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Injury Risk Screening & Movement Assessment
Gait analysis-driven movement screening to detect hidden physical deficits before they become injuries.
We use 10 diagnostic categories to map your movement efficiency and injury resilience — so you know your risk before you feel the pain.
Screening Program
FMS · ACL Risk · Return-to-Sport · Core Stability
Balance · Strength Imbalance · Mobility · Running
Jump & Power · Endurance & Aerobic Capacity
Athletes Screened
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The Science of Injury Risk Screening
Identifying the "Hidden" Deficit Before It Becomes an Injury
Most injuries are not the result of a single moment. They are the accumulation of micro-traumas caused by poor mechanics. A slight pelvic drop during a run, a subtle knee cave during a landing, or a hidden hamstring-quadriceps imbalance, none of these hurt today, but each is a predictor of a tear tomorrow.
At Activ Insight, our screening process moves beyond a simple physical exam. We use motion-capture technology and clinical stress tests to quantify exactly how you move, finding asymmetries, instabilities, and efficiency gaps early, before they manifest as injury. Our founder, Dr. Amol Patil, applied this precision at the Mission Olympic Cell ahead of the Tokyo Olympics. The same diagnostic rigour is available to every athlete in Mumbai.
Who Should Be Screened
Pre-season athletes wanting a risk baseline · athletes returning from injury · anyone who has noticed a persistent asymmetry or unexplained pain · coaches wanting objective data on their squad · anyone who trains seriously and has never had a movement assessment.
Asymmetry Detection
Measuring the strength and stability gaps between your left and right sides, the most reliable predictor of soft tissue injury in field sport athletes.
Stability & Control Benchmarking
Evaluating how your nervous system stabilises joints under load and fatigue, revealing deficits invisible in static clinical assessment.
Objective Return-to-Sport Testing
Using data, not clinical feel, to determine when you are genuinely safe to return to sport, protecting you from the second injury that follows premature return.
Efficiency & Power Mapping
Finding the energy leaks in your movement that simultaneously limit your speed and power, turning a risk-reduction assessment into a performance advantage.
The Risk Map Report
What You Receive After Your Screening
Every screening session produces a comprehensive Risk Map Report, a clear breakdown of your movement performance across all categories, colour-coded by risk level so you know exactly where your body is resilient and where it is vulnerable.
Green Zone
Safe: No Intervention Required
Score above 80%. Movement pattern is efficient and low-risk. Monitor at next re-screening in 3–6 months.
Amber Zone
Moderate Risk: Targeted Correction
Score 60–80%. A specific deficit exists that requires targeted exercise correction before competition load increases.
Red Zone
High Risk: Priority Correction
Score below 60%. A significant movement fault or asymmetry requiring immediate corrective programming before return to full training.
Action Plan
Corrective Program Designed
Every Red and Amber Zone result triggers a targeted corrective exercise prescription, addressing the exact deficit, not a generic program.
What the Report Includes
Movement score across all 10 categories · Side-to-side asymmetry data · Sport-specific risk flags · Priority deficit ranking · Corrective exercise prescription · Re-screening schedule recommendation · Benchmark comparison against sport norms
Functional Movement Screening (FMS)
The gold standard for assessing fundamental movement patterns, identifying mobility restrictions and stability deficits that limit athletic performance and elevate injury risk. The FMS evaluates 7 movement patterns that form the foundation of all athletic activity.
A low FMS score, particularly asymmetry between sides, is one of the strongest predictors of non-contact injury in field sport athletes.
01
Deep Squat Test
Evaluates bilateral symmetry in hip, knee, and ankle mobility alongside thoracic spine and shoulder mobility. Failure indicates systemic mobility restriction affecting sprint mechanics and jump landing.
02
Hurdle Step Test
Assesses stride mechanics, hip mobility, and single-leg stability during stepping, revealing asymmetries in stride pattern that predict hamstring and hip flexor strain in running athletes.
