee is excessive right to left movement in thoracic rotation(right side moving forward and left side moving back during gait. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. — ANS State: Sympathetically Activated — Interoceptive Signal: Hypervigilant — Observable signals:

Gait Assessment: Zone 1: (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward towards midline with left leg with hip drop on loading onto limited dorsiflexion and flat foot strike. Client steps forward with right leg with an alternating pattern towards the midline onto a pronated flat foot strike. Zone 2: (pelvis, lumbar spine, and trunk interface). Purpose: Load Transfer and Central Stability. The left hip drops upon left foot loading and the right hip hikes upon right foot loading. There is leaning to the left when loading left foot. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. The thoracic cage has significant left lateral shifting during gait, with very little motion of right arm swinging. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. — ANS State: Sympathetically Activated — Interoceptive Signal: Hypervigilant — Observable signals:

Gait Posture Assessment Zone 1: (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward with right leg with an elevated hip, hyperextended knee onto a slightly dorsiflexed, supinated, out-toed heel strike, with weak plantar flexion. Client steps forward with left leg with a dropped hip, hyperextended knee, onto a slightly dorsiflexed, supinated, out-toed heel strike, with weak plantar flexion. Note: During observation of clinical exercises on a slant board, client’s calves are extremely short with left lower legs having more difficulty being stretched while bending knees on the slant board, mostly like due to extreme shortness in gastrocnemius and soleus muscles and tight plantar fascia in bottom of feet. Zone 2: (pelvis, lumbar spine, and trunk interface). Purpose: Load Transfer and Central Stability. Client has excessive hip and SI rotation and inferior/superior hip motions. Client’s right hip elevates when stepping and loading right leg and client’s left hip drops when stepping and loading left leg. Client also has excessive motion and forward flexion in waist during gait. Note: During observation of clinical exercises on a slant board, client has excessive forward leaning and cannot stand straight with zones 4, 3, and 2 in alignment over zone 1. This is mostly likely due to extreme iliopsoas and hip flexors shortness. Also, when performing 90 degree hip, knee, and ankle foot complex exercises, the client cannot engage iliopsoas muscles first and instead engages rectus femoral quadriceps muscles and adduction muscles as main hip flexors, therefore the firing sequence in hip flexors need improvement. This will benefit his clearing of hurdles more efficiently if he learns how to engage iliopsoas muscles firing first during flexion of hips in walking and running. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. Restricted movements in thoracic cage influences rigid breathing less optimal patterns. Right shoulder/scapular complexes is limiting optimal opposing arm/shoulder and hip leg coordination. The left shoulder/scapular complex drops when loading left leg and the right shoulder/scapular complex rises when loading the right leg.. Client’s breathing technique needs dramatic attention and improvement. There is a notable lean to the left side of trunk when loading the left leg. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. The head and neck sway from left to right when walking. When left leg is loaded, neck and head leans to the left and when right leg is loaded, the neck and head leans to the right.

Gait Posture Assessment: Zone 1: (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward with right leg with hip dropping first in leg extension and then elevating on leg flexion onto a dorsiflexed, supinated, out-toed heel strike then planting foot in-toed pronation. Client steps forward with left leg elevated in extension the dropping upon leg going into flexion onto a dorsiflexed out-toed, slightly supinated heel strike onto in-toed supination foot plant. Zone 2: (pelvis, lumbar spine, and trunk interface). Purpose: Load Transfer and Central Stability. There is excessive inferior/superior hip and SI joint movement. The right hip elevates tissues above the hip into lower zone 3 rib cage when loading the right leg the left hip pulls tissues above the hip down from lower zone 3 rib cage when loading left leg. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. There is less than optimal coordination between opposing hip/leg flexion and arm flexion. The left shoulder is high and retracted when loading the right leg and the right shoulder is low and protracted when loading the left leg. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. When loading the right leg, the neck and head flexes downward and to the right, then reverses and flexes forward and to the left when loading left leg in a constant alternating pattern.

Gait Posture Assessment (barefoot): Zone 1: (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward with right leg with an elevated hip onto a slightly dorsiflexed out-toed heel strike. Client steps forward with left leg towards the midline with a slight hip drop onto a slightly dorsiflexed heel strike. Zone 2: (pelvis, lumbar spine, and trunk interface). Purpose: Load Transfer and Central Stability. There is excessive inferior/superior motion of the SI joint and hips with the right hip elevating where loading of right leg and left hip dropping upon loading of left leg. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. There is minimal flexion of left arm when the opposite right hip and leg goes into flexion.; possibly due to the high and retracted left shoulder/scapular complex. There is a consistent high and retracted left shoulder/scapular complex and a low and retracted right shoulder/scapular complex throughout gait. There is a significant right shoulder/scapular lean to the right during gait. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. The neck and head are forward flexed and laterally flexed to the right and head in hypertension. There is a consistent blinking of the eye (opening and closing) throughout gait. This should be further evaluated with visual brain based movement assessment and treatment. Gait Posture Assessment (with orthopedic shoes): The only significant difference noted when shoes were worn during gait that there was less right side lean of the shoulder/scapular complex and more left arm flexion when the right leg was in flexion. This indicates the shoes make some difference but not enough to compensate for all of the other distortions noted in other zones. Also, the shoes artificially support the arches and weaker and cause the natural arch reflexes to go dormant. Client was shown corrective arch exercises as part of recalibrating zone 1 foundation support.

Gait Posture Assessment: Zone 1: (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward with right leg with elevated hip onto internally rotated thigh onto a slightly dorsiflexed, pronated heel strike. Client steps forward with left leg with a slight hip drop with an externally rotated thigh and lower leg onto a slightly dorsiflexed supinated heel strike. Zone 2: (pelvis, lumbar spine, and trunk interface). Purpose: Load Transfer and Central Stability. There is excessive inferior/superior and rotational movement of both SI Joints and hips. The right hip elevates upon loading of the right leg and the left hip drops when loading the left leg. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. When moving into flexion with the right leg, the opposite left arm does not move into flexion as much as it should. When moving into flexion with the left leg, the right arm has better flexion, but not optimal. There is a consistent high left shoulder/scapular complex and low right shoulder/scapular complex throughout gait. Also, both elbows are flexed, especially on the right during gait. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. The neck and head are held in right side flexion and forward, with head hyperextension. Random eye blinking was observed during gait.

