ANVA Balance
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Setup, cueing and progressions are written out for this exercise.

Multi-DirectionalModerate-Hard

Weighted Diagonal Shift

Diagonal Shift

AM-DIAG-04

Setup / stance
Feet hip-width apart, weights at sides, knees soft
Clinical focus
Diagonal weight transfer with upper limb load challenge
Patient instruction
Hold a weight in each hand. Move the dot diagonally to the front-left target and return to center. Then move to the front-right target and return to center. Keep your feet planted and let your body shift, not just your arms.
Therapist cue
Watch for trunk collapse or shoulder-only movement
Primary metrics
Diagonal control, center return, load tolerance
Progression / regression
Remove weights / increase weight
Safety / guarding
Guard if patient overreaches diagonally
Equipment
2 ankle weights held in hands
Weighted Diagonal Shift · ANVA Balance