03
In-Line Lunge Test
Tests hip mobility, ankle dorsiflexion, and dynamic balance in a split-stance position. Asymmetry here predicts knee and hip injury risk in change-of-direction sports.
04
Shoulder Mobility Test
Measures combined shoulder flexion and internal/external rotation range. Critical for cricket bowlers, overhead throwers, and racquet sport athletes, predicts rotator cuff injury risk.
05
Active Straight Leg Raise Test
Assesses hamstring and calf flexibility alongside core stability during single-leg movement. A primary predictor of hamstring strain in sprint athletes.
06
Trunk Stability Push-Up Test
Evaluates trunk and core stability during upper body loading, revealing spinal stability deficits that increase lumbar injury risk under high training loads.
07
Rotary Stability Test
Tests multi-planar trunk stability during simultaneous upper and lower limb movement, the most complex FMS pattern and the strongest predictor of spine and shoulder injury in rotational sports.
Lower Limb & ACL Injury Risk Screening
Used to identify athletes at high risk of ACL injuries, knee pain, and lower-limb overload injuries, the most career-defining injuries in field and court sports.
The Landing Error Scoring System and Dynamic Knee Valgus Screening identify movement patterns linked to ligament tears weeks or months before pain onset. Essential for every field sport athlete’s pre-season program.
01
Single-Leg Squat Test
Assesses frontal plane knee control and hip abductor strength during single-leg loading. Knee cave (valgus collapse) during this test is one of the strongest predictors of ACL tear in female athletes.
02
Dynamic Knee Valgus Screening
Video analysis of knee position during landing, squatting, and cutting, identifying the inward knee collapse pattern responsible for the majority of non-contact ACL injuries in Indian field sports.
03
Drop Jump Test
Evaluates landing mechanics and knee valgus under high-velocity impact, the closest lab simulation to the match conditions in which most ACL injuries occur. Identifies athletes at immediate elevated risk.
04
Landing Error Scoring System (LESS)
A validated 17-point scoring system for jump-landing mechanics, quantifying foot contact width, knee flexion angle, and trunk lean errors that predict ACL and ankle injury risk. Gold standard for pre-season ACL screening.
05
Step-Down Test
Assesses eccentric quad control and knee stability during a controlled single-leg descent, identifying patellofemoral pain risk and the deceleration deficits that lead to knee injury in running athletes.
06
Single-Leg Balance Test
Evaluates static postural stability and ankle proprioception, identifying athletes with impaired neuromuscular control who are at elevated risk of ankle sprain and ACL injury on uneven surfaces.
07
Y-Balance Test (Lower Quarter)
Measures dynamic single-leg stability in three reach directions, anterior, posteromedial, and posterolateral. Reach asymmetry of more than 4cm between limbs is a significant predictor of lower limb injury.
08
Star Excursion Balance Test
An 8-direction single-leg reaching test providing the most comprehensive assessment of dynamic balance, hip strength, and ankle stability. Predicts both ankle and knee injury risk across all sport types.
Hop Tests for Return-to-Sport
Commonly used in late-stage ACL rehabilitation and return-to-play testing, measuring explosive limb symmetry, reactive strength, and psychological readiness to return to full sport.
A Limb Symmetry Index (LSI) below 90% on hop testing is the primary evidence-based criterion for delaying return to sport. These tests are objective, not opinion-based.
01
Single-Leg Hop Test
The most widely used return-to-sport test, measuring maximum horizontal hop distance on a single leg. LSI below 90% signals insufficient explosive symmetry for safe return to field sport.
02
Triple Hop Test
Three consecutive single-leg hops measuring cumulative distance, testing the ability to produce and absorb force repeatedly, which replicates the demands of field sport acceleration and deceleration.
03
Crossover Hop Test
Three lateral crossover hops measuring frontal-plane limb control, specifically testing the hip abductor and IT band mechanics that are critical for change-of-direction sports and cutting movements.
04
6-Metre Timed Hop Test
Single-leg hopping over 6 metres for time, testing both explosive power and the speed of neuromuscular activation in the injured limb. Side-to-side time comparison reveals reactive strength asymmetry.
