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  • Transverse Abdominis
    and Sacroiliac Joint Stability
    Exercises for Activating
    All Three Bands of the Transverse Abdominis Muscle

    Dividing the Transverse Abdominis into three parts, lower, middle and upper. Sensational yoga poses, neil keleher, anatomy for yoga teachers.

    Apart from opposing the diaphragm in diaphragmatic and reverse breathing, the Transverse Abdominis (TA) can play a role in stabilizing the sacroiliac joints, lumbar spine and lower thoracic spine. It can also help in stabilizing the connection between the lumbar and thoracic spine at T12/L1.

    To understand how it can stabilize this entire region of the spine it can help to divide the Transverse Abdominis into three parts. This isn't to say that it consists of three parts. It is an aid to understanding; a temporary model to help understand the TA and how it can work. It's one aspect of the whole, a focused point of view, but only one. For complete understanding we need multiple points of view.

    But anyway, dividing the TA into three parts, those three parts attach to the pelvis, the ribcage and the space between the pelvis and ribcage. (In the picture above, the middle layer of the Transverse Abdominis muscle is slightly darkened.)

    Related:
    Breathing Anatomy
    Respiratory Diaphragm
    Nauli Kriya

    The Lower Transverse Abdominis and SI Joint

    The part of the Transverse Abdominis that attaches to the pelvis attaches to the points of the hips, called the ASICs or Anterior Superior Iliac Crests, and the ligaments that mark the border between the belly and the inner thighs, the inguinal ligaments. (Fibers may also attach to the front portion of the iliac crest. We can include these fibers in this part of the TA).

    pelvic landmarks, anterior superior iliac spine, inferior iliac spine ischiopubo ramus, ischial tuberosities. Neil Keleher. sensational yoga poses, anatomy for yoga teachers.

    To understand how this lower portion of the transverse abdominis works we can model the pelvis as having two halves that hinge at the pubic bone and SI Joints. Two sets of references we can then use include the points of the hip bones, the ASICs or Anterior Superior Iliac Crests and the two bones that you feel when sitting on a hard chair, frequently called sitting bones but more technically the ITs or Ischial Tuberosities.

    Pulling inwards on the ASICs causes the two halves of the pelvis to hinge so that the ITs move outwards, away from each other. Doing the opposite movement and pulling the ITs inwards hinges the hip bones so that the ASICs move outwards.

    The lower portion of the Transverse abdominis can be used to pull inwards on the ASICs causing the ITs to spread apart. Meanwhile the pelvic floor muscles can be used to pull inwards on the ITs causing the ASICs to spread apart. In general activating the lower transverse abdominis causes the pelvic floor muscles to activate and vice versa.

    Mula Banda and Uddiyana Bandha

    When the lower Transverse Abdominis are used to pull inwards on the ASICs, the pelvic floor muscles also activate to resist the outward moving ITs. This is to help control the hinging of the two halves of the pelvis and stabilize the Sacroiliac Joints.

    pelvic floor muscles: cocygeus, iliococygeus, pubococygeus, puborectalis, neil keleher, sensational yoga poses, anatomy for yoga teachers.

    This dual activation is similiar to what happens when deliberately flexing your biceps. The triceps automatically activate to oppose the biceps. This dual action stabilizes the elbow joint.

    The dual action of transverse abdominis and pelvic floor muscles stabilizes the SI Joints. It's for this reason that some yoga teachers suggest activating mula bandha to create uddiyana bandha. Activating one automatically causes the other to activate.
    Mula Bandha is one way of saying "Activate the Pelvic Floor muscles."
    Uddiyana Bandha is a way of saying "Activate the Lower Transverse Abdominis".

    Going back to the "flexing your biceps" example, you could cause your biceps to activate with the elbow bent by focusing on contracting your triceps.

    Pelvic Floor and Lower Transverse Abdominis Activation

    How do you activate the lower transverse abdominis? Pull inwards on the ASICs.

    How do you activate the pelvic floor musculature? Because the pelvic floor musculature consists of a fan of muscles, activating the pelvic floor is a little bit more complex.

    It can start with pulling the tailbone forwards towards the pubic bone.
    Then pull the sitting bones inwards.
    Then create a fan of tension from the sitting bones forwards to the pubic bone. Finally pull forwards on the anus and on a point just in front of the anus.
    (This latter instruction may have to be varied for women).

