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imalPat
ter
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Movements
ANeurodev
elopmental
Appr
oachtoCondi
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ng
Primal Pattern®
Movements
A Neurodevelopmental Approach to Conditioning
by
Paul Chek
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Primal Pattern® Movements -
A Neurodevelopmental Approach to Conditioning
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protected under international copyright law. Without limiting the rights
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without the prior written permission of the copyright owner, Paul Chek,
or the publisher, C.H.E.K Institute.
C.H.E.K Institute
San Diego, CA, USA
800.552.8789
info@chekinstitute.com
www.chekinstitute.com
Chek, Paul W.
Warning - Disclaimer
The workouts and other health-related activities described in this publica-
tion and program presented by the C.H.E.K Institute were developed by the
author to be used as an adjunct to improved strengthening, conditioning,
health and fitness. These programs may not be appropriate for everyone. All
individuals, especially those who suffer from any disease or are recovering
from any injury, should consult their physician regarding the advisability of
undertaking any of the activities suggested in these programs. The author
has been painstaking in his research. However, he is neither responsible nor
liable for any harm or injury resulting from this program or the use of the
exercises or exercise devices described herein.
The information presented in this, or any C.H.E.K Institute publication, seminar, video, DVD or course is the
sole property of the author. Copying this material in any form whatsoever is strictly prohibited without written
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4. Any C.H.E.K Institute materials or concepts may not be sold, published or made part of any program for
which a fee is charged without the prior written permission of the author.
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Please Note: If you are part of the course sharing program you will need your own manual
with registration number. THIS NUMBER CAN ONLY BE USED ONCE.
Registration Number:
PLEASE NOTE
*If you have taken this course as a live seminar and you wish to use it as
a prerequisite for the C.H.E.K Institute’s Advanced Training Programs,
then you will need to complete the exam. Please see page 49 for
information on submitting the exam.
*If you purchased this course through the C.H.E.K Institute e-Learning
Platform, you will need to log into your account and take the exam
online.
Contents
REFERENCES ............................................................................................................................. 48
HOW TO COMPLETE YOUR EXAM ........................................................................................ 49
CORRESPONDENCE COURSE EXAM .................................................................................... 51
ANSWER SHEET ........................................................................................................................ 59
GRADING REQUEST ................................................................................................................ 61
REQUEST FOR PAPER CERTIFICATE ..................................................................................... 63
COURSE CRITIQUE .................................................................................................................. 65
REQUEST FOR TESTIMONIALS .............................................................................................. 67
PAUL CHEK BIOGRAPHY ........................................................................................................ 69
www.chekinstitute.com Ph: 760.477.2620 or 800.552.8789 380 S. Melrose Dr, Ste 415
5
educate@chekinstitute.com Fax: 760.477.2630 Vista CA 92081, USA
Primal Pattern® Movements
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To maximize your learning potential, it is recommended that you complete the course in the following
manner:
1. Review the DVDs. The first time through, just watch, listen and absorb the information.
2. At this point, you should read the exam thoroughly. The purpose is not only to pass the exam, but also to
be proficient in applying the techniques. The exam questions will help direct your attention to important
concepts and information.
4. The second time through the DVDs, follow along in the manual and take notes! It is recommended that
you stop the DVD – rewind and review – as often as necessary to clarify points that you may not under-
stand.
5. Perform all the assessments and exercises you are capable of performing with good form. Repeat this pro-
cess at least twice - not necessarily on the same day - and if possible, also practice them on a willing friend
or family member.
6. Now that you have viewed the instructional DVDs twice and have read the exam, it’s time to take the
exam. Instructions for completing the exam are found on pages 49-50. The purpose of this correspondence
course is not to trick you, but to make sure that you are proficient in the areas of knowledge presented.
The exam is designed to direct your attention to the areas of importance. The exam is designed to be taken
online; the exam in the back of this manual is for you to practice on and keep for reference.
7. If you cannot take the exam online for any reason, you may complete the exam in the manual and return
the exam answer sheet and grading request sheet via mail, email or fax to:
C.H.E.K Institute
Exam Grading
380 S. Melrose Dr, Ste 415
Vista, CA 92081
USA
Please note: there is an additional fee for submitting your test to be graded by hand. Please see page 61 for
details.