05
Vertical Hop Test
Measures single-leg vertical jump height and landing control, evaluating the stretch-shortening cycle efficiency and psychological readiness to perform explosive movements on the previously injured limb.
Core Stability & Trunk Control Tests
Assessing spinal stability and core strength, the “powerhouse” that protects the spine during high-load athletic activity. Core stability deficits are one of the most common hidden injury risk factors, as they force compensation at the hip, knee, and shoulder.
The Biering-Sørensen and Anti-Rotation Stability tests determine whether your spine is truly protected during heavy loading.
01
Plank Endurance Test
Measures total anterior core endurance time, establishing a baseline for spinal stability under sustained load. Normative data comparisons identify athletes with inadequate trunk endurance for their training volume.
02
Side Plank Test
Evaluates lateral core endurance and hip abductor stability. The side plank endurance ratio identifies lateral stability deficits that drive IT band syndrome, hip impingement, and lumbar pain in running athletes.
03
Biering-Sørensen Test
The gold standard for posterior chain endurance, measuring how long the back extensors can maintain isometric contraction. Below-normative scores predict low back pain in athletes with high training loads.
04
Trunk Flexor Endurance Test
Assesses anterior trunk endurance in a supported isometric position, identifying imbalances between flexor and extensor endurance that create abnormal spinal loading patterns.
05
Anti-Rotation Stability Test
Tests the ability to resist trunk rotation under external load, directly measuring the stability quality that protects the spine during throwing, batting, racquet sports, and heavy lifting.
Balance & Proprioception Testing
Evaluating the brain-body connection, measuring neuromuscular control and joint position sense that determine how well your body prevents injury during unexpected movements.
Balance deficits are particularly critical after ankle and knee injuries, where impaired proprioception dramatically increases re-injury risk even after apparent full recovery.
01
Single-Leg Balance Test
Static proprioceptive assessment measuring postural sway and joint position sense on a single limb. Used to detect residual proprioceptive deficits after ankle or knee injury that are undetected by strength testing alone.
02
Tandem Balance Test
Assesses postural stability in a narrow-base stance, challenging the ankle, hip, and trunk systems simultaneously. A sensitive screening tool for vestibular and proprioceptive deficits in contact sport athletes post-concussion.
03
Y-Balance Test
Measures dynamic single-leg balance in three reach directions, the most validated balance assessment tool for injury risk prediction. Reach asymmetry between limbs is a significant independent predictor of lower-limb injury across all sports.
04
Star Excursion Balance Test
Eight-direction single-leg reaching test, the most comprehensive dynamic balance assessment, simultaneously evaluating hip strength, ankle stability, and neuromuscular coordination in sport-specific positions.
05
Dynamic Postural Stability Test
Measures the ability to maintain stability immediately after a dynamic movement, replicating the real-sport demand of stabilising after landing, cutting, or receiving contact. Tests reactive postural control under high-speed conditions.
Strength & Muscle Imbalance Testing
Identifying the “weak link”, muscle weakness and strength asymmetry between sides or muscle groups that create dangerous compensatory loading patterns.
A hamstring-to-quadriceps ratio below 0.6 is one of the strongest predictors of hamstring tear in sprint-based sports. Strength asymmetry of greater than 15% between limbs significantly elevates reinjury risk.
01
Isometric Strength Testing
Measures maximal muscle force production in a fixed position, establishing a precise bilateral strength baseline. Side-to-side asymmetry above 10–15% flags significant injury risk requiring targeted strengthening.
02
Hand Grip Strength Test
A validated measure of overall upper limb and general physical strength, used as a functional strength indicator and to identify asymmetry in racquet sports, cricket, and combat sport athletes.
03
Hamstring–Quadriceps Ratio Test
The H:Q strength ratio is the single most important screening metric for hamstring strain injury risk in sprinting athletes. Ratio below 0.6 (hamstrings less than 60% of quad strength) indicates high-risk status requiring immediate hamstring loading protocol.
