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PHYSIOTHERAPY AND EXERCISE PHYSIOLOGY · ASSESSMENTS AND REPORTS

Strength, Movement and Balance Testing

Physiotherapy strength and balance testing is a Physiotherapist’s or Exercise Physiologist’s measured assessment of how much force a person can produce, how quickly they can produce it, how they move through tasks like squatting, lunging, walking and jumping, and how steady they are standing still and on one leg. Each test is run on the left and the right, so differences between sides show up.

The result is a set of numbers the same test can be compared against next time. It comes with a written report that says what was measured, where the strength and power imbalances sit, and what that means for exercise and daily activity. Support Coordinators and GPs use the report to see where a person is starting from and what has changed, and your practitioner uses it to plan what to work on.

Our Physiotherapists and Exercise Physiologists run strength, movement and balance testing in our clinics across New South Wales and Tasmania, including our Tasmanian clinics at Mornington, Moonah and Dodges Ferry.

Every test is repeated on both sides, so the report can show where one side is doing more of the work.

How do I fund physiotherapy strength and balance testing?

Most people fund testing through the NDIS.

NDIS: participants usually fund it from the Capacity Building part of a plan; our intake team confirms the category in your plan.

Medicare: a GP chronic condition management plan covers up to five allied health services a calendar year. Medicare may pay a rebate toward each session, and we’ll tell you the fee and any gap before you book.

DVA and private health: both accepted.

Privately funded: you’ll get a clear picture of the costs before you book.

If you are not sure which funding applies to you, call us on 1800 678 647 or email hello@opt.net.au. We will sort it out before your first appointment.

What does strength, movement and
balance testing involves

01

What is a physiotherapy balance test?

A physiotherapy balance test measures how steady a person is when they stand still, and how much that changes when the task gets harder.

Your Physiotherapist or Exercise Physiologist will ask you to stand quietly on a pair of force plates with your eyes open, then closed. Then you’ll stand on one leg, again with eyes open and then closed.

The plates record how much your body sways during each stand, which is what postural control looks like as a number. Because the plates read the left and the right foot separately, the test also shows whether you lean on one side more than the other.

Standing on one leg with your eyes shut is hard for most people, and the point is a fair measurement rather than a pass or fail.

02

How can muscular strength be tested?

Strength is tested by measuring the force a person pushes or pulls with, rather than by a practitioner’s hand and a grade.

At Optimum Health Solutions we use AxIT force plates and dynamometers during testing.

For a push test, your practitioner holds a dynamometer against the limb and asks you to push into it as hard as you can. For a pull test, the dynamometer is anchored to a fixed point and you pull against a strap or handle.

Protocols cover the shoulder, elbow, wrist, spine, hip, knee and ankle, so the joints tested are the ones that matter for your goals. Each test is repeated a few times with short rests, and it’s done on both sides.

The numbers show how much force you produced and how fast it built.

03

What is a movement assessment?

A movement assessment measures how a person performs whole-body tasks, using the force plates under their feet to record what each leg is doing through the movement.

The tasks in our protocols are the ones daily life is built from: squatting, lunging, walking and running, jumping, hopping, landing, lifting and push-ups.

As you move, the plates record the force through the left and right sides, so a squat that looks even can turn out to be carried mostly by one leg.

That is the kind of strength and power imbalance the testing is designed to find. Your practitioner watches the movement as well as the numbers, because how someone gets through a task is part of the picture.

04

What is the best test to measure muscular strength?

There isn’t one best test, because strength is specific to a joint, a direction and a task.

A shoulder that’s weak in external rotation can be strong in every other direction, and a person who pushes well through the legs can still find a single-leg hop hard.

Your Physiotherapist or Exercise Physiologist chooses the tests based on what you’ve been referred for and your goals.

The same tests are used again at reassessment, so the comparison is fair. Testing both sides matters more than any single number.

Comparing the left with the right on the same test is the most useful reading in the report, because it points to where the work should go. 

05

What is a good score on a balance test?

A good score is one that’s better than your own last one, on the same test, run the same way. We don’t publish age cut-offs or norms on this page, because a balance figure only means something next to the test it came from, and the tests on the market differ.

What the report gives you instead is your own baseline. It records how much you swayed with eyes open and closed, on two feet and on one, how much force each side produced, and where the imbalances between sides sit.

At the next assessment the same tests are run again and the two sets of results are compared, which is how progress is evidenced rather than described.

If a reading is a concern, your practitioner will say so in the appointment.

06

What are the different types of movement assessments?

Movement assessments range from a practitioner watching you walk across a room to a sports screen built to grade athletes on set movements.

They are measured assessments for people whose strength, movement or balance impacts daily life, and it covers strength and power, movement patterns, and balance and postural control.

Tests usually run in one appointment and are delivered by either a Physiotherapist and Exercise Physiologist, and the results feed exercise prescription and the progress reports a funder asks for.