Gait Posture Assessment: Zone 1: (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward with right leg with an elevated right hip onto a dorsiflexed heel then onto a pronated foot. There is little opposite arm motion during gait. Client steps forward and slightly outwards with the left leg with a slight hip drop onto a dorsiflexed and out-toed heel with supination onto foot. There is even less opposite arm motion during loading of left leg. Zone 2: (pelvis, lumbar spine, and trunk interface). Purpose: Load Transfer and Central Stability. There is an elevated hip upon loading of right leg and slight hip drop upon loading of left leg during gait. There is asymmetrical motion of waist during gait. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. There is consistent high right shoulder/scapular complex when loading the right leg and low left shoulder/scapular complex when loading the left leg with minimal arm /scapular motion in coordination with opposing hips during gait. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. The head and neck alternates in and out of hypertension during gait, as well as, slight alternating left and right lateral of neck and head (flexing to right when loading right leg and flexing to left when loading left leg).

Gait Posture Assessment: This is a reassessment using original video and photos from 10-23-25. Zone 1: (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward onto right leg with elevated hip towards the midline with dorsiflexed and supinated heel strike. Client steps forward with left leg outwards with slight left hip drop onto dorsiflexed and out-toed heel strike. Zone 2: (pelvis, lumbar spine, and trunk interface). Purpose: Load Transfer and Central Stability. The right hip elevates when loading the right legs and the left hip drops when loading the left leg. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. Upon loading the right leg, the left shoulder/scapular complex is low and retracted. Upon loading the left leg, the right shoulder/scapular complex is high and protracted. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. The head and neck is flexed right and forward with slight external rotation to the left. Eye gaze is often downward fixated.

Gait Posture Assessment: Zone 1: (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward with left lower leg below knee slightly positioned inwards with a slight dropped left hip onto a dorsiflexed out-toed and supinated heel strike, with minimal opposite arm movement. Client steps forward with right leg below knee slightly outwards onto a dorsiflexed out-toed and supinated heel, also with minimal opposite arm movement. Zone 2: (pelvis, lumbar spine, and trunk interface). Purpose: Load Transfer and Central Stability. There is excessive inferior/superior motion of SI joint and hips with the right hip elevated upon loading of right leg and left hip dropping slightly when loading left leg during gait. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. Limited and asymmetrical shoulder/scapular movements with right side going into elevation and retraction when loading the right leg and left side going into depression and protraction when loading left leg during gait. There is also asymmetrical and limited coordination between opposite shoulder/scapular and hip/leg complexes. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. The head and neck consistently leans towards the right and the neck is forward with a slight hypertension during gait. The eyes have an intense straightforward fixation during gait.

Gait Posture Assessment: Zone 1: (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward with right leg with an elevated hip onto a dorsiflexed and supinated heel strike on to pronated foot. The left hip drops slightly when right leg is loaded. The client steps forward with left leg with dropped hip onto a dorsiflexed and supinated heel strike. Zone 2: (pelvis, lumbar spine, and trunk interface). Purpose: Load Transfer and Central Stability. There is excessive inferior/superior motion of hips with right hip elevating upon loading of right leg and left hip dropping upon loading of left leg. There is significant forward lean of waist and trunk during gait. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. The right shoulder/scapular complex has excessive flexion and left leg has shortened flexion. The right leg complex has more flexion and the opposite left shoulder/scapular complex has more extension. The right shoulder/scapular complex is high and retracted when right leg is loaded and the left shoulder/scapular complex is low and protracted when the left leg is loaded. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. The neck and head is forward with right lateral flexion of head and neck and slight rotation of head to the left.

Gait Posture Assessment: Zone 1: (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward with the right leg towards the midline with an elevated hip onto a dorsiflexed, then slightly supinated heel strike and slight in-toed foot. Client’s zone 4 (neck and head) also rotates to the right when loading the right leg, then straightens upon loading the left leg. Client steps forward with the left leg towards the midline slightly and with a slight hip drop, onto a dorsiflexed, supinated heel strike foot plant. Zone 2: (pelvis, lumbar spine, and trunk interface). Purpose: Load Transfer and Central Stability. There is an asymmetrical, inferior/superior and rotational motion within the SI joints and hips. There is a severe right hip protraction and right thigh internal rotation heavily influencing the right leg motion towards the midline during flexion of right leg during gait. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. Very asymmetrical motions in both shoulder/scapular complexes during gait with the left shoulder/scapular complex moving into extension and retraction when loading the left leg; and the right shoulder/scapular complex moving into flexion and protraction during loading of the right leg. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. As mentioned above, the Client’s zone 4 (neck and head) also rotates to the right when loading the right leg, then straightens upon loading the left leg. Also, the head and neck are flexed to the right with a slight left head rotation and hypertension. The eye gaze is consistently “near closed” during most of the gait cycle, indicating a significant loss of sensory input to the nervous system proprioceptive capacities. Further visual assessment and bodywork is needed for the visual system.

Gait Posture Assessment: Zone 1: (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward with left leg towards the midline with slight hip drop onto a dorsiflexed out-toed supinated heel strike. Client steps forward toward and crosses the midline with right leg with a slight hip elevation onto a dorsiflexed out-toed pronated foot. Zone 2: (pelvis, lumbar spine, and trunk interface). Purpose: Load Transfer and Central Stability. There is excessive hip and SI joint movement and trunk rotation during gait. The right hip elevates when loading the right leg and the left hip drops when loading the left leg. There is also significant forward leaning of pelvis and trunk. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. When loading the right leg the shoulder/scapular complex retracts slightly and opposite shoulder scapular complex protracts. When loading the left leg, the left shoulder/scapular complex retracts slightly excessively and opposite shoulder/scapular complex protracts. The high right and retracted shoulder/scapular complex and low protracted shoulder/scapular complex is consistent throughout gait cycle. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. When loading the right leg, the neck and head leans to the right and when loading left leg, the neck and head leans to the left, creating a wobble effect during gait. There is an overall tendency for the neck and head rotate to the right during gait.

Gait Posture Assessment Zone 1: (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward with left leg with a slight hip drop onto slightly out-toed dorsiflexed heel with excessive opposite arm movement. Client steps forward with right leg alternating between stepping toward the midline and then outwards onto a supinated, out-toed foot but with less flexion in opposite arm movement. Zone 2: (pelvis, lumbar spine, and trunk interface). Purpose: Load Transfer and Central Stability. There is excessive left/right and inferior/superior motion of SI joints and hips during gait. The right hip abducts randomly at times when the hip goes into flexion, then compensates by moving toward the midline. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. There is excessive movement of right shoulder/scapula complex with it going into protraction when loading the left leg. The left shoulder/scapular complex goes into excessive retraction when loading the left leg. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. There is consistent right neck and head flexion and forward head and neck posture throughout gait. Eye gaze is consistently fixated downwards.

