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Paul Chek stated that about 98% of those with back pain had weak lower abdominal and transversus abdominis muscles. While those with no history of back pain were frequently able to activate the transversus abdominis and scored better on lower abdominal strength and coordination tests. To alleviate back pain, I frequently had to suggest that clients stay completely away from any form of sit-up or crunch type exercises. When this advice was adhered to, and exercises for the lower abdominal and transversus abdominis were practiced regularly, back pain either decreased or was completely alleviated and posture routinely improved.

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