240. Movement Assessment Roundtable w/ Q Willey, Katie Dabrowski, and Chris Hughen

Movement assessments in rehabilitation and strength training often suffer from an over-reliance on biomechanical testing and pathoanatomical diagnosis, which can inadvertently pathologize normal movement and increase patient fear. Instead of prioritizing minute structural measurements, clinicians should emphasize thorough subjective history-taking and open communication to build trust and identify individual needs. Movement optimism—the belief that no movement is inherently dangerous—shifts the focus toward positive exposure and gradual loading. Because movement is a continuous variable, the most effective intervention involves active participation and iterative programming rather than rigid, static assessments. By fostering a collaborative environment between physical therapists and strength coaches, providers can better address patient goals, reduce barriers to activity, and prioritize the therapeutic relationship over unnecessary medicalization, ultimately helping individuals regain confidence in their physical capabilities.