As patients with neuromuscular disorders improve, therapists continually and intentionally advance the level of difficulty of therapeutic interventions (exercises and activities). Optimal patient performance, related to ongoing intentional progression, could result in optimal functional outcomes. This paper describes a conceptual framework with parameters that can be used to adjust or progress interventions. The parameters of progression are grouped into 3 categories and include those related to: (1) motor learning: variability in practice, practicing components of movement, task attention, feedback, environmental progression; (2) characteristics of the movement or task: amplitude, velocity, amount of work, endurance, regional; as well as (3) others: developmental sequence, supportive device, assistance given.The parameters overlap in clinical application. Students and novice therapists in particularly may find the framework useful in helping them organize therapy, while experienced therapists may gain ideas to optimally challenge patients to perform at higher functional levels.