Slacklining in rehabilitation

Original Editor - Tony Lowe.

Top Contributors - Tony Lowe and Kim Jackson  


Slacklining is an advanced neuromechanical balance activity which involves exercises (typically standing and walking) and balance retention on a tightened band such as webbing that is tensioned between two points. The whole-body dynamics drive the response to external environmental changes and the individual develops responses based upon motor learning processes. Studies have indicated that these balance activities can form a part of injury rehabilitation for the lower limb with particular effectiveness in developing balance, core strength and quadriceps recruitment[1][2][3].


Slacklining is relevant to prehabilitation, rehabilitation and desired improvements in skill based sporting achievement.

Clinical Presentation

The response strategies that occur during slacklining are suited to individuals with deficiencies in four areas:

  • neuromechanical demand - integration of neurobiological, biomechanics and sensory components;
  • balance - equilibrium control regulating dynamic movement ;
  • postural control - the body's position in space;
  • and muscle strength - force generation, particularly for the quadriceps, gluteals and core.

Key Evidence

Slacklining provides significant activation and recruitment of the quadriceps that is spontaneous at low levels of perceived exertion. This is particularly relevant for outpatients and when the quadriceps is inhibited and activation is required[2].

Implementation of the slacklining protocols, Stages 1-5 and Steps 1-20 (see protocol below), within an individualized rehabilitation program over a series of weeks has shown to be effective an adjunct exercise to supplement recovery and facilitate sports specific rehabilitation[1][3].

Slacklining improves postural control and enhances functional knee joint stability which is induced from enhanced preparatory muscle activation of the rectus femoris[4].

Functionally the Hofman-reflex is reduced through spontaneous down regulation that suppresses uncontrollable reflex mediated joint oscillations[5].


An example protocol for using slackling in rehabilitation taken from Gabel & Mendoza 2013 [3]

Example rehab protocol

Case Studies

See case study[3]


  1. 1.0 1.1 Gabel, C. P., 2014, Slacklining: A Novel Exercise to Enhance Quadriceps Recruitment, Core Strength and Balance Control, Journal of Novel Physiotherapies 2014, 4:5
  2. 2.0 2.1 C.P. Gabel, J. Osborne, B. Burkett, 2015, The influence of ‘Slacklining’ on quadriceps rehabilitation, activation and intensity, Journal of Science and Medicine in Sport, Jan;18(1):62-6
  3. 3.0 3.1 3.2 3.3 Charles P. Gabel, Simon Mendoza, 2013, Slacklining for Lower Extremity Rehabilitation and Injury Prevention, IJATT Volume 18, Issue 4, July
  4. Pfusterschmied J, Stöggl T, Buchecker M, Lindinger S, Wagner H, Müller E. Effects of 4-week slackline training on lower limb joint motion and muscle activation. J Sci Med Sport 2013;16:562-6.
  5. Keller et al, 2013, Improved postural control after slackline training is accompanied by reduced H-reflexes, Scand J Med Sci Sports. 2012 Aug;22(4):471-7.