Youth Sports Physical Therapy — Do High School Athletes Need a Movement Screen?

Greg Goldberger • September 17, 2026

It's not a physical, and it's not treatment — a movement screen sits in between, and for a lot of young athletes it catches problems before they become injuries.

Every fall, parents across Jacksonville and St. Johns County take their high schoolers in for a sports physical — the standard clearance most schools require before an athlete can practice. It's a valuable checkpoint, but it's not designed to answer a specific question a lot of parents are actually asking: is my kid's body ready for the physical demands of this season?


What a Sports Physical Does (and Doesn't) Cover

A pre-participation sports physical exam is genuinely useful for screening potential problems, and it's often the only medical encounter some adolescent athletes have all year. But it's largely built to catch medical red flags — heart conditions, past concussions, general health clearance — not to evaluate movement quality, strength asymmetries, or mobility restrictions that don't show up as a diagnosable condition but absolutely show up once an athlete is under real athletic load.

That's the gap a movement screen fills.


What a Movement Screen Actually Checks

A movement screen looks at how an athlete actually moves — squatting, lunging, rotating, landing from a jump — to identify things like:

  • Asymmetries between the left and right side (a common precursor to overuse injuries, since the body compensates by overloading one side)
  • Limited hip or ankle mobility that forces compensation through the knee or lower back during running and cutting
  • Strength deficits in the areas most responsible for controlling landing and deceleration — often the hips and core
  • Movement patterns that place unusual stress on a growing athlete's joints, which matters more in adolescents than adults given still-developing bone and growth plates


Because young athletes' bones, muscles, and joints are still developing, they can experience different types of injuries than adult athletes — which is part of why a screen designed for a still-growing body matters, rather than applying adult standards to a 15-year-old.


Why This Matters More Going Into Two-a-Days

Two-a-days ask a lot of an athlete's body in a very short window. A movement screen done before the season starts can flag exactly the kind of asymmetry or limitation that turns into a strain once full-contact, twice-daily practices begin — while there's still time to address it.


Being in proper physical condition to play a sport, supported by a pre-participation screening that catches potential problems, is one of the most effective strategies coaches, parents, and athletes have for preventing sports injuries.


What Happens If the Screen Finds Something

Finding a limitation doesn't mean an athlete can't play — it means there's a specific, addressable target for a few weeks of focused work before or during the season. Most issues caught in a movement screen are correctable with targeted mobility or strength work, not a reason to sit out. The value is in catching it in August or September, rather than finding out about it in October when it's already an injury.


Want to know if your athlete is actually ready for the physical demands of this season — not just medically cleared, but movement-ready? Book a Discovery Call with Movement Driven before two-a-days or full-contact practice ramps up.

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