For the last 12+yrs, I’ve certainly had my share of watching people (from grandmas to NFL players) move. I’ve run the entire spectrum of postural assessments and movement screens, from performing extensive (over 1hrs worth) of complex Physical Therapy based muscle testing to simply using 3-5 basic movements (a push, a pull, a squat, etc:), which takes only a few minutes.
In doing so, I’ve found that regardless of what movement screening or assessment system you feel works best for you – things almost always come out with these same results:
- Sub-optimal strength in the mid back muscles
- Sub-optimal strength in the glutes
- Lack of body awareness to create a stiff/ stable center (core) while the extremities (arms & legs) move.
- Lack of hip mobility
- Lack of thoracic spine mobility
- Lack of ankle mobility (less common as the above, but I still see it often enough to mention)
Now, I guarantee you that what I’ve just described covers about 90% of the clients you’re currently working with. The other 10% are folks with very specific, chronic/recurrent aches, pains, limitations and/or structural adaptations. All of which are beyond the scope of this post since those issues are usually beyond the job scope of practice of a fitness professional anyway. What I’m talking about here is your general fitness client who may or may not have some minor aches and pains that come and go, but they don’t need specific physical therapy. And they’re interested in becoming fitter, stronger and leaner ASAP!
Now, If I can just sit here, sight unseen and tell you almost exactly what you’ve found with your clients in an assessment. You have to ask yourself the same questions I asked myself some time ago:
- “Am I making things more complex than they need to be?”
- “Do I really need to do a complex, extensive assessment to create a great fitness program?”
- “How come I’m doing stuff that was designed for physical therapy when I’m a Personal trainer who works with fitness clients, not rehab patients?”
- “How much is my assessment really changing my program (as a trainer) if I’m just going to end up doing some version of Deadlifts, Turkish get Ups, Horizontal rows, planks, Thoracic spine mobility drills, Ankle mobility drills, etc: with everyone anyway?”
When I sat back and really looked at my approach I realized that as a fitness professional, people come to me to look better naked, outperform the competition and increase their own self image. That’s what sets me (the Fitness Professional) apart from Physical Therapists and it’s also what I’m way more qualified to do than a physical therapist since they take injured people and attempt to bring them back to normal. Where as I (the fitness pro) take “normal” folks and help them attempt to reach their physical potential. That’s my role as a trainer!
I’ve found myself using less and less assessments (No, I didn’t say “NO assessment”) and started taking the approach that I wanted find what my clients CAN do in an exercise setting, instead of what they can’t in a rehab type assessment. And, I don’t see any reason why I can’t (on day one) start some one out on a FITNESS program (that doesn’t treat them like a rehab patient) as long as I do the following:
- Get them off of their ass and moving (and burning calories)
- Keep them in pain free motions
- Keep them in what I deem to be good exercise form
- Encourage them to make movement a regular part of their life
- Work to reverses the sitting position
- Emphasize strength in the glutes and mid-back muscles
- Emphasize stability and stiffness from the center (the core) out
- Emphasize mobility in the Hips, Ankles and T-spine
Whether or not you choose to use an assessment – Or, what type of assessment you choose to use is not for me to say. But, I can tell you that based on the information I’ve provided you here, I do feel that if you simply apply a training approach, which covers the above – You’ll clear up most of the “issues” your clients present with by default, without much technical knowledge of physical therapy-ish techniques. Plus, you’ll certainly help your clients become fitter, leaner and stronger! So I’d never look down on a trainer who’s not comfortable with using assessments, nor would I pressure an individual into learning them as long as this trainer was willing to use some common sense and take the general approach to training their clients, which I’ve just described.
If we can all agree that:
- People don’t move enough (possibly because they’re plain lazy)
- They don’t get enough variety in movement (from always performing the same work or sporting movement pattern)
- They sit too much
- They’re overweight
- They’ve got Poor Postural habits
- They lack of a well balanced training program (from maybe performing too much chest strength work w/o much high-quality mid-back strength work, etc:)
Then we can also agree that these are simple problems, which have these simple solutions:
- Move more
- Sit less
- Loose that gut!
