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. Author manuscript; available in PMC: 2017 Oct 1.
Published in final edited form as: Clin J Pain. 2016 Oct;32(10):898–906. doi: 10.1097/AJP.0000000000000348

Table 1. Trunk Muscle Training Program.

Muscle Group Importance of Muscle Examples of Exercise Progression
Transversus Abdominus
  • Draws in abdominal wall, increases intra abdominal pressure w/o flexing the trunk

  • TrA may activate in a feed-forward mechanism to stabilize the trunk for extremity motions37

  • Abdominal Bracing in supine>>

  • Bracing in hook-lying with leg movements>>

  • Bracing in hook-lying with bridging>>

  • Abdominal Bracing in standing

  • Possible Substitutions: holding breath

Erector Spinae/Multifidus
  • Extend the spine

  • Segmental extensors co-contract w/ antero-lat. abdominals to stabilize trunk

  • Single arm or leg lifts-standing with elbows leaning on counter>>

  • Opposite arm and leg lifts standing with elbows on counter >>

  • Single arm or leg lifts-prone over bolster35, 60>>

  • Opposite arm and leg lifts-prone over bolster>>

  • Same exercises performed in quadruped

Rectus Abdominus
  • Primary flexor of the trunk

Curl ups as described by McGill35--careful to maintain neutral spine and avoid excessive flexion
Oblique Abdominals
  • Co-contracts w/ multifidus for trunk stabilization, generates side-bending and rotation forces in trunk

  • Obliques activate in anticipation of extremity movement

  • Remedial side bridge against wall>>

  • Remedial side bridge with leg lift on floor/bed

  • Horizontal side bridge (hips and knees fully flexed >> knees flexed >> knees extended)35, 61

Quadratus Lumborum
  • Suggested to be the primary stabilizer of side-bending movements35

Same as above for obliques