The effect of transcendental meditation on right hemispheric functioning

This study reports two experiments investigating the effects of transcendental meditation on right hemispheric functioning. The task used in both experiments was the Seashore Tonal Memory Test. In the first experiment a nonmeditator group and an experienced meditator group were run. The design involved three periods: a pretest, a meditation or rest period, and then a posttest. The results showed the experienced meditators were significantly better in both pretest and posttest performance. There were no pretest-posttest differences. The second experiment was done to replicate the first experiment and to control for possible selection bias. The design was the same as the first experiment, except that an additional group of inexperienced meditators was included. The results again showed significantly superior performance for the experienced meditators compared to the nonmeditators. In addition, the experienced meditators were superior to the inexperienced meditators. There were no significant differences between the nonmeditators and the inexperienced meditators. These results support the hypothesis that meditation facilitates right hemispheric functioning. Alternative explanations, such as selection bias, are also discussed.The authors wish to thank Ms. Michelle Ellis and Ms. Bridget Carr for their assistance in conducting these experiments. We also wish to thank the Seattle SIMS for their cooperation in obtaining subjects.     

The effect of transcendental meditation on iconic memory.

Three experiments investigated the effects of transcendental meditation (TM) on iconic memory. The task involved reporting of digits shown tachistoscopically, using Sperling's partial-report technique. Experiment 1 was a pilot study involving a meditation group and a nonmeditation gropu. All subjects were run in a pretest/treatment/posttest design. During the treatment phase the meditation group practiced TM for a 20-minute period and the nonmeditation group relaxed with eyes closed. The results showed that the treatment increased performance in meditators, but not in nonmeditators. In this experiment important controls such as individual administration of the task, extrinsic rewards, subject pacing, and adequate practice were lacking. Experiment 2 was a replication of the first, with these controls added. The results no longer showed a superiority for the meditation treatment. In fact, the meditation group performed worse on each day of running. Experiment 3 was a replication of Experiment 1, to assess whether the meditation effect of Experiment 1 was due to (a) differential increased attention of the meditators (minimized in subject-paced Experiment 2), (b) a gain early in learning for the meditators that was eliminated due to practice in Experiment 2, or (c) a lack of proper control procedures in Experiment 1. The performance of the meditators was, again, significantly lower. This research illustrates the importance of careful control when investigating the effects of meditation on behavior. It also suggests that the effects of meditation may depend on which hemisphere is dominant in performing the task.     

The effect of transcendental meditation on iconic memory

Three experiments investigated the effects of transcendental meditation (TM) on iconic memory. The task involved reporting of digits shown tachistoscopically, using Sperling's partial-report technique. Experiment 1 was a pilot study involving a meditation group and a nonmeditation group. All subjects were run in a pretest/treatment/posttest design. During the treatment phase the meditation group practiced TM for a 20-minute period and the nonmeditation group relaxed with eyes closed. The results showed that the treatment increased performance in meditators, but not in nonmeditators. In this experiment important controls such as individual administration of the task, extrinsic rewards, subject pacing, and adequate practice were lacking. Experiment 2 was a replication of the first, with these controls added. The results no longer showed a superiority for the meditation treatment. In fact, the meditation group performed worse on each day of running. Experiment 3 was a replication of Experiment 1, to assess whether the meditation effect of Experiment 1 was due to (a) differential increased attention of the meditators (minimized in subject-paced Experiment 2), (b) a gain early in learning for the meditators that was eliminated due to practice in Experiment 2, or (c) a lack of proper control procedures in Experiment 1. The performance of the meditators was, again, significantly lower. This research illustrates the importance of careful control when investigating the effects of meditation on behavior. It also suggests that the effects of meditation may depend on which hemisphere is dominant in performing the task.The authors wish to thank John Tabb and Cindy Miller for their assistance in conducting this research. We also wish to thank the Seattle Students International Meditation Society (SIMS) for their cooperation in obtaining subjects.     