Course Objectives
1. Recognize the need for a holistic approach to developing optimal resiliency of the body.
• Realize that exercise is stress and the stress-structure relationship must be respected.
• Realize that the strength of any structure is dictated by the quality and strength of the materials it is
composed of.
2. Understand the difference between an allopathic (isolationist) and holistic (integrative) approach to reha-
bilitation and exercise.
3. Appreciate the software programming vs. hardware building approach to rehabilitation and exercise.
4. Understand the importance of a base conditioning program and what such programs should address.
7. Learn what biomotor abilities are and how to best address them in your exercise programs.
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High-tech or Low-tech?
Today, we have more technology than ever before. There are gadgets to test everything and a pill to “cure” just
about anything that ails us. The problem is that these items don’t seem to be helping. If anything, the declining
health of our race as a whole is due to these so called “advances.”
Since the advent of the microscope, the health of humans has for the most part declined. Medical professionals
today are trained in high-tech quantitative assessment techniques. Unfortunately, many of the basic, holistic
approaches—that have been used for centuries—have been forgotten about.
There are more doctors, physical therapists, chiropractors and nutritionists per capita than ever.1 Research and
reports from traditional sources would like us to believe that orthopedic injuries have declined and that our
health is better. However, if you look at alternative reports the opposite appears to be true. Figures on degenera-
tive diseases show that the rates are skyrocketing. Why is this? The state of health today is a definite sign that
something is wrong with the current approach of the medical field—which is to treat the symptom, not to find
the cause of the symptom.
The good news is that there is a trend toward alternative health. As the public
is becoming more aware of the issues we are facing, they are putting their trust
in allied practitioners over traditional doctors and therapists.
One of the current problems in the field of rehabilitation is the isolation ap-
proach that is used by most therapists. If someone injures a knee, the doctor
works on the knee. Instead, they should determine if there is an imbalance
elsewhere in the body that led to the injury to the knee.
ISOLATION = SPECIALIZATION
Each piece of the body fits together neurologically, chemically, mentally and
physically. Today there are specialists for all the separate parts of the body. As
we have become overly specialized, we have lost sight of what really makes
people better. Specialists should be used when the software (diet and organs)
and hardware (physical body) are working.
Figure 1: Each piece of the body
fits together
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If a bicycle wheel is out of alignment, you need to tighten the loose spokes and loosen the tight ones. The same
is true with the body. You need to tighten (strengthen) the loose muscles and loosen (stretch) the tight ones. An-
other good analogy is that of a suspension bridge with cracks. If you just weld the cracks, but don’t analyze the
balance of the structure, cracks will keep occurring. When you “treat” the body, you need to assess the structure
before you load it, to prevent future breakdown.
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Everyone is unique. You cannot successfully treat the same problems with one approach every time. You must
consider the individual software of each client when treating the hardware.
“Give a man a fish (treatment), you feed him for a day. Teach a man to fish (coach),
feed him for a lifetime."
We need to stop treating clients and start coaching them. If you don’t evaluate your clients,
you are just guessing when you write a program.
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Good Materials
The quality of our food supply is dependent on the quality of the soil. Many people think of dirt as dead (only
conventionally farmed soils may be dead). This is far from true. In half a teaspoon of organic soil there are over
10 million living organisms. These organisms are there to improve the quality of the soil and the plants that
grow in the soil. A huge problem today is the overuse of pesticides, herbicides, fungicides and chemical fertilizers
- all of which kill these important microorganisms. One of the important tasks these friendly microorganisms
perform is the production of vitamin B12. Without adequate B12, you will likely become anemic and suffer
from fatigue.
Plants are only as healthy as the soil they grow in. Or-
ganic plants have been found to display better struc-
ture, are more disease resistant and have higher quality
proteins than plants grown conventionally (with pesti-
cides, herbicides, fungicides and chemical fertilizers).
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The best materials lead to peak performance. Poor materials lead to poor structure
and decreased performance.
