The catalog

Everything Flexa measures.

Seven assessments. One four-photo posture scan and six guided movements. Here is each one, what it looks at, and what Flexa takes from it.

7 assessments 4 posture photos 6 guided movements ~5 minutes
A woman in scrubs bending forward at home while her phone camera maps points along her spine, hips and knees

Posture

1 assessment · 4 photos
One of the four posture views the app captures

Standing posture scan

Stand tall and relaxed while the app takes four photos: front, back, left side, right side.

What it looks at

Where your head, shoulders, ribcage, hips, knees and feet sit when you are not trying. Side by side, the four views show tilt, rotation and shift, left to right and front to back.

What Flexa takes from it

Joint positions and angles: your resting shape, and which way your frame is leaning and turning before any movement happens. It is the baseline every movement result is compared against.

Movement

6 assessments · guided on camera

Deep squat

Feet flat, arms forward, lower down as far as you comfortably can.

What it looks at

How deep you can go, how your ankles, knees and hips share the work, and whether your chest stays up or folds forward on the way down.

What the Neural Code takes from it

Whether you load front or back, and how evenly you load left and right, under your own body weight.

Tightrope lunge

Step one foot directly in front of the other, as if on a line, and lower.

What it looks at

Balance on a narrow base, how far your hips open, and how much your knee drifts in or out as you lower, one side at a time.

What the Neural Code takes from it

The left-to-right difference. This is where a side that has been quietly doing more work usually shows up.

Step-over

Lift one leg over an imaginary hurdle and set it down, keeping your torso quiet.

What it looks at

Whether your hips stay level while one leg does the work, and how much your upper body has to swing to get the leg across.

What the Neural Code takes from it

How well you hold a steady middle when only one leg is on the ground. This is the pattern behind most walking and stair complaints.

Torso rotation

Keep your hips facing forward and turn your upper body to each side.

What it looks at

How far you turn each way, and whether your hips or feet cheat the turn.

What the Neural Code takes from it

Which direction your ribcage prefers. A turn that is easy one way and stiff the other is a strong pattern signal.

Back bend

Reach overhead and lean back as far as feels comfortable.

What it looks at

Where the bend comes from, whether your upper back opens or your low back does all the work, and how far your arms get overhead.

What the Neural Code takes from it

How your ribcage and low back divide the job of extending. Uneven sharing here is one of the most common findings.

Toe touch

Feet together, knees soft, reach down toward your toes.

What it looks at

How your spine rounds along its length, how far your hips fold, and whether your weight travels forward or back over your feet.

What the Neural Code takes from it

Where movement is coming from and where it is missing. This is the clearest read on how the front and back of your body are sharing the load.

What happens next

The Neural Code, a pattern-recognition engine created by neuroscientist Dr. Sheila Nirenberg (Cornell, MacArthur Fellow), licensed to Spiral Health for movement assessment, reads your six movement results and picks which of eight movement patterns best describes your body. Your daily program follows from that.

Flexa uses your camera two ways. The four posture photos become joint positions and angles, essentially geometry. The six guided movements are read by the Neural Code, which classifies how you move into one of eight movement patterns. Both feed the program Flexa builds for you. Full processing and retention details are in our privacy policy. Fully on-device processing, our "Privacy Airlock" architecture, is in active development and not shipping today.

Over time

Re-take it, and watch the numbers move.

You can repeat the seven assessments whenever you like, so progress is measured against your own baseline. Alongside them, Flexa asks the same questions clinical researchers ask.

NPRSNumeric Pain Rating Scale, the standard 0–10 pain measure, captured at regular check-ins
ODIOswestry Disability Index for the lower back — we use the employment variant of item 10
NDINeck Disability Index, the reference measure for how neck pain limits everyday activity
QuickDASHQuick Disabilities of the Arm, Shoulder and Hand, for upper-limb function
HIT-6Headache Impact Test, for how much headache interferes with daily life
PHQ-4Patient Health Questionnaire, screening mood and anxiety — both track with persistent pain

Where a validated instrument exists for a region, we use it. Where one does not, we use our own ten-item function scales — hip, knee, ankle, lower extremity and upper back — scored the same way every time so your change over time is meaningful. We do not present those as validated instruments, because they are not: they are ours, and we say so.

Evidence

Three tiers, never blended.

Wellness marketing has an evidence problem: borrowed studies and blurred attribution. Here is exactly whose result is whose.

Tier 1 · The method

The movement method has a published randomized trial.

Flexa delivers an integrated postural and movement therapy method. The primary source is The SPINE CARE Randomized Clinical Trial: 2,971 people across 33 centers, whose individualized postural therapy arm delivered this method in person.

These results belong to the method and the clinicians who delivered it. The trial ran before the Flexa app existed. Flexa is how the method reaches your phone.

Source: The SPINE CARE Randomized Clinical Trial, JAMA, 2022, linked above.

Tier 2 · The category

Other companies' published figures stay theirs.

Where we reference digital musculoskeletal results from other programs, such as Hinge Health's reported 2.4× ROI or Sword Health's reported 3.2:1, those are their published figures about their own programs, cited for market context only. They are not claims about Flexa.

Sources: the respective companies' public disclosures.

Tier 3 · Flexa itself

Our own studies are in progress.

Flexa's product-level outcome studies are under way. Until they publish, we do not claim product-level clinical results. What we can say today is that every member's progress is captured on validated instruments, so the evidence base is being built into the product.

Status: in progress. This page will be updated as results publish.

What Flexa is

Flexa is a wellness product, not a medical device. It assesses how you move, builds a personalized movement program, and coaches you through it. It does not diagnose, treat, or cure any condition, and nothing on this page should be read as a claim that it does.

Judge for yourself

The best evidence is your own baseline.

Take the seven assessments today. Take them again in a month.