Gait Posture Assessment: Zone 1: (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward with leg leg with a slight drop hip onto and in-toed supinated foot, with adequate opposite arm swing. Client steps forward with right leg with severe Springsteen and in-toed foot with less than optimal opposite arm swing. Zone 2: (pelvis, lumbar spine, and trunk interface). Purpose: Load Transfer and Central Stability. High retracted right hip elevating tissues above hip into bottom of zone 3 rib cage. Low protracted left hip pulling down from bottom of lower zone 3 rib cage. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. Consistent high retracted right shoulder/scapular complex, low, protracted left shoulder/scapular complex throughout duration of gait arm swinging is better on left than right. There is asymmetrical mobility in thoracic cage during gait. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. Head and neck is forward with right lateral flexion of head and neck with also slight rotation of head to the left. Eye gaze is fixated upward.

Gait Posture Assessment: Zone 1: (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward with right leg with a slight hip drop onto out-toed supinated dorsiflexed foot, with adequate opposite arm swing during gait. Client steps forward with left leg with slight hip drop onto a slightly out-toed pronated dorsiflexed foot. Zone 2: (pelvis, lumbar spine, and trunk interface). Purpose: Load Transfer and Central Stability. Excessive inferior/superior motion of hips and SI joints, with slight hip drop onto both hips during gait. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. Left shoulder/scapula complex is high and right shoulder/scapula complex is low and both shoulders drops when loading of leg on same side of shoulder. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. The neck and head is severely positioned forward with a right side leaning of neck and head with slight left rotation of head on neck. Eye gaze is fixated downward for most part of gait duration.

Gait Posture Assessment: Zone 1: (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward towards the midline with right leg and dorsiflexed out-toed foot, with slightly less than adequate opposite arm swing. Client steps forward straight, then towards the midline with left leg onto out-toed, dorsiflexed and slightly pronated fore foot , with better opposite arm swing . Zone 2: (pelvis, lumbar spine, and trunk interface). Purpose: Load Transfer and Central Stability. The hips, SI Joints, and waist have limited movement during gait. There is a slight right to left rotation in hips (right hip forward and left hip back). Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. There is a consistent high, upper rotated, retracted left shoulder/scapular complex and low, downward rotated, slightly protracted right shoulder/scapular complex throughout gait. There is also a consistent lean to the right of the upper scapular/thoracic cage. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. The neck is stiff and slight forward, flexed to the right. The head is slightly flexed to the right and rotated to the left. Eye gaze is fixated upwards.

Gait Posture Assessment: Zone 1: (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward slightly outwards with left leg onto a weak dorsiflexed, out-toed and supinated foot and left hip drops slightly upon loading left leg. There is weak flexion in opposite arm swing when loading left leg. Client steps forward slightly outwards with right leg onto out-toed, front supinated and rear pronated right foot. There is weak extension in opposite arm swing during loading of right leg. Zone 2: (pelvis, lumbar spine, and trunk interface). Purpose: Load Transfer and Central Stability. There is a heavy left side lean during gait within one 2 due to low left hip posture as opposed to high right hip posture, causing a waddling gait effect. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. There is a consistent high left and protracted shoulder/scapular and low retracted right shoulder/scapular complex and left sided lean during entire gait cycle. There is excessive flexion of left arm when loading opposite right leg and very weak flexion (forward movement) of right arm when loading left leg. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. The head and neck is forward with extreme right side flexion of neck. There is left rotation of head on neck with slight hypertension.

Fiat Posture Assessment: Zone 1: (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward straight with right leg onto dorsiflexed and pronated foot with adequate opposite arm motion. Client steps forward straight with left leg but with slight hip drop during loading of left leg onto out-toed supinated foot and with less than adequate opposite arm swing. Zone 2: (pelvis, lumbar spine, and trunk interface). Purpose: Load Transfer and Central Stability. There is uneven hip and waist movement during gait with left hip and SI joint dropping upon loading left leg and slight rise of right hip when loading right leg. There is a right side lean during gait. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. There is consistent right side leaning when loading right leg and constant elevation of left shoulder and depression of right shoulder throughout entire gait cycle. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. There is consistent severe right side flexion and forward flexion of neck and head with left rotation of head. The eye gaze is fixated upwards and to the left during gait.

Gait Posture Assessment: Zone 1: (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward with right leg with limited hip flexion towards the midline with out-toed and supinated foot and with asymmetrical opposite arm swinging, and with a left hip drop when fully loading the right leg. Client t steps forward with left leg with greater flexion, towards the midline often with out-toed and supinated foot and an asymmetrical opposite arm swing. Zone 2: (pelvis, lumbar spine, and trunk interface). Purpose: Load Transfer and Central Stability. There is excessive motion in left /right and inferior/superior of hip and SI Joints during gait. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. There is excessive movement in both shoulder/scapular complexes with a right side lean and asymmetrical coordination with opposite hip/leg movements during gait. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. The neck is forward and right leaning with hyperextended head and slight left rotation of head during gait.

Gait Posture Assessment: Zone 1: (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward towards midline with right leg onto out-toed supinated and minimally dorsiflexed foot, with minimal opposing arm movement. Client steps forward straight with left leg with out-toed supinated foot, also with minimal opposite arm movement. Zone 2: (pelvis, lumbar spine, and trunk interface). Purpose: Load Transfer and Central Stability. High protracted left hip, elevating tissues above hip into bottom of one 3 rib cage. Low and retracted right hip , pulling down from bottom zone 3 rib cage with a right lean to the right also. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. High protracted left shoulder/scapular complex and low retracted right shoulder/scapular complex with minimum arm swing and opposite arm-hip coordination. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. The head and neck are consistently forward flexed with right side lean and hyperextended head with right rotation of head. Eyes have upper ward and right side fixation.

