There are four important exercises that can be integrated into any practice or workout that provide core activation. These exercises are: 1. The curl-up 2. Alternating quadruped 3. Lateral bridge 4. Plank The curl-up (Figure 1) is a modified version of a traditional crunch. Figure 1. Curl-Up Electromyography studies have shown that the rectus abdominis, internal obliques, and external obliques are activated during a curl-up with limited hip flexor activation, which can overcompensate during a traditional crunch (1). Research has also found that the curl-up minimizes spinal loading when compared to a traditional crunch or sit-up (1, 2). To begin a curl-up, lie supine with the hands supporting the low back. Bend the knees so that the feet are flat. Concentrate on contracting the abdominal wall and bending the thoracic spine without bringing the neck or chin forward. Leave the elbows on the floor and slowly lift the head and shoulders off the ground a few inches. Slowly return by eccentrically using the core muscles, which studies have shown is a great benefit to core strength (3). The alternating quadruped exercise (Figure 2) concentrates more on developing the back extensors while minimizing loads on the spine (1). Figure 2. Alternating Quadruped The alternating quadruped exercise begins in the position of all fours. Begin the exercise by raising one arm straight and simultaneously extending the opposite leg until they are both parallel with the floor. Return to the starting position in a controlled manner and repeat on the opposite side. It is important to concentrate on controlling body position and not let the hips hike, rock anteriorly, or rock posteriorly. It is recommended that a coach be used the first few times to monitor any excess motion and help correct poor technique. The lateral bridge (Figure 3) is another important core exercise that targets the internal and external obliques (1). Figure 3. Lateral Bridge There is also a component of shoulder stabilization, but in certain athletes, this can cause discomfort. The starting position of the lateral bridge begins with the athlete on their side, forearm and elbow on the ground, and the feet slightly staggered. From this position, pick the hips and legs off the ground, keep the hips extended, and minimize rotation of the torso. If shoulder pain occurs, try the exercise with the knees bent, or add a soft pad under the forearm/elbow. The last important core exercise is the plank (Figure 4). Figure 4. Plank The plank can target a variety of core musculature including the rectus abdominis, internal/external obliques, latissimus dorsi, erector spinae, deltoids, and triceps. The plank position begins with the forearms on the ground beneath the shoulders. Athletes should be on their toes and lift the stomach, pelvis, and legs off the ground. The upper and lower body should be completely straight like a plank of wood. Again, it would be appropriate to have a coach present to help correct any problems such as lumbar extension or flexion of the torso or hips. Athletes can place padding under the forearms if there is irritation from the floor or ground. Adding these four core exercises to any routine will help ensure that athletes are working the correct core muscle groups. It can also help prevent unwanted forces through the spine, which can cause pain or injury in the future. It is important to remember that endurance is an important factor for training the core (1, 2). It is also important to remember that each individual is different and that these exercises may not be appropriate for every athlete. The training program in Table 1 provides a general recommended program that should be adjusted according to the goals and abilities of each individual. Table 1. Planes of Motion and Core Musculature (3) Monday Tuesday Wednesday Thursday Friday Curl-Up 3x30 Curl-Up 3x30 Curl-Up 3x30 Curl-Up 3x30 Curl-Up 3x30 60 s rest 60 s rest 60 s rest between 60 s rest 60 s rest between sets between sets sets between sets between sets Alternating Alternating Alternating Alternating Alternating Quadruped Quadruped Quadruped 3x15 Quadruped Quadruped 3x15 each side 3x15 each side each side 3x15 each side 3x15 each side 60 s rest 60 s rest 60 s rest between 60 s rest 60 s rest between sets between sets sets between sets between sets Lateral Bridge Lateral Bridge Lateral Bridge Lateral Bridge 3x30 s 3x30 s Lateral Bridge 3x30 s 3x30 s alternating alternating 3x30 s alternating alternating sides sides alternating sides sides sides Plank 3x30 s Plank 3x30 s Plank 3x30 s Plank 3x30 s Plank 3x30 s 60 s rest 60 s rest 60 s rest between 60 s rest 60 s rest between sets between sets sets between sets between sets
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