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

Multi-DirectionalHard

Weighted Reach Diagonal Shift

Diagonal Shift

AM-DIAG-09

Setup / stance
Feet hip-width apart, weights in hands, knees soft
Clinical focus
Dynamic diagonal weight transfer with reach and upper limb load challenge
Patient instruction
Hold a weight in each hand. As the diagonal target appears, shift your body toward it and gently reach in that same direction. Return to center before moving to the next target. Keep your feet planted and control the reach instead of falling into it.
Therapist cue
Reach with the body under control, not with shoulder collapse
Primary metrics
Diagonal excursion, center return, load control, correction count
Progression / regression
Remove reach / increase reach distance or load
Safety / guarding
Close guarding recommended for overreach risk
Equipment
2 light ankle weights held in hands
Weighted Reach Diagonal Shift · ANVA Balance