The rats in the Hunza group were fed this diet for two
years, equivalent to 50 rat years. They grew well. There
was little disease among them, and they lived happily
together.
The results for the group fed the English diet were quite different. Rats on the English diet did not grow as well
as those on the Hunza diet, became ill and violent. By the 16th day of the experiment, the stronger rats began
to kill and eat the weaker rats. The diseases suffered from these rats included: diseases of the lungs, stomach,
intestines and nerves. Interestingly, these were the same diseases that one in every three sick persons among the
insured classes in England and Wales suffered during the same time period.2
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Base Conditioning
Any rehabilitation program should begin with a base conditioning phase. The base conditioning phase of a
program is the foundation for the specificity phases. If you do not set a good base, you will not achieve your
desired results in the long run.
Some clients will achieve short-term results on an ill-prescribed program. Just because a client is losing fat does
not mean they are on a good program. They may be thin, but if their bodies are beat-up and in pain, their pro-
gram was not effective.
In martial arts, a white belt starts off with stretching, calisthenics and basic moves. This is in preparation for the
increased physical and mental demands of the progressive levels. After time and grading, they are then able to
progress to more complicated moves and perform them at higher speeds.
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6. Address relevant biomotor deficiencies. Most people train what they are good at, reinforcing imbalances.
Instead, we should focus on improving the patterns clients are weak in.
7. Prepare for specific conditioning. Most programs start at this point, skipping the much needed base condi-
tioning and transition phases.
Programming Tip: Your base conditioning programs should build towards the end product, preparing the cli-
ent for their specificity phases.
Motor Engram
A series of processes or commands associated with any cognitive goal or task. Once automatic, an en-
gram is expressed at the subconscious level.
A physical habit or memory trace made on the protoplasm of an organism by the repetition of stimuli.4
Technically, an engram is associated with cognitive tasks. The brain needs some cognitive awareness to perform
these functions. For example, when you pick up a grocery bag, you may not consciously think, “pick up the
grocery bag,” but from experience your brain puts that command through and your body will respond accord-
ingly. The more specific a command, the quicker the brain can act.
The more frequently you perform an action, the quicker you react to that command. This is because patterns
that are performed frequently are progressively stored at the spinal cord level, not in the brain.
Examples: A boxer who is knocked unconscious may remain on his feet and fight because the patterns he uses
to fight are base reflexes and come directly from the spinal cord. This is the same phenomenon that occurs when
a chicken runs around after its head is chopped off. The body is functioning at a subconscious level, performing
basic patterns that it is familiar with.
An engram is formed progressively through repetition. It takes 300-350 reps to develop a new engram.5 Clini-
cal experience suggests that to override a faulty engram takes 3500-5000 reps. Therefore it is much easier to
learn the skill correctly the first time than to have to go back and correct a poor engram. Because engrams are
progressively stored at the spinal cord level, the more you perform a specific pattern, the easier it will become.
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Relevant reflex information is needed to maintain balance. Humans are designed to function in a three-dimen-
sional environment to do what we need to do to survive. We are not designed to sit in chairs all day or train on
gym equipment.
In the past, the sport of bodybuilding was about health, but now it’s focus in on looking good on the outside.
The equipment bodybuilders use to achieve their asthetic goals does not train the necessary reflexes or stabilizer
systems that improve functional movements.
Programming Tip: When prescribing exercises, you need to consider which reflexes are dominant for your
client in his work and/or sports environments. Many people will require strength in both types of reflexes. You
must then determine if he needs to focus on one over the other, due to a weakness or by requirement.
A righting reflex is used to keep the body upright when moving across a stable object, such as a street
curb or balance beam.
A tilting or equilibrium reflex, is used to keep your body upright when atop a moving object or
surface, such as a moving sidewalk at the airport or water skis.
1. An example of a sport that requires a tighting reflex is tennis. The game is played
on a stable surface.
Center of
Gravity
An example of a sport that requires tilting reflexes is water skiing. There are several
influences that affect balance in this sport: the water, the boat and a constantly
changing surface. Your body has to integrate all this information from the environ-
ment to develop a reaction. Your response must occur at a reflex level - be automatic
- or you will not be able to stay upright.