- Get a more balanced workout
- Get more variety of movement
- Enjoy moving so it becomes a regular part of your life
If you do all of these very simple and common sense things in your program, regardless of how you train or what you think you “know”. I can 100% guarantee that you’ll have much happier and healthier clients who not only look better, they’ll also feel better inside and out!
And, anything else that doesn’t improve from this training approach probably ain’t your job as a fitness professional to worryabout improving anyway.
.
I’d like to say a quick thanks to my man Juan Carlos Santana for inspiring this post with stuff that he was writing/talking about almost 10yrs ago.
.


























































great read YESSSSSSSSSS
I’m not a fitness professional, but I am an enthusiast, and also I’m very accurately described by your blind assessment. I find that only way to counteract 10-12h a day I spend in front of computer. Is to do an unbalanced workout so I do a lot more stretching on the hip flexors, and chest than on any other muscle group. I do a lot more mobility on my hips and t-spine than any other body part. And I do significantly more pulling than pushing. And I managed to not quite reverse my hunchback to the posture I use to have, but I did manage to stop the process and walk it back somewhat.
Best blog post I’ve read anywhere in a while. I think you hit the nail on the head. We are in the business of getting people moving but moving well.
Excellent post. I’m glad a respected trainer finally had the guts to post an article like this.. All I seem to see anymore is assess this, assess that, etc..
This is a great article Nick.
I like simple concepts because most of the time they work (and they don’t confuse my small brain)
Nice checklist for any trainer.
Great article and equally great advice. Thank you.
I absolutely agree with Nick. I think some trainers do fancy assessments to impress the client. I also agree with your previous post regarding trainers and certifications. right on!
Thanks Nick! Really appreciate the article and agree with the points you make! I have certainly moved away from drowning in the details of assessment and started focusing on clearing up the “usual suspects” and increasing activity.
Fantastic post. I’m so sick of what’s happening to the personal training profession. Why are we being encouraged to treat able bodied clients like rehab patients? Why are we being told to treat morbidly obese people for core stability issues? Why are we being told to act outside our expertise?
Nice post my friend. Yes, you are correct on your assessment of assessments. lol There is a pattern to movement and your experience has helped solidify that paradigm. In my world I must go deep on assessment for diagnosis, then I can transition the client to expert trainers. The primary factor I believe all fitness professionals should know before opening up the throttle on exercise is if the client has a fundamental mobility or stability (motor control) dysfunction…or a combination of both. The toolbox of exercise selection and program design changes with each one. Keep up the great work!
I both agree and disagree.
I’m not into the Paul Chek, make-a-specific-check-anterior-tilt-device or make-a-specific-check-thoracic-lumbar-curvature-device because I think it’s over kill and I can tell you in about 30 seconds if one of your hips is more internally and anteriorly rotated than another, without having to know the specific degree or angles of that tilt.
On the other end of the spectrum, I’ve watched as other fitness professionals around me basically generalize too much, and assume the same patterns are present in everybody. For instance, what happens when you have someone with a severe posterior pelvic tilt, more glute activation? Probably not…and this is something I’ve been seeing more frequently. It’s can be easy to assume that you should just do glute activation, mid-back activation, and t-spine mobility, even if someone doesn’t really need it.
I think an overlooked concept in assessments is ‘QUALITY.’ We try to quantify things too frequently, rather than relying on our senses and intuition, which are more often than not, correct. I’m a fan of utilizing an FMS type approach, 7 to 10 or so movements can tell you pretty much all I need to know to get started (though I’m not a fan of using the numbered quantitative system in it’s use), and then I assess as I go.
That’s just me though…
Hi Nick,
Great article and you’re absolutely right, 90% of people do present with the same issues.
One point I’d make in favour of a slightly more thorough assessment, (slightly, not hours and hours of the things), is that sometimes it helps the clients get behind your recommendations.