Physiological responses during meditation and rest

Forty nonmeditators and 12 experienced transcendental meditators were randomly assigned to four experimental cells devised to control for order and expectation effects. All 52 (female) subjects were continuously monitored on seven physiological measures during both meditation and rest. Each subject was her own control in an abab experimental paradigm comparing meditation to rest. Analyses of variance on change scores calculated from both initial and running (intertrial) baselines revealed small but significant conditions effects for all variables except diastolic BP. The same subjects (both experienced meditators and those meditating for the first time) showed lower psychophysiological arousal during the meditation than during the rest condition for systolic BP, HR, SCL, digital BV, digital ST, and frontalis EMG. The experienced meditators showed only marginally more conditions effects than the novices practicing "noncultic" meditation. For the nonmeditators, deliberately fostering positive expectations of meditations was associated with lower physiological arousal in terms of diastolic BP, HR, and SCL. These findings suggest that both cultic and noncultic meditation are associated with lower physiological activation than eyes-closed rest. The meditators, however, tended to become more relaxed over meditation trials, whereas the nonmeditators showed the opposite trend.     

An analogue study of the initial carryover effects of meditation, hypnosis, and relaxation using native college students.

An analogue study involving two experiments was conducted to test the initial carryover effects of hypnosis, meditation, and relaxation upon self-reports of awareness. In the first experiment, concentrative meditators reported fewer nonsensorial events than controls. In the second experiment, concentrative meditators again reported fewer nonsensorial events, but covariate analysis and pretest/posttest comparisons revealed that it was the controls who had changed, increasing their nonsensorial reports. In addition, the relaxation group increased its reports of somatic awareness. Results were discussed in terms of the effects of performance demands and the possibility that meditation and hypnosis might be able to disinhibit awareness processes otherwise inhibited by normal daily routines.     

Physiological responses during meditation and rest

Forty nonmeditators and 12 experienced transcendental meditators were randomly assigned to four experimental cells devised to control for order and expectation effects. All 52 (female) subjects were continuously monitored on seven physiological measures during both meditation and rest. Each subject was her own control in an abab experimental paradigm comparing meditation to rest. Analyses of variance on change scores calculated from both initial and running (intertrial) baselines revealed small but significant conditions effects for all variables except diastolic BP. The same subjects (both experienced meditators and those meditating for the first time) showed lower psychophysiological arousal during the meditation than during the rest condition for systolic BP, HR, SCL, digital BV, digital ST, and frontalis EMG. The experienced meditators showed only marginally more conditions effects than the novices practicing noncultic meditation. For the nonmeditators, deliberately fostering positive expectations of meditations was associated with lower physiological arousal in terms of diastolic BP, HR, and SCL. These findings suggest that both cultic and noncultic meditation are associated with lower physiological activation than eyes-closed rest. The meditators, however, tended to become more relaxed over meditation trials, whereas the nonmeditators showed the opposite trend.     

Increased Grey Matter Associated with Long-Term Sahaja Yoga Meditation: A Voxel-Based Morphometry Study

Objectives

To investigate regional differences in grey matter volume associated with the practice of Sahaja Yoga Meditation.

Design

Twenty three experienced practitioners of Sahaja Yoga Meditation and twenty three non-meditators matched on age, gender and education level, were scanned using structural Magnetic Resonance Imaging and their grey matter volume were compared using Voxel-Based Morphometry.

Results

Grey matter volume was larger in meditators relative to non-meditators across the whole brain. In addition, grey matter volume was larger in several predominantly right hemispheric regions: in insula, ventromedial orbitofrontal cortex, inferior temporal and parietal cortices as well as in left ventrolateral prefrontal cortex and left insula. No areas with larger grey matter volume were found in non-meditators relative to meditators.

Conclusions

The study shows that long-term practice of Sahaja Yoga Meditation is associated with larger grey matter volume overall, and with regional enlargement in several right hemispheric cortical and subcortical brain regions that are associated with sustained attention, self-control, compassion and interoceptive perception. The increased grey matter volume in these attention and self-control mediating regions suggests use-dependent enlargement with regular practice of this meditation.     

