The Hierarchy of Athletic Development, a concept pioneered by Al Vermeil, has been skillfully expanded to encompass rehabilitation through the contributions of Rob Panariello Building on this solid foundation, Donis Gil and I have further honed the model, creating what is now known as the Hierarchy of Rehabilitation. Our collective focus has enriched the pivotal stage of Work Capacity/Motor Control, recognizing its fundamental role in both recovery and peak performance.

At this stage, we introduce the concept of Force Steadiness—defined as the ability of the muscles to produce a consistent and controlled output of force. This nuanced control is pivotal for functional movement; it allows for the execution of daily tasks with stability and efficiency. From carrying groceries to performing complex athletic maneuvers, the steadiness of force ensures movements precise and sustainable.

By assessing the ability to maintain 20-40% of maximal voluntary contraction (MVC), we can measure and improve Force Steadiness. This facet of training is not merely an enhancement to our pyramid—it’s a cornerstone of functional capacity, ensuring that foundational mobility and pain management translate into real-world strength and skillful movement.

Our commitment to this model, built on the shoulders of giants, is a commitment to excellence. By integrating force steadiness into the heart of the pyramid, Donis and I ensure that each step upwards is taken with confidence, control, and the grace of finely tuned motor skills.

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