About four years ago, I ditched my existing assessments and would simply get a new client to pick something up of the floor, lunge to reach for something, pull something and push something. The whole process took maybe 5 minutes, but I could spot most issues. The challenge I found was that many clients expected something more from me. Something a little more structured and individualised. I also found that people questioned their programmes a lot more, regardless of the results they were getting.
So my point is, there are sometimes psychological and compliance factors that may warrant a more formal assessment. But, that said, you’ll still probably find all of the issues you’ve mentioned. I’d even go so far as to say, just focus on getting peoples butt’s stronger and progress from there.
Thank you as always for your insights.
Jeremy
@ScottSalbo. Absolutely bang on Scott. One of the things all great fit pro’s do is focus on the big rocks. Scapular depression issues place a distant second to 50lbs of unneccessary bodyfat.
And as Nick so eloquently says, we should be focussed on the clients wants, i.e. slimmer, flatter, fuller, faster, fitter, etc. Not many people get really motivated and excited by optimal external rotation of the shoulder, (apart from geeky PT’s like me).
Jeremy
I have just been looking through all of your warm-up series DVDs. Keeping in mind the common issues you have brought up, and noting injuries and diseases; do you think that if you go through a very competent warm-up, to give someone the best chance of movement success; and follow that up with coaching correct exercise technique; would this be sufficient; or are there some tests that you believe would be useful to customise the training to a particular person?
From a fitness professionals perspective what you have laid out here is sound advice. Working in the trenches as a fitness pro you tend to see PT’s using no assessment protocol or corrective exercise to those that use way to much and in essence to the extent that it really should be left to the professional therapist to administer. What you have written is sound common sense but as one of my old teachers use to say ‘the problem with common sense is it ain’t all that common’. Keep up the outstanding work.
Amen.
I feel that the current status of the industry is making things too damn complicated! I completely agree with your stance and have felt this way for quite some time now. I think it’s silly to perform an assessment on someone when it’s going to point out the obvious.
Total agreement, a screen simply reveals someones structure (modifiable??) and adaptive postures (modifiable!!). Work on balancing out the client and you will have success. I say go “macro” not “micro”!! Great Post Nick!!
Great post Nick. I like the way you think. – BC
[...] Though I’m a big believer in assessments, I can totally relate to what Nick Tumminello wrote in this insightful article about assessments HERE. [...]
Awesome stuff Nick! I have been beating myself up lately because my assessments aren’t what I deemed thorough enough. After reading your post and thinking about how good my clients’ form looked while performing split squats and deadlifts this morning, the self induced butt kicking is out the door! Thanks alot.
Brilliant post. I agree 100%.
Paul,
I too beat myself up about this same stuff for much too long. That is until I had some clarity, which I’ve had success with and wanted to share with my fitness family in the hopes of saving YOU from the same frustration and confusion I went through.
Thanks for your comments and I’m glad this post made a positive difference in your training and thought process!
Coach N
Or, maybe I think they way YOU think, Bret
Thanks bro!
Coach N
Right on, Nick. Coincidentally, as I was reading your post, a club member asked me about assessing his wife as a prospective gym member and client. I read out to him several of your comments. He thought for a few seconds, and said he would bring his wife into the gym so that we could get started.
Great stuff Nick! I remember JC talking about the difference between Physical Therapists and Personal Trainers about 8 years ago, it made sense then and makes even more sense now. Assessments are great but once a person becomes stronger, more flexible, and “more fit” many of the faulty movement patterns will improve because of intelligent program design.
This is a great post that may serve to illuminate the overreaction to assessments that is so prevalent today. It’s one thing to assess to help determine the cause of pain but using it to tell someone how weak they are or how much they suck never made sense to me. Nothing more than a clever strategy to create a need for your services. I do think the greatest value is to help create a roadmap but, as you said, I think many of us have a decent idea as to what people need.
Now if only everyone could write with this level of clarity, the world (and especially the fitness world) would be a better place.
I did a functional training session yesterday; I did squats and went for a run. Today I don’t expect to function quite as well as I am a little tired and sore
Keep up the good work,
George