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An excellent exercise to train tilting reflexes is the Single Arm Press on a Swiss ball (Figure 8 on page 22). The
center of gravity during this exercise is away from the body, providing a constant challenge to the postural sys-
tem.
Maintenance of your own center of gravity over your own base of support involves:
• Segmental stabilizer activation
• Gross stabilizer activation
• Static postural component
• Dynamic postural component
10,000 years ago, if you broke a leg, you would probably die. We are therefore designed not to fall. Our modern
lifestyles, unfortunately, do not necessitate the athleticism required up until the last 50 years or so. People are
much less active, and thus a lot less functional than they should be.
Machines in the gym just compound this problem. People may be developing individual muscles, but they are
not strong functionally. While the improved confidence people acquire from machine based training may be
good for them emotionally, it can lead to injury in situations requiring functional strength. Many individuals
take on tasks that they think their bodies can handle (such as carrying a heavy box or piece of equipment for an
extended distance), because they feel strong, but in reality their body cannot handle the load properly and they
end up injured.
Researchers have shown through controlled studies that the muscles of the Inner Unit (multifidus, diaphragm,
pelvic floor and TVA) fire prior to the larger Outer Unit muscles. Whenever the brain is cognitively tasked
with a motor command, there is a feed forward, or preceding command, to the core muscles to stiffen the axial
skeleton in preparation for movement. As any movement skill is refined through practice, the feed forward com-
mand may also be improved with repetition, resulting in improved performance.6
Extrinsic load: A load generated from an outside source on the body, for example a punch in boxing.
Intrinsic load: A load generated from within the body, such as muscle tension from poor posture or
activation of a muscle or muscles.
The brain has to send information out before movement begins. Once a signal has been sent down the cortico-
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spinal tracts, or the movement begins, no adjustments can occur. For example, if you take a poor swing in golf,
you will often know before you hit the ball. However, at that point it is too late to change the motion.
In a closed response system, you do have time to make adjustments. An example of this is when driving a car. If
you feel the car drifting off the road, you can adjust the steering wheel and bring the car back on track.
Most movements within our bodies are on a feed forward system. The body estimates what response is needed
and reacts accordingly. Stabilization must precede force generation. If the body does not stabilize properly, in-
creased torsion, compression and shear will most likely result. Insufficient stability will lead to injury. This is the
rationale behind the statement, “You can’t fire a cannon from a canoe.”
The body calculates intrinsic and extrinsic loads very quickly. The only way to correctly select the optimal path-
way is proper training in a similar environment that requires similar responses. The training demands must be
comparatively similar to the environment of execution or transfer is limited or non-existent.
Dynamic posture: The ability to maintain an optimal instantaneous axis of rotation in any/all
working joints in any spatial/temporal combination.
If you don’t have optimal feed forward recruitment of your stabilizer system, your ability to maintain optimal
instantaneous axis of rotation in working joints is going to be deficient. The job of the stabilizer system is to keep
joints from derangement or self-destruction.
If recruitment of stabilizers is correct, a concentric axis of rotation will result and ideal rotation occurs. If not,
an eccentric rotation results. An example is lateral tracking of the patella in a runner due to instability of the
pelvis and/or knee joint. The average runner takes about 9,300 strides in a 10 km run. Over time, the underside
of the patella wears down. Surgeons will often shave the cartilage down, but often the pain continues to occur.
Depending on the severity, surgery may be necessary, but the client needs to learn how to stabilize to prevent
re-occurrence of the injury.
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BASE OF SUPPORT
As conditioning improves, athletes should be able to maintain their center of gravity over a progressively de-
creased base of support. The less the base of support, the greater the neurological demand placed on the system.
To best train the nervous system for situations where the base of support is challenged, you need to challenge
the client during training. The more control an athlete has during unstable situations, the better he/she will be
able to perform, particularly if the environment of application is more stable than the training stage.
Open-chain exercise: An exercise in which the distal extremity is free to move and the exerciser can
overcome the object that force is being applied to.