    Hip Muscle Stabilization of the SI Joint

    Since the pelvis hinges (sort of) at the SI joint, the dual action of the Lower transverse abdominis and Pelvic Floor Muscles can help to stabilize the SI joint. However, having the pelvic floor muscles constantly activated (or constantly relaxed) is not a good thing. These are muscles and they are designed to activate and contract. In this regard it helps to understand that some of the hip muscles act on the SI joint affecting it directly or indirectly.

    Hip muscle action can stabilize the SI Joint automatically. As a result, if the hips are stable (or at least one of them is, say in a balancing on one leg pose) there may be no need to activate the lower transverse abdominis and pelvic floor to stabilize the sacroiliac joint. The hip muscles take care of it.

    Sacral Multifidus and Resisting the Lower Transverse Abdominis

    Part of what resists the action of the transverse abdominis at the back of the sacrum is a layer of connective tissue called the Thoracolumbar Composite. This is a fused mass of connective tissue made up of layers from the erector spinae aponeurosis and various other layers of the thoracolumbar fascia. This fascia connects to both sides of the back of the pelvis where it extends beyond the back of the sacrum.

    When the Transverse Abdominis engages, the Thoracolumbar composite resists the back of the pelvis being pulled apart. The ischial tuberosities spread apart instead.

    Posterior serratus inferior, quadratus lumborum, multifidus, neil keleher, sensational yoga poses, anatomy for yoga teachers.

    The thoracolumbar composite forms a pocket with the back of the sacrum. The spinal erectors, and the smaller posterior spinal muscles called the multifidus are sandwiched within this pocket between the back of the sacrum and the front surface of the thoracolumbar composite. Some fascicles of the multifidus attach to the front surface of this layer of fascia and so when tension is added to this fascia by the action of the lower transverse abdominis these multifidus muscles have a firm foundation from which to activate on the spinous processes of the lumbar vertebrae to which they attach. (These muscles also attach directly to posterior sacroiliac ligaments.)

    Stabilizing L5 and the L5/Sacral Connection

    The bottom-most lumbar vertebrae, L5 sits between the crests of the pelvis and it is part of the network of ligaments that bind the sacrum to the two hip bones. Activation of the lower transverse abdominis also possibly affects the stability of this vertebrae relative to the sacrum and relative to the hip-bones/pelvis.

    With the sacrum and L5 stabilized relative to each other and relative to the pelvis this potentially creates a foundation for stabilizing the remaining portion of the lumbar spine.

    Related:
    Multifidus
    Sacroiliac Joint Stabilization, SI Joint Exercises,
    Mula Bandha
    Pelvic Floor Muscles
    Thoracolumbar Fascia

    The Middle Layer

    The middle portion of TA attaches to the lumbar vertebrae via the bits of bone that stick out the sides of these vertebrae, the transverse processes. It's aponeurosis (which is sort of like a tendon but multilayered) blends with the thoracolumbar fascia prior to attaching to the spine. Despite this, the fibers of the Transverse Abdominis are discernible within the mass of the thoracolumbar fascia.

    One part of the thoracolumbar fascia is the Paraspinalis Rectinacular Sheath. This is a tube of connective tissue and bone that envelopes the posterior muscles of the spine (multifidii and spinal erectors both included). The aponeurosis of the Transverse Abdominis makes up most of the front wall of this sheath before it attaches to the spinous processes of the lumbar vertebrae.

    Interactions of the Transverse Abdominis and Quadratus Lumborum

    It is also very interesting to note that the aponeurosis of the transverse abdominis passes behind the Quadratus Lumborum (QL) muscle prior to attaching to the lumbar spine. The QL attaches to the back of the upper rim of the pelvis and from there its fibers reach up to attach to the transverse processes of the lumbar vertebrae as well as the lowest pair of ribs (the 12th pair). A second layer of this muscle also sometimes exists and has fibers in the opposite direction reaching down from the lowest pair of ribs to attach to the transverse processes of the lumbar vertebrae.

    While trying to draw the QL and TA it became fairly obvious that the transverse abdominis passes behind the quadratus lumborum and this raised the idea that tension in the TA could perhaps cause tension in the QL. One possible scenario was that if the lumbar spine was straight then Transverse abdominis activation could pull the QL inwards towards the front of the body adding tension to the muscle enabling it to better activate.

    Also because of the close contact between the two muscles, tension in one could at the very least act as a signal to the other to activate or relax as required.

    Recalling that activation of the lower transverse abdominis is resisted by the Pelvic Floor muscles, it would seem to make sense that other muscle also comes into play to resist the action of the Middle transverse abdominis. The combined pull of both the TA and QL on each lumbar vertebrae would be slightly forwards (due to the TA) and downwards (due to the QL.)