Gait Posture Assessment: Zone 1: (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward towards the midline with the right leg onto a supinated out-toed foot with adequate opposite arm swing and with slight left hip drop when loading right leg. Client steps forward and outwards with left leg onto a severe out-toed, minimally dorsiflexed foot and with less than ideal opposite arm swing. Zone 2: (pelvis, lumbar spine, and trunk interface). Purpose: Load Transfer and Central Stability. There is excessive inferior/superior motion of SI joint (left low and right high) when loading the same side of leg during gait. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. There is a right side lean in shoulders during gait and the right shoulder is low when right leg loads and left shoulder high when left leg loads. Thoracic cage is hyperextended into lumbar region (zone 2) during gait. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. The head and neck are stiff with slight right lateral flexion of neck and downward gaze of eyes because of head position during gait.

Gait Posture Assessment: Client steps forward with leftleg with dorsiflexed and out-toed foot with little opposite arm swing and his right hips drops upon fully loading left leg. Client also steps forward with right leg with same dorsiflexed and out-toed foot, with limited opposite arm swing. Both knees are flexed during gait. Zone 2: (pelvis, lumbar spine,and trunk interface). Purpose: Load Transfer and Central Stability. Hips have an inferior/superior motion during gait (high on the left when left leg is loaded and low on the right when right leg loads. Trunk I leaning towards the right during gait. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. The upper thoracic cage leans to the right during loading of both left and right legs. The left shoulder/scapular complex stays elevated throughout the gait cycle. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. Client walks with neck and head forward with right lateral flexion of neck and head. Eye gaze is fixed downward.

Gait Posture Assessment: Zone 1 : (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward with left leg onto dorsiflexed and out-toed foot, but towards the midline, with knees coming in close proximity of each other. The left leg has shorter forward stride than right. Client steps forward with right leg with shorten forward step towards the midline with out-toed dorsiflexed foot. Both lower leg and feet has poor plantar flexion (ball of foot push off). Zone 2: (pelvis, lumbar spine,and trunk interface). Purpose: Load Transfer and Central Stability. Hips have excessive left/right movement during gait and a tendency to lean towards the left side. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. Opposite scapula - hip movement is adequate meaning when left hip moves forward, the right scapula moves back; the right hip moves forward, the left scapula moves backward. However, there is very little movement in both arm swing during gait. The thoracic cage is also hyperextended into the lumbar spine. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. The neck and head is flexed forward and to the left with slight hypertension of head during gait.

Gait Posture Assessment: Zone 1 : (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward with left leg onto slight hip drop onto pronated foot with limited dorsiflexion and limited opposite arm swing. Client steps forward with right leg with good dorsiflexion and good opposite arm flexion. Plantar flexion on both feet during gait is limited for both feet. Zone 2: (pelvis, lumbar spine,and trunk interface). Purpose: Load Transfer and Central Stability. Slight excess superior/inferior motion of SI joint slight forward flexion and right side lean and limited waist movement during gait. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. Limited flexion and extension of right arm/scapular complex and more flexion but limited extension on left arm/scapular/shoulder /arm complex during gait. Left shoulder /scapular complex is held high and protracted and right shoulder/scapular complex is held ,low and retracted with right side lean during gait. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. Neck and head is held forward and flexed to the right during entire gait process. Eyes are offline due to the orientation of neck and head posture position.

Gait Posture Assessment: Zone 1: (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward with left leg onto dorsiflexed and supinated foot with adequate opposite arm motion. Client steps forward with right leg onto right pronated foot (opposite hip drops when right leg is loaded). There is limited opposite arm swing. Zone 2: (pelvis, lumbar spine, and trunk interface). Purpose: Load Transfer and Central Stability. Excessive inferior/superior motion of SI joints with right being higher than left when loading same side of leg. Zone 2 shifts to right when loading right leg. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. Right right, low left shoulder/scapular complex remains throughout gait . Zone 3 shifts to the left when loading left leg. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. Client leads with head and neck forward during gait.

Gait Assessment: Zone 1 : (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward by leading with neck, head and waist onto right leg with slight left hip drop, with limited right hip flexion, severe trunk lean to the left onto right dorsiflexed and out-toed foot onto heel but with little plantar flexion (ball of foot push off). Client steps forward onto left leg with limited hip flexion, severe lean of upper left thoracic cage onto out-toed, dorsiflexed foot landing on heel but with little plantar flexion, ball of foot push off. Zone 2: (pelvis, lumbar spine,and trunk interface). Purpose: Load Transfer and Central Stability. Client has forward flexed trunk and inferior/superior motion of hips and SI joint, with slight hip drop during loading of left leg and foot onto heel ground. This reveals an inadequate load transfer from zone 1 into zone 2. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. Loading onto right leg reveals little shoulder/scapula complex motion in the opposite left arm. Loading of left leg reveals immediate leaning onto of rib cage and trunk to the left side with an abducted left arm from the lack of balance. In general, both shoulder/scapula complexes have asymmetrical motions and lack of coordination with opposite hip/leg complex. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. Client displays severe neck and head forward posture initiating forward momentum during the entire gait process. This indicates a lack of adequate orientation and compensation for perceived safety during gait.

Gait Posture Assessment: Zone 1: (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward with left leg onto out-toed and dorsiflexed foot with good oppos9shoulder arm movement. Client steps forward with right leg towards the midline with out-toed and dorsiflexed foot. Zone 2: (pelvis, lumbar spine, and trunk interface). Purpose: Load Transfer and Central Stability. Client has excessive rotation in waist due to right to left posture distortion in hips and waist (right side forward, left side back). Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. High and protracted left shoulder and l,ow and retracted right shoulder maintains throughout gait cycle. Both arms have good flexion and extension movements during gait. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. Head and neck is flexed to the right with head also rotated to the left and neck is forward with head slightly hyperextended during gate. Eye gaze is not consistent in focus during gate cycle.

Gait Assessment: Zone 1: Client steps forward with leg leg onto supinated heel with limited flexion of hip and a left hip drop. There is limited opposite right arm flexion and left arm extension when loading left leg, indicating inadequate load sharing and transfer into upper zones 2 and 3. There is also, limited plant7flexion of foot due slap foot motion observed. Client steps forward with right leg with elevated right hip, out-toed and supinated right foot, with limited arm flexion on the opposite left arm and limited extension on right arm side. There is also slap foot observation with lack of plantar flexion of right calm and foot. This alsocasue load transfer issues into zone 2 and 3. Zone 2: Both SI joints are stiff and lack proper motion resulting in excessive superior/inferior motion of hip causing a wailing type gait. Zone 3: client has excessive superior/inferior motion motions of the shoulder/scapular complex and should scapula complex limits proper arm movements during gait. There is a severe breathing deregulation within zone 3 also, causing bracing with zone 2 and lack of rotation and thoracic expansion in zone 3. The thorn cage is also hyperextended into the lumbar spine. Zone 4: Neck is forward and stiff with hypertension of head.