Closed-chain exercise: An exercise in which the distal extremity is fixed and the exerciser is unable to
overcome the object that the body is pushing or pulling against.
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The body only knows movements, not muscles. Consider the following two questions when writing your pro-
grams. If you answer “no” to either question, you should reconsider using that exercise in the program.
• Will the movement being developed contribute to your client’s general motor skills development?
• Is the movement being developed or reinforced useful in your client’s work or sports environment?
A generalized motor program is thought to exist for movements that seem to vary along one or more well-defined
dimensions. For example, there could be a single generalized motor program for all kicking movements.7 The
brain has a template for a kick, it just changes the amplitude, time and relative timing for different situations.
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RELATIVE TIMING
Movements within a class have the same relative timing. Examples of different movement classes are:
• Squat
• Lunge
• Dead Lift
• Gait (walk, jog, run)
Example: A jump is a version of the squat (Figure 12). The relative timing of the
joints involved in the two movements (ankle, knee, hips, arms) is the same. That is
why you can improve your jumping ability by increasing your strength and power
in the squat. Knee extensions will not have as much of a carryover because there is
no movement at the ankle or hip joints, as there is in a jump. The brain is therefore
not going to store the knee extension in the same class of movements as the squat
or jump, so increased strength will not carry over.
Programming Tip: Consider the relative timing of movement class, speed, ampli-
tude and that of the exercises used in training. For example, an Olympic lift (high
amplitude, high velocity, dynamic) is not likely to improve rowing performance
(high amplitude, low velocity, isokinetic). Figure 12: Front Squat
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There are seven primary movements (plus jogging and sprinting) that are the base for most movements we per-
form. I have termed these Primal Pattern® Movements, as they would have been necessary for our ancestors to
survive. Prior to more modern times, anyone who could not perform these patterns would have a limited chance
of surviving in the wild. In addition to the seven Primal Pattern® Movements, there are a few specialized move-
ments. These actions tend to be more sport-specific, for example, movements in figure skating.
Figure 14: Pull PULL: Pulling on vines, logs and branches, plants, tools and
even a fresh downed animal were all movements tied to survival
as a primal man.
Figure 15: Bend BEND: Cooking was one of the hundreds of situations in which
primal man was required to bend.
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Figure 16: Lunge LUNGE: Carrying food home to feed his family was one of numerous sit-
uations in which primal man performed the lunge pattern. During hiking,
climbing and work (building & harvesting situations) the lunge was necessary.
Figure 17: Squat SQUAT: Although primal man did squat to pick up a rock big enough to crack
his coconuts open, squatting was a necessity in his environment. Primal man
did not use furniture. His activities were predominantly ground based. To har-
vest, work, eat, and even rest, primal man would frequently squat.
Figure 18: Push PUSH: Primal man had no bench press to strengthen his pushing muscles;
he did it through exposure to the duties associated to survival. His duties were
centered around hunting, gathering food, and building and maintaining shel-
ter.
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Selecting Exercises
BIOMECHANICAL ANALYSIS
To select the optimal Primal Pattern® Movements for general and sport specific motor development, you
must determine:
1. Which patterns are dominant in your client’s activities.
2. Which ones he is deficient at and needs to work on.
Example: A baseball pitcher needs to be proficient at the lunge, twist and push patterns (Figure 20). If the
pitcher is unable to perform a proper lunge, his delivery will be affected, and he will most likely compensate
with his arm. This is a common cause of shoulder injuries among pitchers. Another cause is inadequate core
strength and/or stability, resulting in a poor twist pattern. If the Inner Unit does not adequately stiffen the
spine and control segmental movement of the working joints, the nervous system will inhibit the legs and trunk
muscles to protect the joints. This usually results in excessive use of the shoulder to propel the ball, often leading
to shoulder injury.
Lunge
Twist
Push
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PRIMAL STANDARD
Everyone should be able to correctly perform the Primal Pattern® Movements with just their own body weight.
Assess your client’s ability at the primal standard. If the client cannot perform any of the movements with good
form, you will need to descend the movement to a level at which he can perform the exercise. You will then need
to work on getting him to at least the primal standard.
