Core Exercise Selection and Progression
Domain 4: Core Exercise Selection and Progression
This domain tests matching exercises to the assessment and progressing the right variable.
Selection categories
- Anti-extension: dead bug, plank, rollout.
- Anti-rotation: Pallof press, bird dog with slow return.
- Anti-lateral flexion: suitcase carry, side plank.
- Flexion, extension, and rotation: controlled trunk movements when indicated.
- Hip hinge and carry: integrate core control with load.
Progression rules
Change one variable at a time: leverage, base of support, load, speed, range, unilateral stance, or complexity. Specificity matters-the exercise should resemble the demand. Place the hardest control task early in the session. Regress when technique, breathing, or pain worsens.
Worked example
A client can hold a dead bug with both feet on the floor but loses neutral spine when one leg extends. Progression: first heel taps with exhale, then contralateral arm and leg, then a longer lever, then light band resistance. Do not jump to a loaded rollout; the limiting factor is control, not strength.
Traps
- Adding load before control.
- Using crunches for every client.
- Ignoring anti-rotation and carry patterns.
- Progressing too many variables at once.