04
Single-Leg Press Strength Comparison
Bilateral leg press force comparison identifying side-to-side strength asymmetry that cannot be masked by the stronger limb compensating, the most reliable functional test for lower limb strength symmetry after injury.
05
Isokinetic Strength Testing
Measures muscle force at controlled movement speeds, providing the most accurate assessment of peak torque, power, and H:Q ratio across the full range of motion. The reference standard for return-to-sport strength clearance.
Mobility & Flexibility Assessment
Beyond just stretching, clinical tests that identify joint restrictions forcing other joints to compensate, creating injury risk throughout the kinetic chain.
A tight hip flexor doesn’t just limit hip extension, it tilts the pelvis anteriorly, reducing glute activation and overloading the lumbar spine. These tests find the restriction at its source, not its compensation site.
01
Thomas Test (Hip Flexor Tightness)
The clinical gold standard for hip flexor tightness assessment, identifying psoas and rectus femoris restriction that drives anterior pelvic tilt, reduces glute activation, and limits sprint mechanics in field sport athletes.
02
Ober's Test (IT Band Tightness)
Assesses iliotibial band and tensor fascia latae tightness, the primary cause of lateral knee pain (IT band syndrome) in runners and cycling athletes. Positive Ober's test predicts lateral knee pain before it becomes symptomatic.
03
Straight Leg Raise Test
Measures hamstring flexibility and neural tension, identifying restriction that reduces stride length, forces lumbar compensation during running, and elevates hamstring strain risk in sprint athletes.
04
Ankle Dorsiflexion Lunge Test
The most clinically validated measure of ankle dorsiflexion range, a restriction here forces compensatory knee valgus, increased forefoot strike, and elevated Achilles and patellar tendon load in every landing movement.
05
Shoulder Range of Motion Assessment
Comprehensive shoulder mobility screening measuring glenohumeral internal and external rotation, flexion, and abduction, critical for identifying rotator cuff injury risk and GIRD (glenohumeral internal rotation deficit) in overhead athletes.
06
Thoracic Spine Rotation Test
Measures upper back rotation range, restricted thoracic rotation forces the lumbar spine and shoulder to over-rotate, dramatically increasing injury risk in batting, bowling, racquet sports, and any throwing action.
Running Biomechanics Assessment
Evaluating running technique and movement efficiency, used for both injury risk identification and performance enhancement. Biomechanical running faults are responsible for the majority of overuse injuries in runners and field sport athletes.
Our gait analysis technology captures these faults at race pace, providing data that clinical observation alone cannot detect.
01
Running Gait Analysis
High-speed video and motion capture analysis of full running mechanics, identifying stride asymmetry, trunk lean, arm drive, and ground contact patterns that elevate injury risk and reduce running economy simultaneously.
02
Foot Strike Pattern Analysis
Identifies overstriding, excessive heel striking, or forefoot mechanics that increase braking force, knee stress, and Achilles load. Correcting foot strike can reduce injury risk and improve running economy in a single session.
03
Stride Length & Cadence Analysis
Measures step rate and stride length at multiple speeds, identifying the optimal cadence zone that minimises ground impact forces and maximises running efficiency for each individual runner's biomechanical profile.
04
Pelvic Drop Analysis
Measures contralateral pelvic drop during stance phase, a key predictor of iliotibial band syndrome, hip bursitis, and patellofemoral pain in distance runners. Driven by gluteus medius weakness, correctable with targeted strengthening.
05
Hip Stability Assessment During Running
Evaluates dynamic hip control at all phases of the running gait cycle, identifying the frontal and transverse plane instability that increases ACL, hamstring, and IT band injury risk in running and field sport athletes.
Jumping & Power Testing
Measuring explosive strength and power output, used both as a performance diagnostic and as a return-to-sport readiness measure.
The Reactive Strength Index (RSI) and Countermovement Jump (CMJ) are sensitive indicators of neuromuscular fatigue, training readiness, and the explosive power asymmetry that predicts injury risk in sprinting and jumping athletes.