For a client who can perform the movement patterns correctly with his own body weight (primal standard), you
will be able to load him during the movement, or ascend the exercises to more advanced levels.
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1. Does the exercise or movement task selected address your client’s relevant biomotor weakness?
• Base conditioning phases should address weaknesses.
• Specific conditioning should develop biomotor abilities specific to the task.
2. Isolation to Integration
Isolation exercises generally develop isolated biomotor abilities—not skills or functional movements. An
example of an isolation exercise is the bench press. This exercise develops strength, but does not effectively
train other biomotor abilities.
Integration exercises generally develop multiple biomotor abilities and when properly prescribed, will
develop relevant motor patterns. A cable-push is a more functional exercise than the bench press, as it trains
the push pattern while also developing several biomotor abilities (balance, strength, coordination).
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4. Multi-joint Primal Pattern® exercises result in greater central nervous system fatigue than isolation
and/or machine exercises, strengthening the nervous system.
BIOMOTOR ABILITIES
• Needs vs. Current Ability
• Tudar Bompa first presented the concept of biomotor abilities in his book, Theories and Methodologies of
Strength Training.9 He included the following qualities as biomotor abilities.
Strength
Power
Endurance
Speed
Coordination
Flexibility
Agility
Balance
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BIOMOTOR CO-DEPENDENCE
Different sports and work situations require different selections of biomotor abilities. A rugby player, for ex-
ample, needs to be fast, but must also have agility, endurance and strength. On the other hand, a sprinter has
to be fast, but does not need to be as agile or coordinated as the rugby player, who has to change directions and
still be fast.
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References
1. Meeker, William. “How Many Doctors of Chiropractic? Something to Consider.” Dynamic Chiropractic.
Online: www.chiroweb.com. Original reference: Copper and Stoflet. Health Affairs, “Trends in the Educa-
tion and Practice of Alternative Medicine Clinicians.” Vol. 15, Number 3.
2. Balfour, E.B. The Living Soil and The Haughley Experiment. UK: Faber & Faber 1943, 1975.
4. Stedman’s Plus Medical/Pharmaceutical Spellchecker, premium edition. Lippincott Williams & Wilkins.
Vol. I, 2003.
5. Schmit, R. Motor Learning and Performance 2nd edition. Champaign, IL: Human Kinetics, 2000.
6. Richardson, Jull, Hodges & Hides. Therapeutic Exercise for Spinal Segmental Stabilization in Low Back Pain.
London: Churchill Livingstone, 1999.
7. Shapiro, Diane. The Learning of Generalized Motor Programs. Dissertation presented to the faculty of the
Graduate School of the University of Southern California, 1978.
8. Grakovestky, Serge. The Spinal Engine. New York: Springer-Verlag Wien, 1988.
9. Bompa, Tudar. Theory and Methodology of Training 3rd edition. Dubuque, IA: Kendall/Hunt Publishing
Co., 1994.
• Chek, Paul. You Are What You Eat. Audio series. San Diego, CA: A C.H.E.K Institute production, 2003.
• Chek, Paul. Flatten Your Abs Forever. DVD. San Diego, CA: A C.H.E.K Institute production, 2001.
When you have grasped the concepts and techniques presented in this course, you are ready to take the exam.
General Instructions
• Only one person may take this exam, receive a certificate of completion and receive continuing education
credits for this exam. Please contact the C.H.E.K Institute or your local distributor if you would like more
information on our Course Share program, where two or more people can share one set of course DVDs.
• This is an open book exam.
• There is only one correct answer for each question. Select the best possible answer. Choose the correct letter
(A/B/C/D) for your answers to the multiple choice questions or the correct option for True/False questions
(A or B).
• You must apply what you have learned from the concepts and techniques presented in this course in order
to answer some of the exam questions.
Pass Mark
The pass mark is 80%. Each question is worth 1 point. You will need to score at least 32 points of the possible
40 points.
Retake Information
* The majority of people pass the exam the first time, as long as they have thoroughly studied both the
manual and the DVDs.
* If you do not pass the exam, you may retake it twice more online for no additional fee. If you fail to pass on
the third attempt you will need to purchase a new exam with a new registration number for $25.
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2. Circle the correct letter (A/B/C/D) for your answers to the multiple choice questions or the correct option
(A or B) for True/False questions.
3. Keep a copy of your exam for your records, as your exam will not be returned to you.
4. Complete the Grading Request sheet on page 61 of the manual. There is a $30 grading fee, which in-
cludes a paper certificate, with results in 2-3 weeks. There is also a rush grading option for $50, with
results in 2 business days. You can pay by US check, money order, Pay Pal or credit card.
5. Mail, email or fax your Exam Answer Sheet, including registration number and Grading Request Sheet to:
Course Critique
We would appreciate your feedback and comments on this course, so we can improve this and future courses.
Please take a few moments to fill in the course evaluation when you take the test online, or complete the cri-
tique on page 65 and send it in to the C.H.E.K Institute with your test.
Testimonials
We love to hear how you have benefited from this course in particular and C.H.E.K Institute education in
general. We also use testimonials in our marketing, and offer a “thank-you” gift to anyone who provides a
powerful testimonial that we use in our marketing. If you would like to share your thoughts and successes
with us, please complete the Testimonial form on page 67, or send us an e-mail via the Customer Feedback
link on our website.
1. Rehabilitation specialists (i.e. professionals who specialize in knee or shoulder therapy) would be
most appropriate for a client who_______.
2. It is important to create_______muscles.
A. Smart
B. Stupid
C. Big
D. Small
4. In McCarrison’s second study, the rats fed the_______diet grew very well.
A. Irish
B. English
C. Hunza
D. American
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A. Poor diet.
B. Poor diet and poor training technique.
C. Poor diet, poor quality shoes, and running on hard surfaces.
D. Poor training technique and running on hard surfaces.
6. If a young athlete presents with a spine that looks like a 70 year old spine, this could be a sign
of_______.
7. Good quality supplements can make up for any nutritional deficiencies caused by a poor diet.
A. True
B. False
8. An athlete who has recently recovered from a knee injury comes to you for an off-season training pro-
gram. What phase will you begin this athlete’s program with?
A. Power
B. Sport Specific
C. Strength
D. Base Conditioning
A. Energy
B. Integrative
C. Isolationist
D. Holistic
A. True
B. False
13. Motor engrams that are performed repetitively are progressively stored_______.
A. In the brain.
B. At the spinal cord level.
C. In the central nervous system.
D. In muscles.
A. 500 reps
B. 1,000 reps
C. 2,000 reps
D. 5,000 reps
A. True
B. False
16–20. What is the dominant reflex profile for the following activities?
A. Righting reflexes
B. Tilting reflexes
17. Wakeboarding
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18. Tennis
21. When training a furniture mover, which exercises would be most appropriate in the base condition-
ing program?
A. Has an increased chance of injury and will have a hard time learning new tasks.
B. Will likely excel in activities that require high levels of flexibility and will not perform at his genetic
potential.
C. Has an increased chance of injury and will not perform at his genetic potential.
D. Will likely excel in activities that require high levels of flexibility and will have a hard time learning
new tasks.
A. 500-600
B. 3500-5000
C. 300-350
D. 5000-6000
25. When catching a basketball there should be a feed forward recruitment sequence to which core
muscles?
A. Bench press
B. Cable push
C. Dumbbell incline press
D. Cable cross over
27–30. The following activities take place in predominately what type of environment?
A. Open-chain
B. Closed-chain
28. Hiking
A. 10 million
B. 1 million
C. 5 million
D. 8 million
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32. What variables can be changed for a generalized motor program to make it more specific, without
actually changing the template for that pattern?
34. Which exercise would be most likely to improve the performance of a motor cross rider?
35. Which of the following sports requires the most agility and coordination?
A. Triathlon
B. Rugby
C. Cross country racing
D. Tennis
36. In order to progress from static to dynamic integration, which of the following exercise sequences is
appropriate?
A. Dead lift
B. Squat
C. Leg extension
D. Lunge
38. When throwing a javelin, which primal movement patterns are being used?
A. True
B. False
A. Power, balance
B. Agility, strength
C. Endurance, power
D. Flexibility, agility
Congratulations!