INSIDE THE CLINIC

How our Physiotherapists and Exercise Physiologists run the testing

The appointment starts with what you’ve been referred for and what you want to be able to do. From that, your Physiotherapist or Exercise Physiologist will pick the tests, explain each one before you do it, and run it on both sides. You’ll be asked to push, pull, stand still, stand on one leg and, where it’s safe, to squat, jump or hop. Each test has a set position and instruction, so the results can be compared later.

Between appointments, the numbers guide what you work on. Your practitioner will use the imbalances and the weaker readings to prescribe exercise, and the same tests are run again at reassessment so the change is measured rather than guessed at.

For NDIS participants, the results are written into a Physiotherapy Progress and Therapy Recommendations Report, which goes to you and your Support Coordinator for the plan. For Medicare patients, a report goes back to your GP.

Physiotherapist assisting a patient with gait analysis in clinic.
NDIS

Strength, movement and balance testing through the NDIS

Physiotherapy and Exercise Physiology assessments are funded from Capacity Building, under Improved Daily Living, which the NDIS describes as funding for assessments, training and therapies that build living skills and independence.

A plan can cover the testing, the exercise that follows and the progress reports a plan review needs. The report gives the NDIA measured results rather than a description, with a baseline the next review can be compared against.

Support Coordinators and plan managers can refer directly through our Referrers Hub, and we’ll confirm the funding line before the first appointment.

NDIS
Referrals

If you are a Support Coordinator, Plan Manager or another health care professional and you would like to submit a referral, please select one of the below options.
an older woman sits on a chair holding dumbell weights by her side, next to her is a her exercise physiologist

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COMMON QUESTIONS

Common questions about physiotherapy strength and balance testing

How to assess balance in physiotherapy?
At Optimum Health Solutions balance is assessed on force plates, standing quietly with eyes open, then eyes closed, then on one leg with each. The plates record how much a person sways and read the left and right feet separately. The results are compared with the same test at the next assessment.
People usually notice it themselves first: reaching for furniture, avoiding uneven ground, or feeling unsteady when they turn or close their eyes. A measured test turns that feeling into a number, and it often shows that one side is doing more of the work. If you’ve noticed any of this, it’s a reasonable thing to ask a Physiotherapist to measure.
There isn’t a single best test, and we don’t rank them. The tests we run are chosen for what the person can safely do, from a quiet two-foot stand through to a single-leg stand with eyes closed. What matters for an older person is a baseline that the same test can be compared against later, and a practitioner in the room while it’s done.
We don’t publish an age norm for that, because a number only means something on the test it came from, and published cut-offs vary with how the test is run. What your report will tell you is how you did on each stand, on each leg, and how that changes at reassessment. If your practitioner sees something that needs attention, they’ll say so at the appointment.
Wear clothes you can move in and the shoes you normally walk in, and bring any walking aid you use. Tell your practitioner about any pain, dizziness or recent falls before the testing starts, and about the goals you want the results to help with. Each test is explained before you do it, and nothing is run that isn’t safe for you.
It’s a grade on the manual muscle testing scale, which runs from 0 to 5 and relies on the practitioner’s hand and judgement. Our testing doesn’t grade strength that way. It measures the force you push or pull with on a dynamometer, so the report carries a measured number that the same test can be compared against later.
No. Physiotherapy strength testing measures the force a muscle produces on a calibrated instrument, done by a Physiotherapist or Exercise Physiologist. Applied kinesiology “muscle testing” is a different practice; the Australian Government’s Natural Therapies Review lists kinesiology among the natural therapies excluded from private health insurance cover since 1 April 2019. Physiotherapists are registered with the Physiotherapy Board of Australia, whose stated job is that physiotherapists are suitably trained, qualified and safe to practise.
Measured strength testing does what it’s for: it gives a repeatable number for the force a person can produce, on each side, that can be tested again the same way later. That is what makes it useful for tracking progress and for evidencing change in a report. What it can’t do is diagnose a condition on its own, which is why it’s read alongside the rest of the assessment.
A movement assessment measures how a person performs tasks such as squatting, lunging, walking, jumping, hopping, landing and lifting, with force plates recording what the left and right sides are doing. At Optimum Health Solutions it’s run in the same appointment as strength and balance testing, and the results go into the same report.
You can notice a lot on your own, like one leg tiring before the other on stairs, and that’s worth mentioning at the appointment. A measured test is different. It uses a calibrated instrument, a set position and a set instruction, and it’s repeated on both sides, which is what makes the result something a plan or a GP can act on.
CLINICALLY REVIEWED BY

Kieran Doyle

APA Titled Musculoskeletal Physiotherapist APAM MACP
MMuscPhysio, GradCertMuscPhysio, MPhty, BAppSc(Ex&SpSc)

HEAD OF CLINICAL DEVELOPMENT (PHYSICAL REHABILITATION),
OPTIMUM HEALTH SOLUTIONS

With over 18 years of experience across Australia and the United Kingdom, Kieran is an APA Titled Musculoskeletal Physiotherapist, a qualification held by fewer than 1 in 10 physios, with a background spanning private practice, sports medicine, and complex neurological rehabilitation. He reviews all musculoskeletal content for clinical accuracy.

Kieran Doyle

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