Gait Assessment: Zone 1 : (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward towards the midline onto left leg with good dorsiflexion but slightly supinated foot with little plantar flexion, with little or no opposite right arm/scapula complex motion; the left arm has slight flexion but no extension during gait. Left leg flexion and right leg extension is short. Client steps forward onto right leg towards the midline with dorsiflexed and supinated foot, small amount of plantar flexion, with moderate opposite left arm flexion with little or no same side right arm/scapula complex motion. Leg extension on the left and leg flexion on the right are longer better than opposite side. Zone 2: (pelvis, lumbar spine,and trunk interface). Purpose: Load Transfer and Central Stability. Hips are fairly stable in inferior/superior motion, but the SI joints have excess motion in rotation, influencing rotation of the waist. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. Restricted rotation in arm/scapula complex, influencing movement of arms which may be affecting opposite arm to hip coordination during gait. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. Gait is performed with a stiff forward flexed neck, hyperextended head, with upper ward eye gaze fixation.

Gait Assessment: In zone 1 client, steps forward on internally rotated right hip and thigh onto a dorsiflexed slightly supinated foot, with no ball of foot push off. When loading the right leg, the left arm has slight extension and right arm has slight flexion during gait. Client steps forward onto left externally rotated hip and thigh, onto an out-toed flat foot, no ball of foot push off. When loading the left leg, the left arm has greatly extended and right arm has slight flexion. Client steps slight toward the midline with left leg during gait. Zone 2 There is excessive superior/inferior and left/right rotation in the SI joint region. Client leans to the left during gait because of scoliosis. Zone 4 Client’s Mexico is forward, head hyperextended, and eye gaze fixed upwards.

Gait Posture Assessment: Zone 1: (Feet, ankles, knees, and pelvic base). Purpose: Load Entry and Ground Interaction. Client steps forward with right leg with an elevated hip onto a dorsiflexed, out-toed, supinated heel strike. Client steps forward with left leg with a hip drop onto a slightly dorsiflexed, in-toed, pronated heel strike. Zone 2: (pelvis, lumbar spine, and trunk interface). Purpose: Load Transfer and Central Stability. There is excessive inferior/superior motion of SI joints and hip with the right hip elevating when loading the right leg and the left hip dropping when loading the left leg. The waist and trunk are also forward flexed. Zone 3: (rib cage, thoracic spine, and shoulders/arm complex) Purpose: Load Distribution, Rotation, and Breath. There is a heavy lean of the thoracic cage towards the left when loading the left leg. There is consistent high and protracted right shoulder/scapular complex and low and retracted left shoulder/scapular complex throughout gait cycle. Zone 4: (neck, jaw, head and visual system). Purpose: Orientation, Vigilance, Safety, and Regulation. There is a significant right lateral lean of neck and head when loading the right the right leg which maintains during loading of the left leg. The neck is also forward with head rotating left. Eye gaze often shifts toward the left during gait.

Gait Assessment: Client steps forward and out onto left leg onto a supinated, dorsiflexed, and out-toed foot, with exaggerated SI joint movement side to side (especially on the right as it extends excessively during left leg flexion) and upon fully loading left leg, the opposite right hip drops slightly . Client steps forward onto right leg towards the midline with exaggerated external rotation of right thigh onto supinated and dorsiflexed foot. There is very little plantar flexion of both feet and push off ball of feet during gait. There is also a lateral lean to the left during gait.

Gait: Client’s gait is extremely unstable. When stepping forward into flexion on a supinated foot, she immediately loses her balance, leaning into left lateral flexion and extension, probably because of very weak gluteal’s (Medius and Minimus muscles) and her opposite right arm immediately abducts for balance to counter falling. As client regains balance and steps forward into flexion onto right foot and leg, the opposite left hip and knee begins flexion and stepping forward which is more stable but same issues but not as pronounced. After a few steps, the client steps forward onto right supinated foot and has severe right side lateral lean and imbalance, abducting the opposite left arm for support. Client t takes baby steps continuously looking forward and down to control her balance. Her feet and legs often crosses the midline during gait adding to imbalance issues.

Gait Assessment: Client Steps forward on left bowed leg onto supinated foot with small hip drop, and little opposite arm swing. Left leg has more extension and less flexion than right leg. Client steps forward onto right leg with out-toed supinated right foot with little opposite arm swing. The right leg has less extension but more flexion than the left leg. The client walks with stiff abducted internally rotated arms and pronated forearms. The neck is slightly flexed to right and head slightly flexed to left and forward.

Stepping forward onto right foot, client shifts and loads left leg heavily landing on dorsiflexed out-toed right foot, landing flat footed with no ball off foot push off and with little opposing arm swing. Stepping forward on the left leg, client’s left hip drops slightly as she loads foot with pronation with no ball of foot push off and with little or no opposing arm movement. The SI joints have a slight inferior/super movement during gait and there is a slight trunk lean to the left.

Gait Assessment- Pre and Post video and photos taken to show improvement. This assessment is with a client experiencing severe pain and guarding and not reflective of a gait with a person not experiencing severe pain. The client steps forward planting both feet gingerly on the ground s if walking on pins and needles and hurting as she weight bears on feet. Both knees are severely flexed and knocked kneed when walking. When she steps forward with left leg and weight bears on left foot, revealed a very short truncated step on a very flat foot, with no dorsiflexion or plantar flexion (i.e client loads foot with out heel strike and ball of foot push off). Stepping forward on right leg revealed left hip drop slightly when loading out-toed right foot. The hip, waist, thoracic cage, neck and head are very stiff during gait. The left arm swings excessively and the right arm barely swings during gait. Thee is very severe left lean to the left and loss of balance behavior when stepping on the left foot during gait, probably from weak gluteus medius muscle on the left hip. The head and neck are forward tilted and rotated to the left.overall, the client walks likes she is guarding from severe pain.

Gait Assessment: Right leg stepping into flexion with minimal dorsiflexion with out-toed foot with slight right hip drop which crosses towards midline and there is excessive opposite left arm swing during gait. The right leg has more flexion, but less extension than the left leg. The left leg steps into flexion with a pronated foot on planting left foot on ground. There is a moderate opposite right arm swing during gait. Hips have moderate inferior/superior motion during gait. The thoracic cage has limited motion and there is excessive left and right bobble movement o neck and head, especially to the left, during gait.