An analogue study of the initial carryover effects of meditation,hypnosis, and relaxation Using naive college students

An analogue study involving two experiments was conducted to test the initial carryover effects of hypnosis, meditation, and relaxation upon self-reports of awareness. In the first experiment, concentrative meditators reported fewer nonsensorial events than controls. In the second experiment, concentrative meditators again reported fewer nonsensorial events, but covariate analysis and pretest/posttest comparisons revealed that it was the controls who had changed, increasing their nonsensorial reports. In addition, the relaxation group increased its reports of somatic awareness. Results were discussed in terms of the effects of performance demands and the possibility that meditation and hypnosis might be able to disinhibit awareness processes otherwise inhibited by normal daily routines.This article represents in part findings from a masters thesis completed at Appalachian State University, Donald L. Clark, Ph.D., Director, and a doctoral dissertation completed at The University of North Carolina at Chapel Hill, David P. Rogers, Ph.D., and George S. Welsh, Ph.D., Co-Directors. The research was supported in part by a Grant-in-Aid of Research from Sigma Xi, the Scientific Research Society, with additional monies from the Smith Fund for graduate research at the University of North Carolina. Thanks go to Michelle Batchelder, Elizabeth Barbee, Lisa Barboun, Susan Durham, Lee Earl, Elizabeth Evans, Pam Gilmore, Sally Hall, Willian Hatch, Anne Mahaffie, Sally Parker, Lee Pusser, Susan Roach, Jennifer Rosenbaum, Skip Salguerro, Jeannette Smith, Michael Smith, Sylvia Sutton, and Lourdes Vinuales for their help in conducting the second experiment, with special thanks also to Susan Woodard (Experiment 1) and Alisa Huffman and Melanie Thackston (Experiment 2) for their help in coding the data. Helpful comments were made by Arthur N. Wiens, Ruth G. Matarazzo, Mary Lawrence Cawthon, W. Grant Dahlstrom, and Aija Ozolins on earlier drafts of this article.     

Migraine and Meditation: Characteristics of Cortical Activity and Stress Coping in Migraine Patients,Meditators and Healthy Controls—An Exploratory Cross-Sectional Study

The aim of this exploratory cross-sectional study was to investigate the characteristics of cortical activity and stress coping in migraine patients, meditation experienced subjects, and healthy controls. 45 meditation experienced subjects, 46 migraine patients, and 46 healthy controls took part in the study. Cortical activity was measured with the contingent negative variation (CNV), a slow cortical event-related potential. Stress coping was examined with the standardized Stress Coping Questionnaire SVF-78. A one-way analysis of variance was used to investigate possible differences between the groups. CNV-amplitude was significantly higher in migraineurs than in controls. The meditators showed significantly lowest amplitudes. Migraine patients used negative stress-coping strategies significantly more often than meditators and healthy controls. Especially the application of the strategy “rumination” was most frequent in migraine patients and least frequent in meditators. Moreover, frequent rumination was significantly correlated with high CNV-amplitudes. Cortical and stress processing in people with meditation experience was improved compared to migraine patients and healthy controls.     

Hemodynamic Changes During Long Meditation

Changes in heart rate (HR) and blood pressure (BP) in advanced male meditators during 1 hr of meditation were compared with matched control participants resting for 1 hr. Also, changes in HR and BP during 3-hr meditation were analyzed. HR was recorded continuously during meditation (n = 38) and the control rest (n = 21). BP was measured before and after the meditation (n = 44) and the rest (n = 30). During the first hour, HR declined more in the meditators than the controls (p < .01). Within participant variability of HR was significantly lower during meditation than rest (p < .05). In the second hour of meditation, HR declined further (p = .01). BP was unaffected by either meditation or rest. In conclusion, meditation reduced the level of HR and within participant variability of HR more than rest. HR continued to decline during the second hour of meditation.     

