Clinical Protocol

From Day One to Month Six

A repeatable, documented clinical protocol โ€” from first baseline to measurable outcomes. Eight service lines. One platform.

Our Services

Everything StretchE brings to your workplace

Physiotherapy
Floor Walks
Wellness Artwork
Postural Assessment
Footwear Assessment
Gym Management

One-to-One Physiotherapy Sessions

The clinical core of StretchE. Every session is preceded by an individual baseline assessment โ€” no two employees receive the same plan. Active or passive stretching is chosen based on clinical findings.

The 9-Step Baseline Protocol

1
Employee Profile
Demographics, BMI, BMR, TDEE, work mode, medical history, existing conditions.
2
Work & Ergonomic Profile
Sitting hours, screen time, workstation type, exercise frequency, sleep quality, stress rating.
3
Pain Assessment (NPRS)
Region-by-region pain mapping across the full musculoskeletal body. Average and peak pain recorded.
4
Range of Motion
Goniometric measurement of 12 joint movements, bilateral, with normal-range comparison.
5
Muscle Tightness
Hip flexors, hamstrings, calves, chest, cervical muscles โ€” assessed bilaterally.
6
Postural Observation
Multi-region visual screening with clinical classification per region.
7
Functional Movement (FMS)
7-movement quality scoring on 0โ€“3 scale. Asymmetry flagged per movement.
8
First Session Log
Stretches, interventions, pre/post pain scores, outcomes โ€” all documented in real time.
9
Baseline Report
Insurance-compatible report generated on the day. Printable and emailable.

Session Types

  • Passive stretching โ€” therapist-administered, for capsular and soft tissue restriction
  • Active assisted stretching โ€” employee-led with therapist guidance and overpressure
  • Manual therapy โ€” myofascial release, soft tissue mobilisation, joint mobilisation
  • Home programme โ€” carry-over exercises between sessions
Example โ€” STR-2026-NEW01: Sparsh Jhanginiya, 189cm / 87kg, BMI 24.4, Work from office. MSK Risk 31/100. 6 ROM restrictions. FMS 100%. Cervical pain 6โ†’3 in first session. Prescribed: Cervical retraction, 30s ร— 3 sets.

Suggested Reassessment Cadence

  • Week 1 โ†’ Baseline + Session 1
  • Sessions 2โ€“3 โ†’ Focused spot-check
  • Session 4 โ†’ Full reassessment
  • Week 8 โ†’ Comprehensive HR review report

Floor Walks & Drop-In Engagement

Therapists move through the office floor with a structured protocol โ€” stopping at workstations for brief, non-disruptive interventions. These aren't social visits. They're clinical touchpoints that create a passive intake pipeline.

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Desk-Side Posture Check
Observed seated position, monitor height, keyboard placement, foot contact. Verbal correction given on the spot. Notable findings logged.
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1โ€“3 Minute Movement Break
Guided stretch or movement cue for neck, wrists, shoulders, or lower back โ€” performed at the desk, no equipment needed.
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Symptom Enquiry
Informal pain screening that flags employees who need a formal session but haven't booked. Feeds the weekly schedule.
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Handout or QR Prompt
Employees receive a movement card or QR linking to stretch content โ€” connecting the floor walk to the broader programme.
Clinical value: Floor walk observations are logged in the therapist's daily notes. Employees flagged for follow-up are added to the session schedule. Typically 45โ€“60 minute block per deployment day.

Wellness Artwork & Visual Programmes

Clinically accurate, visually clear, behaviour-prompting materials created by physiotherapists for a corporate aesthetic. These aren't motivational posters โ€” they do real clinical work.

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Stretch Break Posters

Illustrated guides for the most common desk-worker stretches โ€” cervical, shoulder, thoracic, hip, wrist. Sized for corridors, lobbies, and kitchens.

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Movement Break Cards

A4/A5 laminated cards at workstations โ€” a 3-movement sequence, 90 seconds. Refreshed quarterly. QR code links to a guided video version.

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Eye Exercise Charts

Green Chart: Restful green background with focus-shift and tracking exercises. Green wavelengths (~532nm) cause less retinal fatigue than blue-spectrum screens.

Name-Writing Chart: Employees trace the outline of their name with eye movements only โ€” training smooth pursuit and convergence.

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Ergonomic Guides

Printed or digital workstation setup guides โ€” monitor height, chair height, keyboard distance, lumbar support โ€” for desks or onboarding packs.

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Custom Co-Branding

All materials produced in StretchE's clinical-wellness visual language and co-branded with your organisation's identity. Content is clinically reviewed before print.

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Placement Strategy

We advise on optimal placement โ€” lift lobbies, kitchen walls, corridor midpoints โ€” to maximise daily exposure without cluttering your workspace.

Postural Assessment

Structured, bilateral, multi-region screening using clinical classification criteria โ€” conducted at baseline and repeated at every full reassessment.

RegionWhat We ObserveClinical Classification
Head & NeckForward head position, lateral tilt, rotationFHP grading, cervical lordosis classification
ShouldersHeight symmetry, protraction/retraction, internal rotationRounded shoulder grading
Thoracic SpineKyphosis, lateral curve (scoliotic tendency)Cobb angle estimation, visual kyphosis grading
Lumbar SpineLordosis, posterior pelvic shiftHypo / hyper / normal classification
PelvisAnterior / posterior pelvic tilt, lateral tiltPelvic tilt grading
Lower LimbKnee alignment (valgus/varus), foot arch positionNavicular drop, visual alignment
Why it matters: Forward head posture alone increases effective cervical spine load by 4โ€“5ร— for every inch of forward displacement (Hansraj, 2014). Catching it at a 2 cm deviation prevents the 5 cm deviation that generates symptoms.

Feet & Footwear Assessment

Foot mechanics and footwear mismatch are significant contributors to knee, hip, and lumbar MSK load โ€” almost universally overlooked in corporate settings.

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Employee & Footwear Profile

Work environment, daily standing hours, surface type, current footwear brand, heel height, and shoe age documented before hands-on assessment.

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Foot Mechanics Screening

Arch type (navicular drop test), toe alignment, heel alignment, plantar callus pattern, and ankle dorsiflexion ROM โ€” all assessed bilaterally.

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Footwear Evaluation

Heel height, toe box width, midsole cushioning, arch support, heel counter rigidity, sole flexibility, and wear pattern โ€” each evaluated against the employee's foot profile.

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MSK Risk Scoring

Scored risk assessment based on mismatch between foot mechanics and current footwear: Low / Moderate / High footwear-related MSK risk.

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Shoe Profile Recommendation

Ideal heel height, arch support type, toe box specification, cushioning requirement, and whether orthotics should be considered โ€” with referral pathway if indicated.

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Assessment Report

Structured Footwear Summary โ€” findings, risk score, and shoe recommendations โ€” included in the employee's StretchE record and shareable as a standalone print.

StretchE does not endorse specific footwear brands. Recommendations describe functional specifications the employee should look for when purchasing.

Gym Management & Programme Design

Most corporate gyms underperform โ€” equipment is used incorrectly, programmes are absent, and unsupervised use carries real injury risk. StretchE turns your existing infrastructure into a clinically supervised resource.

  • Equipment Audit & Risk Review โ€” condition, placement, safety compliance, alignment with the employee population
  • Population-Appropriate Programming โ€” desk-worker focus: postural activation, anti-rotation core, scapular stability, low-impact cardio. Tiered by level.
  • Supervised Sessions โ€” therapist present to guide programme, correct form, align exercise with clinical findings
  • Clinical Records Integration โ€” gym programme aligned to each employee's StretchE baseline (anterior pelvic tilt โ†’ glute activation, not more hip flexors)
  • Monthly Utilisation Report โ€” headcount, frequency, adherence, and clinical observations for HR

Why clinical gym management matters

An employee with anterior pelvic tilt guided toward squats without clinical context loads a dysfunction under resistance. StretchE bridges the gap between what the gym offers and what each body needs โ€” ensuring the gym serves the clinical programme, not against it.

See it in action at your premises

Book a demo visit โ€” one therapist, one session, your employees. Experience the full baseline protocol first-hand.

Schedule a Demo Visit โ†’