Progressing the Push-up

Below is a post from Kevin Carr at Movement-as-medicine

Without a doubt the push-up is the most widely performed and well known exercise in the world.  Everywhere from jailyards to gym classes people are banging out push-ups and in all likelihood it was the first exercise you ever did. Even before you were training with the intent of getting big and strong you were doing them and you didn’t even know it.

Unfortunately, when looking around the internet or the average gym many push-ups I see leave much to be desired. The versatility and efficiency of the push-up makes it an unparalleled choice when it comes to developing upper body and core strength so don’t miss out on the benefits or risk injury by performing them with bad technique. Follow the progressions below and get your push-ups up to par.

Can You Do 1 Good Push-Up? 
When asked, everybody says “Yeah I can do push-ups” but in reality many push-ups I see are done poorly. The FMS Trunk Stability Push-Up screen provides us a standard of what a “good push-up” should look like and where our starting point should be in training.

Check out the video below where Steve Long, owner of Smart Group Training and Complete Fitness Results goes over how to score the FMS Trunk Stability Push-Up.

Depending on how your push-up looks you may want to choose a different starting point to train your push-ups.

0: Pain/NO PRESSING. Refer for medical treatment.

1: Regressed Push-Ups and Core Progressions

2: Regular Push-Ups

3: Regular Push-Ups, Loaded Push-Ups and Advanced Progressions


How To Progress To The Push-Up

1 on Trunk Stability Push-Up Screen

If you score a 1 on the trunk stability push-up screen it would be a good idea to train anterior trunk stability before training the push-up itself. I typically would progress through the following exercises to improve anterior core strength.

Front Plank

Stability Ball Rollout

Eccentric Incline Push-up with Adduction
The most basic teaching regression I use is the eccentric incline push-up. Inclining the torso by placing your hands on a barbell or bench reduces the core and upper body load making the exercise easier. Emphasizing the eccentric portion of the push-up slows down the movement helping to pattern the exercise.

Squeezing a pad between the legs can be a very effective coaching cue to improve core activation with clients who have trouble maintaining tension throughout the movement. The act of squeezing the pad activates the adductors  helping to facilitate core activation.

As core stability and upper body strength improves you will want to progressively lower the incline of the hands closer to floor level. A traditional squat rack makes for a perfect place to do this.

Eccentric Incline Push-Up

2 on Trunk Stability Push-Up Screen

If you score a 2 on the trunk stability push-up I would typically follow these progressions to perfect the movement pattern.

Bottoms Up Push-Up
The “bottoms up push-up” is a great progression to teach the client how to maintain torso stability. When I have clients who can only perform a couple of good push-ups before losing their form I have them perform this variation. The client must perform one rep at a time, de-loading and re-bracing in between each repetition. The act of consciously bracing from a dead stop one repetition at a time will train the client to brace more effectively.

Push-Up Hold

At this stage I also like programming isometric push-up holds. This variation is a great way to train both core stability  and upper body strength in clients who struggle to perform multiple reps of push-ups.

Standard Push-Up

3 on Trunk Stability Push Up Screen
If you score a 3 on the trunk stability push-up there are endless variations of advanced progressions you can use to train the push-up pattern. I personally prefer to program variations that uniquely challenge core and shoulder stability prior to variations that simply increase resistance.

With that being said, there is nothing wrong with loading up a push-up with some vests, chains, plates or bands. Variety is the spice of life, try out a bunch of different progressions and find the ones you like best.

Here are some of my favorite advanced push-up variations that I program for my clients and myself.

Decline Push-Up

Decline Bosu Push-Up

Ring Push-Up

Spiderman Push-Up

1 Arm Push-Up

Band Resisted Push-Up

1 Leg Push-Up

Mountain Climber Push-Up

External Loaded Push-Up

This post is from Kevin Carr at Mike Boyle Strength and Conditioning and Movement as Medicine. Click the link to see the original post and other articles from Kevin.