Lumbo-Pelvic Stability

Original Editor - Kris Porter Top Contributors - Kris Porter, Kim Jackson, Vidya Acharya and Rishika Babburu

Training principles for Phase 1[edit | edit source]

  1. Injury Prevention and Body Mechanics
  2. Total Health (Nutrition, Cardiopulmonary exercise)
  3. Movement Retraining Basics
  4. Core Setting
  5. Evidence for Stability Training for Low Back Pain (and pelvic pain) [1][2]

Criteria for Progression to Phase 2

Below outlines the criteria that each patient must accomplish before allowed to complete the phase 2 exercises. At times, some phase 2 exercises may be given when a patient has not met this criteria. But rarely, will a patient be given the entire cuff program and the big 4 without meeting this criteria. This is based on anecdotal evidence of how best to prevent injury.

  1. Able to engage the primary core muscles without compensatory firing or pain in non-weight bearing (supine or prone)
  2. Able to engage the primary core muscles without compensatory firing or pain in static weight bearing positions (standing)
  3. Core Endurance and Ratio Testing has been completed[3] [4][5]
  4. The Big 4 exercises (or modifications of each one) are tolerated for at least a single hold of 8 seconds[6]

Training principles for phase 2[edit | edit source]

  1. Movement Retraining Intermediate
  2. Big 4 Exercises

Training principles for phase 3[edit | edit source]

  1. Static Balance - Stable Surface
  2. Static Balance - Unstable Surface
  3. Dynamic Balance - Stable Surface
  4. Dynamic Balance - Unstable Surface

Training principles for Phase 4[edit | edit source]

  1. Movement Retraining Advanced
  2. Big 4 Exercises - Advanced

Training principles for Phase 5[edit | edit source]

  1. Advanced Strength Training and Postural Stability


References[edit | edit source]

  1. Gatti R. Efficacy of Trunk Balance Exercises for Individuals With Chronic Low Back Pain. J Orthop Sports Phys Ther. 2011. Available at: Accessed August 19, 2011.
  2. Macedo LG, Maher CG, Latimer J, McAuley JH. Motor control exercise for persistent, nonspecific low back pain: a systematic review. Physical Therapy. 2009;89(1):9-25. Available at:
  3. McGill SM, Childs A, Liebenson C. Endurance times for low back stabilization exercises: clinical targets for testing and training from a normal database. Arch Phys Med Rehabil. 1999;80(8):941-944.
  4. McGill S. Ultimate back fitness and performance. Waterloo Ont.: Wabuno Publishers; 2004.
  5. McGill S. Low back disorders: evidence-based prevention and rehabilitation. Second. Human Kinetics; 2007.
  6. Mcgill S, Karpowicz A. Exercises for Spine Stabilization: Motion/Motor Patterns, Stability Progressions, and Clinical Technique. Archives of Physical Medicine and Rehabilitation. 2009;90(1):118-126. Available at: