NASM CES CERTIFICATION REVIEW SCRIPT
2026 ANSWERS GRADED A+
⩥ Excessive Posterior Pelvic Tilt. Answer: Look for the pelvis to roll
backward and for the lumbar spine to flex, creating a flattening of the
lower back
⩥ Excessive Posterior Pelvic Tilt - OA/shortened. Answer: adductor
magnus, external obliques, hamstrings complex, piriformis, rectus
abdominis
⩥ Excessive Posterior Pelvic Tilt - UA/lengthened. Answer: gluteus
maximus, latissimus dorsi, local core stabilizers, psoas, rectus femoris,
spinal extensor complex (erector spinae and quadratus lumborum), TFL
⩥ Excessive Posterior Pelvic Tilt - Suggested Mobility Assessments.
Answer: active knee extension, hip abduction and external rotation,
lumbar flexion and extension, seated hip internal and external rotation
⩥ Excessive Forward Trunk Lean. Answer: Look for the trunk to lean
forward and beyond ideal parallel alignment with the shins
⩥ Excessive Forward Trunk Lean - OA/shortened. Answer: adductor
complex (anterior fibers), external obliques (if observed with lumbar
,flexion), gastrocnemius, psoas, rectus abdominis (if observed with
lumbar flexion), rectus femoris, soleus, TFL
⩥ Excessive Forward Trunk Lean - UA/lengthened. Answer: anterior
tibialis, gluteus maximus, hamstrings complex, local core stabilizers,
spinal extensor complex (erector spinae and quadratus lumborum)
⩥ Excessive Forward Trunk Lean - Suggested Mobility Assessments.
Answer: active knee flexion, ankle dorsiflexion, modified Thomas test
⩥ Trunk Rotation. Answer: Look for the trunk of the body to rotate
internally or externally during single-leg movements.
⩥ Inward Trunk Rotation - OA/shortened. Answer: adductor complex,
TFL
⩥ Inward Trunk Rotation - UA/lengthened. Answer: gluteus maximus,
gluteus medius, local core stabilizers
⩥ Inward Trunk Rotation - Suggested Mobility Assessments. Answer:
hip abduction and external rotation, modified Thomas test, seated hip
internal and external rotation
, ⩥ Outward Trunk Rotation - OA/shortened. Answer: OA/shortened:
adductor magnus (posterior fibers), hamstrings complex (lateral),
piriformis
⩥ Outward Trunk Rotation - UA/lengthened. Answer: adductor complex
(anterior fibers), gluteus maximus, gluteus medius, local core stabilizers
⩥ Outward Trunk Rotation - Suggested Mobility Assessments. Answer:
hip abduction and external rotation, modified Thomas test, seated hip
internal and external rotation
⩥ Scapular Elevation. Answer: Look for the shoulders to move up
toward the ears
⩥ Scapular Elevation - OA/shortened. Answer: levator scapulae,
pectoralis minor, upper trapezius
⩥ Scapular Elevation - UA/lengthened. Answer: lower trapezius,
serratus anterior
⩥ Scapular Elevation - Suggested Mobility Assessments. Answer:
cervical flexion and extension, cervical lateral flexion, cervical rotation,
seated thoracic rotation, thoracic extension
2026 ANSWERS GRADED A+
⩥ Excessive Posterior Pelvic Tilt. Answer: Look for the pelvis to roll
backward and for the lumbar spine to flex, creating a flattening of the
lower back
⩥ Excessive Posterior Pelvic Tilt - OA/shortened. Answer: adductor
magnus, external obliques, hamstrings complex, piriformis, rectus
abdominis
⩥ Excessive Posterior Pelvic Tilt - UA/lengthened. Answer: gluteus
maximus, latissimus dorsi, local core stabilizers, psoas, rectus femoris,
spinal extensor complex (erector spinae and quadratus lumborum), TFL
⩥ Excessive Posterior Pelvic Tilt - Suggested Mobility Assessments.
Answer: active knee extension, hip abduction and external rotation,
lumbar flexion and extension, seated hip internal and external rotation
⩥ Excessive Forward Trunk Lean. Answer: Look for the trunk to lean
forward and beyond ideal parallel alignment with the shins
⩥ Excessive Forward Trunk Lean - OA/shortened. Answer: adductor
complex (anterior fibers), external obliques (if observed with lumbar
,flexion), gastrocnemius, psoas, rectus abdominis (if observed with
lumbar flexion), rectus femoris, soleus, TFL
⩥ Excessive Forward Trunk Lean - UA/lengthened. Answer: anterior
tibialis, gluteus maximus, hamstrings complex, local core stabilizers,
spinal extensor complex (erector spinae and quadratus lumborum)
⩥ Excessive Forward Trunk Lean - Suggested Mobility Assessments.
Answer: active knee flexion, ankle dorsiflexion, modified Thomas test
⩥ Trunk Rotation. Answer: Look for the trunk of the body to rotate
internally or externally during single-leg movements.
⩥ Inward Trunk Rotation - OA/shortened. Answer: adductor complex,
TFL
⩥ Inward Trunk Rotation - UA/lengthened. Answer: gluteus maximus,
gluteus medius, local core stabilizers
⩥ Inward Trunk Rotation - Suggested Mobility Assessments. Answer:
hip abduction and external rotation, modified Thomas test, seated hip
internal and external rotation
, ⩥ Outward Trunk Rotation - OA/shortened. Answer: OA/shortened:
adductor magnus (posterior fibers), hamstrings complex (lateral),
piriformis
⩥ Outward Trunk Rotation - UA/lengthened. Answer: adductor complex
(anterior fibers), gluteus maximus, gluteus medius, local core stabilizers
⩥ Outward Trunk Rotation - Suggested Mobility Assessments. Answer:
hip abduction and external rotation, modified Thomas test, seated hip
internal and external rotation
⩥ Scapular Elevation. Answer: Look for the shoulders to move up
toward the ears
⩥ Scapular Elevation - OA/shortened. Answer: levator scapulae,
pectoralis minor, upper trapezius
⩥ Scapular Elevation - UA/lengthened. Answer: lower trapezius,
serratus anterior
⩥ Scapular Elevation - Suggested Mobility Assessments. Answer:
cervical flexion and extension, cervical lateral flexion, cervical rotation,
seated thoracic rotation, thoracic extension