Gait Assessment: There is adequate dorsiflexion of feet, but with out-toeing, especially on the right foot, with little plantar flexion on both feet. Knees are knocked with SI joint and hips moving in inferior/superior motion during gait. Flexion of left leg onto left foot is mostly straight but leg moves to the left during gait. The left leg flexes less but extends more than the right leg and there is a slight hip drop on the left during gait. Flexion of right leg onto right foot is very supinated and out-toed with a very supinated and out-toed during foot placement on ground. The right leg moves towards the midline causing the body to compensate from being pushed to the left during gait. The right arm swings more than left during gait. The body flexes forward at waist during gait and head and neck is held forward with slight right lateral flexion of neck and slight left rotation of head and eyes gaze downwards. A quick assessment of convergence and divergence of eyes revealed the right acts converges much faster than left. More assessment and corrective work needed in future sessions.

Gait Assessment: Left leg stepping into flexion on out-toed left foot with limited dorsiflexion, very little plantar flexion and little opposite right arm motion, with small left hip drop during gait. The left leg has more flexion and less extension than the right. Right leg steps into flexion on out-toed right foot, with small opposite abducted opposite left arm swing. The right leg has less flexion and more extension than the left leg. The hips have a slight left to right rotation during gait. The trunk is leaning forward, with a heavy lean toward the right side. The head and neck are forward and eyes have continuous downward age during gait.

Gait Assessment: Moving forward into flexion with right leg reveals leg crossing towards midline with out-toed supinated foot landed on out side heel first with very little plantar flexion and small opposite arm movement. The right leg has more flexion than extension than the left leg. The left leg steps into flexion with a flat left foot with small movement of opposite arm. The left leg moves into extension better and less into flexion than the right leg. The upper body is flexed and head has forward lean during gait.

Gait: Beginning flexion of right leg heads toward the midline with heel strike, but little dorsiflexion and plantar flexion and with out-toeing. When right leg is planted and fully loaded, the opposite left arm has little arm swing motion. Going into extension of the left leg reveals heel strike with little dorsiflexion with out-toeing that corrects when moving towards the midline. The right leg is fully loaded, there is little opposite arm swinging on the left. The SI joints have a slight up and down movement during gait. There is little torso rotation and arm swinging and neck and head severely tilts to the left with eyes gazing upwards.

Gait: Beginning gait on right leg going into flexion reveals ankle dorsiflexion with out-toeing of right foot which straightens out upon full loading on right leg. Right hip is stable with good opposite left arm swing, but right leg has less extension than the left and more flexion than the left side. Also, the left hip drops slightly, when the right leg is fully loaded. There is extreme flexion of neck and head to the right during gait. Beginning gait of left leg going into flexion reveals very little or no movement of the opposite side right arm swing. The left legs goes further into extension and less into flexion than the right leg. The right lower leg is externally rotated with supinated foot when right knee is bent and opposite left leg fully loaded. Hip flexion is mostly from the quadriceps with little iliopsoas engagement.

Gait: clients t has noticeable side to side imbalance in entire body during gait due to functional short left leg. There is very little dorsiflexion and plantar flexion of feet/ankle complex during gait, with more extension of left leg and less flexion of left leg than on the right. Also, there is less extension of right leg and more flexion of right leg than on the left. The left shoulder and hip drops upon stepping and loading the left leg when moving forearm into flexion and simultaneously the right leg moves into limited extension, with the lower leg with a supinated foot, angling towards the midline and left arm has limited arm swing movement. When stepping forward on the right leg, the right leg crosses towards the midline, while the right shoulder drops severely, simultaneously , the left extended leg begins from the midline of body with supinated foot as the left leg moves towards flexion, and with limited arm swing movement. The head is forward and laterally flexed and rotated to the left during gait.

Gait Assessment: Limited dorsiflexion of the right foot, with good heel strike of both feet, but has extreme right leg cross over towards the midline during gait. The hips drops on the opposite side when loaded on leg during gait I.e. (when right legs is loaded, the left hip drops and when the left leg is loaded, the right hip drops). Also, when load left leg and upon raising right foot, the right hip drops, right shoulder drops and there is a right lateral flexion of head during right leg flexion swing through. When loading the right leg and extension of left leg left knee flexion, the lower left leg angles towards the midline in external rotation, supinated left foot and left shoulder goes into elevation. The right legs has limited extension but more flexion than the left and left legs has more extended but limited flexion than right leg during gait. There is also a lot of inferior/superior SI joint movement during gait. The neck and head bobbles left and right flexion continuously during gait (to the right when stepping on the right and to the left when stepping on the left). Arms swings loosely in uncoordinated fashion during gait.

Short steps with limited heel, strike, dorsiflexion and plantar flexion during ball of foot push off during gait. Right shoulder drops down into right side ribs cage. Right arm has limited swing motion, left arm slight more movement. There is small extension of right leg and more flexion on right leg than left. There is more leg extension on left leg, but less flexion of left leg right. Small left to right movement in hips and torso during gait.

Walking Gait: Foot and ankle supination on both feet are a problem upon weight bearing on single leg on each side of body during gait. This increases the probability of ankle strains and or sprains on both ankles. Ankle dorsiflexion is limited with weak plantar flexion on both feet and weight load during gait is on lateral sides of feet with very little activation of big toe plantar flexion. This reduces plantar flexion power and drive power potential. There is significant out-toeing during gait on both feet, further weakening ankle stability and reducing ankle mobility. There is significant side to side and slight up and down movement is hips and SI joints, with the right SI joint moving outwards away from spine and left SI joint moving inward towards the spine during gait loading on each leg and foot. The left shoulder lean and drop onto left hip, knee, ankle, foot complex on the left during gait.The head tilts left and right slightly during gait. Description of Kinetic Motion during Field Goal Kicking Sequence: Judah starts with standard step drop back and two steps to left for right foot kicker. Right foot is back and straight and left foot forward with slight left knee flexion weight on balls of both feet, especially on the left mostly on lateral 4 toes. As he begins motion, he transfer weight to right foot while simultaneously leaning forward and flexing left knee, with head down and forward and internally rotated arms and forearms. He takes a jab step, while simultaneously flexing the right knee and left shoulder and Armand as he plants on the right foot, his left shoulder and arm retracts and abducts greatly, left glute and hamstrings extended with flexed left knee. He plantar flexed and drives off of right foot while extending right arm, which is held close to his side. He flexes his left hip and leg forward while extending and retracting his left shoulder with abducted arm while planting let foot mostly on the lateral four toes with a straight medial 45 degree angle of hip and leg to the foot towards the midline with a left to right hip and trunk rotation. When the left leg and foot fully planted, the extended right glutes and hamstrings and flexed right knee flexed toward the ball with left arm completely crossing over to the right side. Midway via the follow through, his left arm is horizontally addicted across the chest with torso rotated left to right and right leg is straight with 90 degree flexion at the hip. As hi completes his follow through he leaves the ground on his left foot, replants on the left foot, right arm flexes, and left arm and shoulder abducts at 90 degree horizontal angle and right arm and shoulder flexes high and he replants his straight right leg and foot and ends with a right to left rotation in the shoulders. Description of Kinetic Motion During Punt Kick: Weight transfers to left foot as arm transfers over right leg , trunk slightly rotated left to right. Plantar flexion off of left foot and steps forward to weight bearing on right foot with right foot our-toeing as arms are raised and flexed with right arm held straight and left arm abducted to 90 degrees as left knee flexes to step forward and plant mostly on lateral 4 toes, flexed right knee and extended hip moves forward to straight flexion to kick the ball, left arm continues to full flexion while right leg continues to full flexion to above head, left foot is on ball of feet/toes. As right leg extends to plant, the left foot is plantar flexed and knee flexed. As right leg plants, it is fully extended in glutues and hamstrings and and right arm fully flexed to head to complete follow through.

