Trunk (thorax, abdomen, back)
Transversus Abdominis
Musculus transversus abdominis
- Origin
- Inguinal ligament, iliac crest, thoracolumbar fascia, and the inner surface of the lower six costal cartilages
- Insertion
- Linea alba and the pubic crest (via the conjoint tendon)
- Function
- Compresses the abdominal contents, raises intra-abdominal pressure, and stabilizes the lumbar spine
- Innervation
- Intercostal nerves T7-T12, iliohypogastric nerve and ilioinguinal nerve
- Movement & chain
- As the deepest abdominal muscle layer with predominantly horizontally running fibers, the primary muscle for local (segmental) stability of the lumbar spine, often the first trained in core stability exercises.
- Palpation
- Palpable beneath the internal oblique by gently pressing medial to the anterior superior iliac spine during coughing or bracing ("drawing in the abdomen").
- Clinical
- Inadequate activation of this muscle is associated with low back pain; it is often specifically trained in core stability rehabilitation.
- Segmental innervation
- T7-T12, L1 (iliohypogastric/ilioinguinal).
- In clinical practice
- The plane between this muscle and the internal oblique is the injection site for the TAP block (transversus abdominis plane block), a commonly used regional anesthesia technique for postoperative pain management after abdominal surgery.
- Region in the model
- Trunk (thorax, abdomen, back)