## Overview Core weakness reduces the ability of the deep trunk muscles to stabilize the spine. This increases shear and compressive forces on the back, contributes to kissing spines discomfort, muscle fatigue, and poor posture, and can perpetuate a cycle of pain and further weakness. ## Causes Disuse, pain inhibition, poor training, or prolonged stall rest. ## Diagnosis Visual and palpatory assessment of topline and abdominal tone plus functional tests of stability. ## Treatment Progressive core-strengthening program combined with treatment of any primary back pathology. ## Recovery and Prognosis Good with consistent rehabilitation. ## Prevention Include core work in regular conditioning.
poor topline muscling; hollow or swayed back posture; fatigue under saddle; back sensitivity
## Overview Core weakness reduces the ability of the deep trunk muscles to stabilize the spine. This increases shear and compressive forces on the back, contributes to kissing spines discomfort, muscle fatigue, and poor posture, and can perpetuate a cycle of pain and further weakness. ## Causes Disuse, pain inhibition, poor training, or prolonged stall rest. ## Diagnosis Visual and palpatory assessment of topline and abdominal tone plus functional tests of stability. ## Treatment Progressive core-strengthening program combined with treatment of any primary back pathology. ## Recovery and Prognosis Good with consistent rehabilitation. ## Prevention Include core work in regular conditioning.
poor topline muscling; hollow or swayed back posture; fatigue under saddle; back sensitivity