Gait: Dorsiflexion without heel strike with very little plantar flexion and ball of foot/toe push off. Limited extension of right hip & leg but more flexion than left. Limited flexion of left hip but more extension of left leg than right. There is very little engagement of Psoas muscle during gait and client uses quad hip flexors and adductors out of firing order as a result. Client has short functional left leg causing uneven gait at the SI joints and hips. The right hip drops during gait when weight bearing on right leg. There is very limited arm swing during gait.

Gait: Limited dorsiflexion and push off of ball of feet with legs crossing toward midline during gait with limited arm swinging. Right hip also drops upon loading right leg. Hips & SI joints have superior/inferior movement during gait. Left leg has limited flexion than right and more extension and right leg has more flexion than left and limited extension.

Gait: Feet has limited dorsiflexion with little ball of foot and toe push off, especially on the big toes. Both legs cross the midline when walking. The left leg has more extension and less flexion and the right legs has limited extension and more flexion during gait. The right hip drops slightly during gait. There is a slight inferior/superior motion in hips and SI Joints during gait. The arm swing comes mostly from excessive forearm cross swinging towards the midline during gait. Client head bobbles up and down slightly during gait.

Gait analysis: Ankle dorsiflexion and plantar flexion is normal but legs cross over toward mid line (especially the left) with little weight and push off on big toes during gait. Hips and SI joints are unlevel going up and down and trunk rotates left and right during gait. Right hip drops during gait. Knees knock and brush against each other during gait.

Heel strike has limited normal dorsiflexion but has more push off on left ball of foot. There is slight hip drop during gait on right hip, with excessive hip swing and unleveling. Limited arm swing especially on the right.

Gait: On heel strike, the right foot supinates and both feet have very little dorsiflexion in ankle, knees and leg extension especially on the right for leg extension. Left foot heel strike has supination short flexion at waist and hip with hip hiking, retraction and external rotation of left leg during gait when the right leg is fully loaded. Limited hip flexion from psoas muscles during gait. Right leg has limited extension and knee flexion during gait. Right arm has limited swing during gait. Thoracic cage is hyperextended into lumbar region.

Heel strike both feet with limited dorsiflexion and plantar flexion and ball of foot push off. Limited right leg extension and limited left leg flexion during gait. There is moderate side to side movement in hips and SI joints and right leg crosses towards the midline during gait. There is limited extension of left arm and limited flexion of right arm during gait. There is moderate flexion in right arm and left arm is abducting slightly during gait there is moderate forward and laterally flexion towards the right of head and neck during gait.

Gait: hips are unlevel while walking with left hip dropping and right hip elevated slightly. Right thigh is externally rotated, with right lower leg below knee internally rotated. Left thigh this externally rotated with leg below knee internally rotated. Gait step on heels with slight dorsal flexion but inadequate plantar flexion and ball of foot toe push off. Left leg moves toward midline during gait.

Heel strike with dorsiflexion and plantar flexion but not ball of foot push off. Left leg starts toward the midline but quickly externally rotates during gait. Ames are stiff, rigid, abducted with very limited arm swing. Hips have inferior and superior SI joint motion, with a side to side sway. Rightnlegs has limited extension and left leg has limited flexion during gait.

SI joints are unleveled when walking due to in even leg short functional left leg. Both arms swing freely but right arm has less extension. Left leg crosses towards the midline when walking. Clients heels strikes on both feet with toes extended when walking

Beth has a “waddle walk” which causes SI joint dysfunction because of uneven hip levels and rotation (high on right and left to right rotation, see notes below) and this causes ore weight distribution on the left side of body, causing left leaning of trunk. Both legs have limited extension especially on the right. Both feet step towards the midline when walking with the weight landing on r ear heels with little or no plantar flexion and ball of feet toe off. Both arms have little swing motion during gait

Left ankle complex collapsed upon weight bearing load of foot on found when the left leg crosses the midline during gait. Also, left hip drops when load bearing on that side. When Client turns around to the right when walking, she takes a very wide turn to come back walking in a straight line. The right arm is abducted and forearm pronated and left arm is slight flexed with little extension during gait. Client has idiopathic hand (resolved mostly) head ( mild and more or less consistent) tremors

