Movement Screens (FMS): Trunk Stability Push-Up

Purpose: This test evaluates the ability to maintain a stable spine while performing a symmetrical upper body, closed kinetic chain, pushing movement. Note any extension and rotation compensations as these indicate stabilizer activation before prime movers engage.  

Equipment: Screening Kit

Procedure:   

• Instruct the client to get into a prone position with their arms extended overhead. 
• Male - begin with thumbs above their forehead. 
• Female begin with thumbs at chin. 
• Make sure that his/her knees are extended and feet are perpendicular to the floor. 
• Instruct the client to perform a pushup, lifting the body, and maintaining a stable spine.
• Perform test on each side up to 3 times and record best score. 
• Press-Up Clearing Test - Instruct the client to perform a press-up in a similar position as a pushup.

Scoring: Male

0.  Pain is associated while performing the movement

1.  Incorrect repetition with thumbs at chin

2.  Correct repetition with thumbs aligned at the chin, and the body lifts as a unit with no lag in the spine

3.  Correct repetition with thumbs aligned at the top of forehead, and the body lifts as a unit with no lag in the spine

Scoring: Female

0.  Pain is associated while performing the movement

1.  Incorrect repetition with thumbs at clavicle

2.  Correct repetition with thumbs aligned at the clavicle, and the body lifts as a unit with no lag in the spine

3.  Correct repetition with thumbs aligned at the chin, and the body lifts as a unit with no lag in the spine