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Table 2 Sample cues and positions for early Multifidus and Transerse Abdominis activation

From: The effects of combined motor control and isolated extensor strengthening versus general exercise on paraspinal muscle morphology and function in patients with chronic low back pain: a randomised controlled trial protocol

Multifidus Activation

Positions

Prone or on hands and knees (some people are better in 1 to start)

Fingers on either side of spinous process; evaluation of different spinal levels from T1/T2 to T5/S1

Cues

Try to swell muscle up into my fingers

Think about tilting pelvis without actually doing it

Imagine tensing a cable from your pelvis up through your spine

Ideal Response

Symmetrical contraction

No global muscle activation

Normal breathing

Able to hold 10 x 10s

Transverse Abdominis Activation

Positions

Start supine or crook-lying

Find neutral pelvis

Place fingers slightly medial and inferior to ASIS

Cues

Try to pull your belly button down to the table

Try to move your fingers together (medially)

Ideal Response

Gradual increase in tension; 10–15% effort

Symmetrical contraction

No global muscle activation

Normal breathing

Able to hold 10 x 10s