1. Form & Alignment Key Observations on Posture and Joint Positions: The client exhibits notable misalignment of the hips and shoulders when walking. This misalignment may contribute to the mild involuntary head movement and general instability. The head tends to be held forward in relation to the shoulders, suggesting potential compensatory mechanisms due to underlying neck tightness or weakness. The crossing of the legs at midline indicates possible issues with lower limb alignment, which can impact gait efficiency and create additional strain in the hip https://posture-pro-copy-e0ba9271.base44.app/MovementAnalysisDetail?id=68f595c12ec6d967b54a2735 10/22/25, 10:38 PM Page 1 of 5 and lower back regions. Overall posture appears slightly rounded, particularly in the thoracic region, which can restrict mobility and impact balance. 2. Control & Stability Assessment of Motor Control and Core Stability: The slight head shaking observed may suggest compromised neural control or instabilities in the cervical and upper thoracic regions, affecting head and neck stability. Core stability appears to be lacking; the coordination between the upper and lower body is inefficient, leading to compensatory movements. Activation of the core musculature during movement may not be optimal, which can lead to further reliance on the superficial muscle groups rather than balanced engagement of the deeper stabilizing muscles. Ground reaction forces may not be managed effectively; the leg crossing implies possible weakness in hip stabilizers, impacting lateral control. 3. Potential Risks Identify any Movements That https://posture-pro-copy-e0ba9271.base44.app/MovementAnalysisDetail?id=68f595c12ec6d967b54a2735 10/22/25, 10:38 PM Page 2 of 5 Could Lead to Injury: The misalignment of the hips and shoulders can lead to increased strain on the lumbar spine, potentially resulting in lower back pain or injury over time. The crossing of the legs increases the risk of tripping or falling due to reduced balance and stability. Neck strain due to involuntary head movements could worsen without proper corrective strategies, leading to chronic discomfort or cervical issues. Poor circulation, as indicated by the client's symptoms, could lead to further issues like venous insufficiency or vascular problems particularly during extended periods of activity without engagement of the lower extremity muscles. 4. Performance Cues Suggest 2-3 Actionable Cues for Improvement: Alignment Awareness: Focus on maintaining a straight back and aligned shoulders throughout the gait cycle. Imagine a line leading from the top of the head through the spine and down to the feet to https://posture-pro-copy-e0ba9271.base44.app/MovementAnalysisDetail?id=68f595c12ec6d967b54a2735 10/22/25, 10:38 PM Page 3 of 5 promote an upright posture. Controlled Leg Movements: Practice controlled walking with emphasis on keeping the legs parallel to the body’s midline. Use visual markers on the ground to maintain proper leg positioning and prevent crossing. Engage the Core: Incorporate breathing exercises that emphasize engaging the core while standing and walking. Aim to activate deep abdominal muscles to support spinal alignment and improve overall stability. 5. Clinical Hypothesis A Brief Hypothesis on Underlying Limitations: Limited thoracic mobility may be contributing to the forward head posture and involuntary head movement; tightness in the upper body may also be impacting shoulder alignment, leading to compensations in the lower body. Weak gluteus medius and other hip stabilizers could be contributing to the misalignment and crossing of the legs during ambulation, resulting in inefficient movement patterns and potential instability while https://posture-pro-copy-e0ba9271.base44.app/MovementAnalysisDetail?id=68f595c12ec6d967b54a2735 10/22/25, 10:38 PM Page 4 of 5 walking. Neck musculature imbalances may lead to head shaking or prompts in neck discomfort, suggesting the need for strengthening and stretching interventions specifically targeting the cervical and upper back regions to restore balance and control.

Client: Louis Screnci Date: October 22, 2025 Clinician: Luther Lockard, LMT – Posture & Movement Coach Facility: Corporate Massage Therapies–Advanced Treatment Center LLC 5000 Sagemore Drive Suite 200 • Marlton, NJ 08053 • 609-257-8595 www.PostureWellness.net • energyforall@gmail.com 1. Summary of Concern: Louis reports long-standing discomfort through the back, hips, and legs, rated 3 / 10 in intensity. Symptoms have developed gradually over several years and are now associated with overall stiffness and imbalance during training or daily movement. Client goals: To stay aligned, reduce injury risk, and train effectively, while maintaining physical capability and posture health as he ages. 2. Health & Background Factors • Medical: Left-shoulder surgery (Sept 2025) — biceps-tendon relocation and labrum repair. • Previous Care: Chiropractic • Physical Therapy • Acupuncture. • Lifestyle Focus: Active individual emphasizing injury prevention and sustainable fitness. 3. Postural Overview Observation revealed clear asymmetry between upper and lower segments: Region Observed Pattern Likely Influence Pelvis / Hips Right hip high & anterior; left hip low & posterior Muscular imbalance; altered gait rhythm Knees Left knee slight hyperextension Tight hamstrings / weak hip extensors Feet Bilateral supination Reduced shock absorption; increased spi load Shoulders Left high & forward (post-surgical); right low & retracted Compensatory scapular patterns Head / Neck Mild right side-flexion Cervical-thoracic imbalance These patterns suggest global postural adaptation from the shoulder procedure and longstanding asymmetrical habits. 4. Functional Interpretation • Core Control: Reduced pelvic stability contributes to inefficient energy transfer through the gait cycle. • Thoracic Mobility: Restriction in mid-spine leads to compensation at neck and lumbar segments. • Gluteal System: Under-activation of glute medius / stabilizers increases hip and low-back strain. • Upper Body Mechanics: Post-surgical guarding limits cross-body coordination, influencing stride timing and shoulder swing. 5. Identified Risks • Progressive lumbar and hip stress from asymmetric loading. • Possible knee over-strain from repeated hyperextension. • Inefficient shock absorption through feet leading to cumulative fatigue or joint irritation. 6. Corrective Emphasis & Movement Coaching Core Stabilization: Train deep abdominal and pelvic floor activation during gait and strength work. Gait Retraining: Use mirror, wall, or visual cues to promote bilateral arm swing and level pelvis. Foot Education: Neutral foot alignment, intrinsic-foot strengthening, and mindful stance control. Shoulder Reintegration: Progressive mobility and scapular rhythm retraining once cleared post- surgically. Mobility Sequence: Daily thoracic extension and rotation drills before workouts. 7. Long-Term Alignment Strategy 1. Maintain core–glute–shoulder linkage for efficient kinetic-chain balance. 2. Integrate mobility before strength in all exercise sessions. 3. Schedule periodic postural reassessments to monitor symmetry as training progresses. 4. Apply recovery and fascia-release sessions to manage chronic tension patterns. 5. Continue professional guidance every 6–8 weeks to ensure alignment and performance goals remain on track. 8. Clinician’s Insight Louis shows excellent motivation and body awareness. By restoring balanced hip and shoulder control, he will improve gait efficiency, minimize reinjury risk, and maintain optimal posture integrity into later decades of life. Disclaimer This document is for educational and postural wellness purposes only and does not substitute for medical diagnosis or treatment.

Clients gait is affected by his high, anteriorly rotated left hip and his low posteriorly rotated right hip. Trunk is slightly flexed forward. Left shoulder is high with upper rotated scapula, the right shoulder is low and downward rotated. Both knees are flexed, feet normal. Both arms are internally rotated and slightly pronated forearms.,head and neck are forward.