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Nome:______________________________________________________________________

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Data Avaliao: ___/___/___

Data Nascimento: ___/___/___

Telefone:________________________

AVALIAO POSTURAL PILATES


1- Simetria de Ombros
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2- Abduo ou Aduo de
Escpulas____________________________________________________________
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3- Simetria do Tronco:
Mamilos
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Linhas axilares
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Cristas
ilacas____________________________________________________________
Pregas
glteas___________________________________________________________
Linhas
poplteas_________________________________________________________
4- Alteraes na Coluna
Escoliose_____________________________________________________________
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Hipercifose___________________________________________________________
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Hiperlordose__________________________________________________________
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Protrao da
Cabea______________________________________________________
5- Tipo de Joelhos
Varo ( )

Valgo ( )

Normal ( )

6- Tipo de Ps
Plano ( )

Cavo ( ) Normal ( )

7- Flexibilidade em flexo de tronco


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8- Dores________________________________________________________________
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9- Doenas
Sistmicas____________________________________________________________
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10-Medicao em
uso___________________________________________________________________
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11-Objetivo do Tratamento
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