Name
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Stride duration
Stride duration quality
Please Select
too fast
slow
ok
Pelvis Left color
red
yellow
green
Pelvis left number
Hip left color
red
yellow
green
Hip left number
Knee Left Color
Red
Yellow
Green
Knee Left Number
Ankle Left Color
Red
Yellow
Green
Ankle Left Number
Pelvis Right Color
Red
Yellow
Green
Pelvis Right Number
Hip Right Color
Red
Yellow
Green
Hip Right Number
Knee Right Color
Red
Yellow
Green
Knee Right Number
Ankle Right Color
Red
Yellow
Green
Ankle Right Number
Hip Extension In Terminal Stance LEFT
Please Select
Moderate
OK
Poor
Hip Extension In Terminal Stance RIGHT
Please Select
Moderate
OK
Poor
Knee Extension Terminal Stance LEFT
Please Select
Moderate
OK
Poor
Knee Extension Terminal Stance RIGHT
Please Select
Moderate
OK
Poor
Knee Flexion In Mid Swing LEFT
Please Select
Moderate
OK
Poor
Knee Flexion In Mid Swing RIGHT
Please Select
Moderate
OK
Poor
Hip Extension Terminal Swing LEFT
Please Select
Moderate
OK
Poor
Hip Extension Terminal Swing RIGHT
Please Select
Moderate
OK
Poor
Knee Stability Loading Response LEFT
Please Select
Moderate
OK
Poor
Knee Stability Loading Response RIGHT
Please Select
Moderate
OK
Poor
Knee Flexion Midstance LEFT
Please Select
Moderate
OK
Poor
Knee Flexion Midstance RIGHT
Please Select
Moderate
OK
Poor
Varus/Valgus LEFT
Please Select
Valgus
OK
Varus
Degrees Left
Varus/Valgus RIGHT
Please Select
Valgus
OK
Varus
Degrees Right
Pelvic Obliquity LEFT
Please Select
Drop
OK
Positive
Pelvis Obliquity RIGHT
Please Select
Drop
OK
Positive
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