Trunk Rotation

Training trunk stability and control may be a critical goal with low back pain treatment. Traditional exercises like curl-ups, bird-dogs, and side bridges are an excellent start line .

But developing strength and control of trunk rotation is additionally a crucial (but often overlooked) component of back pain rehabilitation. So during this article i will be able to review an easy exercise progression for training strength and control of trunk rotation.

Trunk Rotation Exercise Progression

In previous articles I even have discussed the importance of coaching the trunk muscles to “resist” rotational forces. and that i still think this is often a important goal of rehabilitation, especially within the early stages of care. But as patients gain strength and control we will start to coach rotational movement. After all, the lumbar spine does got to move within the transverse plane with functional activities. So it only is sensible to coach this motion.

Of course the key with any sort of training or rehabilitation is to match the exercise with the capacity of the patient. The exercise must be challenging enough to stimulate a training adaptation, but no so hard it overloads tissues.

This is where organizing similar exercises into progressions makes life tons easier. Utilizing exercise tracts or progressions makes exercise prescription much easier for the clinician because it allows then to more easily match the exercises to the patient’s capacity. (By the way, we’ve plenty of pre-loaded core exercises progressions with our home exercise software). What follows may be a simple progression which will be wont to train trunk rotation.

Supine Trunk Rotation with Feet On Floor

The easiest exercise within the progression is performed from supine with the knees bent and feet flat on the ground . From this starting position begin by bracing the abdominal muscles. This initiative is critical. you want to confirm the abdominal muscles are engaged to stabilize the lumbar spine and control the movement.

While holding the abdominal brace slowly rotate your knees to at least one side. The outstretched arms can help balance this movement by pressing into the ground this may allow the hips and pelvis to rotate while the upper body stays firm against the ground . Hold the rotated position for 1-2 seconds then slowly rotate to the other side


Keep in mind that this is often not an enormous movement. The goal is to regulate motion, to not increase motion. this is often juncture that has got to be made clear to the patient.

Supine Trunk Rotation with Feet Raised

The next exercise is performed almost like the previous exercise, but now the feet are raised off the ground with the legs during a 90/90 position. This increases the resistance of the exercise, requiring greater abdominal contraction during the movement. All the opposite rules are an equivalent specialise in an abdominal brace, and work on controlling the motion.

Supine Trunk Rotation with Legs Extended

This final supine exercise within the progression is performed with the knees extended. Again, we are essentially performing an equivalent exercise, and that specialize in an equivalent goals. But this point the straighter knees increases the load and demand of the exercise.

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