    Another muscle that also has attachments to the lumbar transverse processes is the psoas. By itself it also can create a forwards and downwards pull on the lumbar vertebrae.

    Lumbar Multifidus

    The lumbar multifidus attaches to the mamillary processes of the lumbar vertebrae. The fascicles of this muscle reach upwards from these processes to attach to the spinous process of the vertebrae one or two levels above. The forwards and downwards pull of the TA and QL combined could stabilize the vertebrae in such a way that the multifidus have a foundation for creating a downward pull on the spinous processes of the vertebrae to which it connects.

    Pulling the middle later of the transverse abdominis inwards will eventually add tension to the rectus abdominis causing it to pull the sternum and pubic bone towards each other. Activation of the QL and Multifidus could act to resist this tendency helping to stabilize the lumbar spine.

    If the lower layer of the transverse abdominis were also activated then both the sacrum and lumbar multifidus would potentially be activate creating stability in the SI joints as well as the lumbar spine.

    Activating the Middle Layer of the Transverse Abdominis

    Activating the middle layer of the transverse abdominis can be as simple as pulling your belly button towards you spine. However, rather than just focusing on your belly button try to pull rearwards on the belly about an inch or two both above and below the belly button.

    Once you have this action in isolation try it in combination with the action for activating the lower transverse abdominis. Activate the lower TA first, then the middle TA.

    Related:
    Psoas Muscle

    The Upper transverse abdominis and Serratus Posterior Inferior

    I never gave much thought to the upper transverse abdominis until some experiences in a Qi Gong class and some pain at the junction of my thoracic and lumbar spine during forward bends.

    I felt pain in the region of T12/L1 in forward bends, particularly when I wasn't focusing on lengthening my spine or on using my arms. Why didn't I just lengthen my spine and reach with my arms? Because I wanted the option not to have to do that while doing forward bends.

    And thus I started to explore the Posterior Serratus Inferior, a set of muscles that reaches downwards and inwards (or caudally and medially) from the lower four ribs to attach to the spinous processes of the lower two thoracic and upper two or three lumbar vertebrae.

    I found that I could activate this muscle (with a reasonable degree of surety) with a combination of first lifting the backs of the ribs and then creating a downward pull on the lower three ribs. I found that doing this helped alleviate the sharp pain at T12/L1 while doing forward bends. Because of my Qi Gong class I also figured out that activation of the posterior serratus inferior also caused the upper band of the transverse abdominis to activate.

    This was important in the Qi Gong class I attend since I then found it easier to take impacts to the solar plexus.

    Because of the reverse in curvature of the spine at the junction of T12 and L1, and perhaps just because of the shear convenience of having structures like the ribs to hang muscle from, the PSI works in a similiar way to the Multifidus/QL combination. Using the ribs as anchors (which may in turn be anchored by action of the intercostals, or perhaps the levator costalis muscle) it pulls upwards on the spinous processes of the vertebrae using the ribs as anchors. The upper transverse abdominis seems to activate to resist this action, thus stabilizing the lower part of the ribcage as well as the junction of the lumbar and thoracic spines.

    For those interested in the shape of muscles, it may be interesting to note that the pelvic floor muscles form a fan shape with the fan originating at the tailbone. The quadratus lumborum forms an upward pointing chevron pattern, and if the second layer is present, also a downwards pointing chevron. The serratus posterior inferior also forms a downwards pointing chevron.

    Activating the Upper Transverse Abdominis

    To activate the upper transverse abdominis try pulling inwards (towards the center-line) on both sides of the arch of the ribcage. Once you have the inward pull you can also try creating a slight rearwards pull.

    You an also play with activating the posterior serratus anterior to get the upper transverse abdominis to activate. Once you can activate this portion of the TA try it in combination with the other two portions, starting with the lower, then the middle then the upper portion of the TA. Then try keeping them active while continuing to breathe.

    Playing with the Transverse Abdominis

    If the transverse abdominis is active it can be used to control pressure within the abdominal cavity. The obliques and rectus abdominis can then be used to control the relationship between pelvis and ribcage.

    Personally I've found that activation of the TA in its entirety does relieve niggling back pains. But it isn't something I try to maintain at all times. Some exercises you can play with can include twisting, backward bending and forward bending the spine while keeping the transverse abdominis activated.

    While sitting or standing you can activate the TA then try spinal backbends and forward bends. Then try twisting using the hands or without. Try twisting with a straight spine then with it bent forwards and then backwards but with the TA active.

    And while you are at it try changing your activation sequence. Rather than always activating the Transverse abdominis from the bottom up, try it from the top down.

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