Trunk Muscle Mechanics & Core Capacity
The trunk extensors (erector spinae, multifidus) and flexors (rectus abdominis, obliques) form the central mechanical pillar connecting upper and lower body force transmission. Isokinetic trunk testing evaluates concentric and eccentric torque across controlled angular speeds (e.g. 10°/s in the RUPWE protocol up to 60°/s or 120°/s).
Normative Trunk Ratios
Under healthy anatomical conditions, trunk extensors are stronger than trunk flexors, yielding a normative flexor-to-extensor (F:E) ratio of approximately 60% to 80% (0.60–0.80). In patients with chronic low back pain or contact sport fatigue, extensor strength often deteriorates, causing inversion of the ratio.