Public resource
TVA & Core Activation
Finding and activating your deep abdominal core — the transversus abdominis (TVA).
What is the TVA?
The transversus abdominis (TVA) is described as the deepest core muscle, acting like a natural corset. To activate it, the focus is on gentle engagement rather than forceful sucking in.
How to find and engage the TVA
Position
Lie on your back with your knees bent and feet flat on the floor.
Finger placement
Place your index and middle fingers on your hip bones, then move them about 2 inches inward and slightly down toward your feet.
The cue
Take a deep breath in, and as you slowly exhale, gently draw your lower belly and belly button down toward your spine.
The feel
You should feel a subtle tightening or tension rising under your fingertips — like a trampoline becoming taut.
Aim for about 30% of your maximum effort. Keep breathing normally and do not hold your breath.
Before you begin
If you are recovering from lower back pain, diastasis recti, or postpartum recovery, mention this to Dr. Sarlie so these progressions can be tailored to be safer for your situation.
Sources
As supplied by the practice — not all sources carry equal evidentiary weight.
- YouTube
- YouTube
- Healthline
- YouTube
- YouTube
- YouTube
- YouTube
Abdominal Drawing-in Maneuver (ADIM)
- In the starting position, perform the basic TVA engagement on an exhale.
- Maintain the gentle lower-ab contraction for 10 seconds while breathing normally, then relax.
Suggested format 3 × 10 reps · 10-second hold
Dead Bug — Beginner Variation
- Lie on your back with your arms pointing up to the ceiling and knees bent at 90 degrees in tabletop position.
- Engage your TVA.
- Slowly lower one heel to tap the floor while keeping your core braced and lower back pressed flat against the mat.
- Return to the start and alternate sides.
Suggested format 15–60 seconds each side
Bird Dog
- Start on your hands and knees with a flat back and neutral spine.
- Activate your deep core, then extend your opposite arm forward and leg backward simultaneously.
- Hold without letting your hips rotate or your lower back sag.
Suggested format Hold 2–3 seconds · 8–12 repetitions each side
Modified Stomach Vacuum
- Can be performed standing or on all fours.
- Exhale all your air and pull your stomach contents inward and upward toward your spine.
- Hold the hollowing position while taking shallow breaths into your upper ribcage.
Suggested format 20–30 seconds
General educational information from the practice — not personalised advice or a prescription. If anything is painful, stop. Book an appointment for guidance specific to you.