You have completed this course.
Name: Date:
(as you would like it to appear on your certificate)
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Providing this information constitutes your permission for C.H.E.K Institute and authorized distributors to contact you regarding
related information via mail, e-mail, fax and phone. Please check this box if you do not wish to be contacted about future educational
opportunities.
Mail, email or fax your completed Exam Answer Sheet, and payment to:
This exam is designed to be taken online. Directions for taking this exam are on pages 49-50. You can use the
preceding answer sheet to practice on before taking the exam online. If you need to send this Exam Answer
Sheet in to the C.H.E.K Institute to be graded, there is a US$30 fee. The normal turn around time for exams
mailed, emailed or faxed to the C.H.E.K Institute is 2-3 weeks.
£ Yes, please grade my test for a US$30 fee with 2-3 weeks turn around time.
£ Yes, please grade my test for a US$50 fee with 2 business days turn around time.
Please send my certificate of completion by: £ mail to the address below £ fax to the fax number below
£ e-mail to the e-mail address below
Name: Date:
(as you would like it to appear on your certificate)
Providing this information constitutes your permission for C.H.E.K Institute and authorized distributors to contact you regarding
related information via mail, e-mail, fax and phone. Please check this box if you do not wish to be contacted about future educational
opportunities.
Mail, email or fax your completed Grading Request form, and payment to:
C.H.E.K Institute
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Vista, CA 92081
Email: educate@chekinstitute.com
Fax: 760.477.2630
Name: Date:
(as you would like it to appear on your certificate)
Providing this information constitutes your permission for C.H.E.K Institute and authorized distributors to contact you regarding
related information via mail, e-mail, fax and phone. Please check this box if you do not wish to be contacted about future educational
opportunities.
Mail, email or fax your completed Request for Paper Certificate form, and payment to:
C.H.E.K Institute
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Vista, CA 92081
Email: educate@chekinstitute.com
Fax: 760.477.2630
Course Critique
Name: Date:
Occupation:
(Please rate on scale of 1 to 5; 1 being the lowest and 5 being the highest – circle one)
The post-completion test was a valuable tool for measuring the amount of
1 2 3 4 5
knowledge gained
How would you like to see this course improve for future participants?
Do you know anyone who would be interested in receiving information on C.H.E.K Institute? If you do, please
list their names, addresses and/or phone numbers on the back of this page. We would be delighted to send them
a brochure on seminars, courses, books/articles, DVDs, inventions, etc.
We are always appreciative of testimonials from C.H.E.K students that we can use to show prospective students
how the programs can benefit them. Please take a moment to help us to help you! You can also submit a tes-
timonial online via the Customer Comments section of the C.H.E.K Institute website. We give small “thank-
you” gifts for any testimonials that we use in our marketing. Thanks for taking the time to write something – the
more great quotes that we have to let the world know about the program, the more successful we shall be!
Signature: Date:
My occupation:
My testimonial:
Providing this information constitutes your permission for C.H.E.K Institute and authorized distributors to contact you regarding
related information via mail, e-mail, fax and phone. Please check this box if you do not wish to be contacted about future educational
opportunities.
C.H.E.K Institute
380 S. Melrose Dr, Ste 415
Vista, CA 92081
Email: educate@chekinstitute.com
Fax: 760.477.2630
Paul Chek HHP is a prominent expert in the field of holistic health and corrective
and high-performance exercise. For over twenty-six years, Paul’s unique, holistic
approach to clinical assessment, intervention, treatment rehabilitation and education
has changed the lives of countless individuals worldwide. By treating the body as a
whole system and finding the root cause of a problem, Paul has successfully coached
clients toward complete resolution of their health and performance challenges,
where traditional approaches have consistently failed.
For over twenty-six years, Paul’s unique, holistic approach to clinical intervention, treatment and education
has changed the lives of countless individuals worldwide. As a walking, talking definition of success, Paul
is above all an educator: teaching and applying his methods to benefit others. His programs are not only
cutting-edge, students leave his courses and trainings with practical information that can be applied to achieve
successful results right away.