01
Vertical Jump Test
Measures maximum vertical jump height, the most widely used indicator of lower limb explosive power. Side-to-side asymmetry reveals residual limb deficits; progressive testing tracks power development over training cycles.
02
Countermovement Jump (CMJ) Test
Measures the ability to use the stretch-shortening cycle, storing elastic energy on the downward phase and converting it to explosive upward power. CMJ asymmetry is a sensitive marker of neuromuscular fatigue and ACL-side power deficit.
03
Standing Broad Jump Test
Bilateral and single-leg horizontal power measurement, testing the explosive hip extension force that drives sprint acceleration. Asymmetry on the single-leg version is a primary return-to-sport criterion post hamstring or ACL injury.
04
Reactive Strength Index (RSI) Test
Measures jump height relative to ground contact time, the most sensitive indicator of stretch-shortening cycle efficiency, neuromuscular readiness, and tendon spring-stiffness. Low RSI predicts both overuse injury risk and performance limitation in sprinting athletes.
05
Drop Jump Test
Tests reactive strength and landing mechanics under high impact, simultaneously screening for ACL injury risk (through knee valgus analysis) and plyometric performance capacity. The most sport-specific jump assessment for field athletes.
Endurance & Aerobic Capacity Testing
Evaluating cardiovascular fitness and endurance capacity, measuring the energy system foundation that underpins all sustained athletic performance.
Poor cardiorespiratory fitness is not just a performance limitation, it is a fatigue-driven injury risk factor. Fatigued athletes move with worse mechanics, absorb less force, and make more errors. These tests quantify your engine.
01
VO₂ Max Test
Measures maximum oxygen uptake, the gold standard for cardiorespiratory fitness and aerobic power. VO₂ max benchmarking provides the most accurate picture of an athlete's aerobic ceiling and the headroom for endurance development.
02
Cooper 12-Minute Run Test
A field-based aerobic capacity test measuring the maximum distance covered in 12 minutes, providing a reliable VO₂ max estimate and aerobic baseline for team sport athletes without laboratory testing equipment.
03
Yo-Yo Intermittent Recovery Test
The gold standard fitness test for intermittent sport athletes, measuring the ability to recover between high-intensity bouts. Directly replicates the energy system demands of cricket, football, and kabaddi more accurately than any continuous running test.
04
Beep Test (Multi-Stage Fitness Test)
Progressive shuttle run test to volitional exhaustion, providing a field-based VO₂ max estimate and competitive comparison benchmark for team-sport athletes across age groups and competitive levels.
05
Lactate Threshold Testing
Identifies the exercise intensity at which lactate accumulation begins to exceed clearance, the most precise determinant of endurance training zones and race pacing strategy for distance athletes seeking to optimise their aerobic performance ceiling.
Our Screening Process
How We Turn Movement Data into a Competitive Advantage
A systematic, data-driven process, from comprehensive data collection to a corrective program that targets your specific deficits.
STEP 01
Comprehensive Data Collection
A 60–90 minute session using high-speed video analysis, clinical stress tests, force assessment, and functional movement testing across all relevant screening categories.
STEP 02
The Risk Map Report
A detailed breakdown of your movement score across all tested categories, highlighting Green Zones (safe), Amber Zones (moderate risk), and Red Zones (high risk requiring immediate correction).
STEP 03
Corrective Programming
Based on your Risk Map, we design a targeted exercise program to correct your specific deficits, whether mobility, strength, neuromuscular, or biomechanical, in the right sequence and priority order.
STEP 04
Periodic Re-Screening
Like a dental check-up for your movement. We re-screen every 3–6 months to track progress objectively, adjust for changing training loads, and ensure your risk profile improves over time, not just initially.
Book Your Movement Screening
Know Your Risk. Optimize Your Power.
Professional movement diagnostics for athletes in Mumbai.
Whether you want pre-season injury risk profiling, return-to-sport clearance, or a performance baseline, our 10-category screening program gives you the data your training has been missing.
Lifestyle Diseases: Frequently Asked Questions
The best time to fix a movement dysfunction is before it hurts. Most sports injuries are not sudden events, they are the result of weeks or months of accumulated micro-stress on a tissue that has been compensating for a movement fault. Screening identifies these “silent” compensations while there is still time to correct them without an injury occurring.
In our experience, fixing a movement fault proactively also produces an immediate boost in athletic performance, because the same inefficiency that was heading toward injury was also costing you speed, power, or endurance every session.
Standing on one leg is static balance, it tests whether you can hold a position. The Y-Balance Test is a dynamic stability challenge: you must maintain core and hip stability while simultaneously reaching your free leg as far as possible in three directions (anterior, posteromedial, and posterolateral).
This tests the full neuromuscular chain, hip abductor strength, ankle proprioception, core control, and dynamic postural stability, under a task demand that closely replicates real sport movement.
A reach asymmetry of more than 4cm between your left and right legs is a statistically significant predictor of lower-limb injury, a finding completely invisible in a simple single-leg balance test.
There is no “pass” or “fail”, only data. A below-threshold score on any test simply tells us exactly what your training needs to prioritise to make you a more resilient and more efficient athlete. If a Drop Jump test reveals knee valgus, that tells us your hip abductors and glute medius need targeted loading.
If the Hamstring:Quadriceps ratio is below 0.6, that tells us your hamstring strengthening program needs to be significantly more aggressive. Every Red Zone result on your Risk Map Report triggers a specific, targeted corrective exercise prescription, not a generic “do more glute work” recommendation.
The screening is not a judgment. It is a precise diagnostic map for making you better.
Return-to-sport testing is most valuable at two points: first, when you believe you are approximately 80–90% recovered (to identify remaining deficits before resuming full training), and second, when your surgeon or physiotherapist has given clinical clearance (to validate readiness with objective data before contact training or match exposure).
Clinical clearance from a surgeon is based primarily on time since surgery and tissue healing, it does not assess neuromuscular symmetry, reactive strength, or psychological readiness.
Research consistently shows that athletes who return to sport based on time alone have a 2–3 times higher re-injury rate than those cleared through objective testing.
At Activ Insight, we run the full hop test battery plus CMJ symmetry analysis to give you and your medical team a complete picture before you return to the field.
No. Movement screening is valuable at every level of sport, and arguably more important for recreational and club athletes than for professionals.
Elite athletes have access to daily physiotherapy, strength and conditioning coaches, and weekly monitoring. Club cricketers, weekend footballers, and recreational runners train hard without any of that infrastructure, which means their movement faults go undetected for much longer.
The same ACL risk predictor that matters for an India Under-19 cricketer matters equally for a 35-year-old who plays club cricket every weekend.
At Activ Insight, we screen athletes from school level to professional, and the data-driven approach is identical regardless of level.
A comprehensive movement screening session at Activ Insight takes 60–90 minutes. This includes a brief consultation to understand your sport, training history, and any previous injury background; the full battery of relevant screening tests from the applicable categories; and a preliminary discussion of key findings before you leave.
Your formal Risk Map Report is typically provided within 24–48 hours. Where relevant, the corrective exercise prescription is built into a follow-up session. If you require only a focused screening (e.g., return-to-sport hop testing only, or running gait analysis only), the session is typically 45–60 minutes.
A hospital physiotherapy assessment is designed to diagnose and treat an existing injury or complaint. It is reactive, you come in with pain, it identifies the structure involved, and it treats it. Activ Insight’s movement screening is proactive and performance-oriented, it quantifies how you move when you are not injured, identifies the specific mechanical and neuromuscular deficits that will become injuries if uncorrected, and produces a corrective program before the damage occurs.
We also use motion-capture technology and validated sport science assessment tools that go significantly beyond standard physiotherapy clinical testing, providing the same diagnostic rigour applied at the Olympic level, now accessible to every athlete in Mumbai.