Neurocognitive and Somatic Components of Temperature Increases during g-Tummo Meditation: Legend and Reality

Stories of g-tummo meditators mysteriously able to dry wet sheets wrapped around their naked bodies during a frigid Himalayan ceremony have intrigued scholars and laypersons alike for a century. Study 1 was conducted in remote monasteries of eastern Tibet with expert meditators performing g-tummo practices while their axillary temperature and electroencephalographic (EEG) activity were measured. Study 2 was conducted with Western participants (a non-meditator control group) instructed to use the somatic component of the g-tummo practice (vase breathing) without utilization of meditative visualization. Reliable increases in axillary temperature from normal to slight or moderate fever zone (up to 38.3°C) were observed among meditators only during the Forceful Breath type of g-tummo meditation accompanied by increases in alpha, beta, and gamma power. The magnitude of the temperature increases significantly correlated with the increases in alpha power during Forceful Breath meditation. The findings indicate that there are two factors affecting temperature increase. The first is the somatic component which causes thermogenesis, while the second is the neurocognitive component (meditative visualization) that aids in sustaining temperature increases for longer periods. Without meditative visualization, both meditators and non-meditators were capable of using the Forceful Breath vase breathing only for a limited time, resulting in limited temperature increases in the range of normal body temperature. Overall, the results suggest that specific aspects of the g-tummo technique might help non-meditators learn how to regulate their body temperature, which has implications for improving health and regulating cognitive performance.     

Regulation of the neural circuitry of emotion by compassion meditation: effects of meditative expertise

Recent brain imaging studies using functional magnetic resonance imaging (fMRI) have implicated insula and anterior cingulate cortices in the empathic response to another's pain. However, virtually nothing is known about the impact of the voluntary generation of compassion on this network. To investigate these questions we assessed brain activity using fMRI while novice and expert meditation practitioners generated a loving-kindness-compassion meditation state. To probe affective reactivity, we presented emotional and neutral sounds during the meditation and comparison periods. Our main hypothesis was that the concern for others cultivated during this form of meditation enhances affective processing, in particular in response to sounds of distress, and that this response to emotional sounds is modulated by the degree of meditation training. The presentation of the emotional sounds was associated with increased pupil diameter and activation of limbic regions (insula and cingulate cortices) during meditation (versus rest). During meditation, activation in insula was greater during presentation of negative sounds than positive or neutral sounds in expert than it was in novice meditators. The strength of activation in insula was also associated with self-reported intensity of the meditation for both groups. These results support the role of the limbic circuitry in emotion sharing. The comparison between meditation vs. rest states between experts and novices also showed increased activation in amygdala, right temporo-parietal junction (TPJ), and right posterior superior temporal sulcus (pSTS) in response to all sounds, suggesting, greater detection of the emotional sounds, and enhanced mentation in response to emotional human vocalizations for experts than novices during meditation. Together these data indicate that the mental expertise to cultivate positive emotion alters the activation of circuitries previously linked to empathy and theory of mind in response to emotional stimuli.     

Distinct neural activity associated with focused-attention meditation and loving-kindness meditation

This study examined the dissociable neural effects of ānāpānasati (focused-attention meditation, FAM) and mettā (loving-kindness meditation, LKM) on BOLD signals during cognitive (continuous performance test, CPT) and affective (emotion-processing task, EPT, in which participants viewed affective pictures) processing. Twenty-two male Chinese expert meditators (11 FAM experts, 11 LKM experts) and 22 male Chinese novice meditators (11 FAM novices, 11 LKM novices) had their brain activity monitored by a 3T MRI scanner while performing the cognitive and affective tasks in both meditation and baseline states. We examined the interaction between state (meditation vs. baseline) and expertise (expert vs. novice) separately during LKM and FAM, using a conjunction approach to reveal common regions sensitive to the expert meditative state. Additionally, exclusive masking techniques revealed distinct interactions between state and group during LKM and FAM. Specifically, we demonstrated that the practice of FAM was associated with expertise-related behavioral improvements and neural activation differences in attention task performance. However, the effect of state LKM meditation did not carry over to attention task performance. On the other hand, both FAM and LKM practice appeared to affect the neural responses to affective pictures. For viewing sad faces, the regions activated for FAM practitioners were consistent with attention-related processing; whereas responses of LKM experts to sad pictures were more in line with differentiating emotional contagion from compassion/emotional regulation processes. Our findings provide the first report of distinct neural activity associated with forms of meditation during sustained attention and emotion processing.     

Short Meditation Trainings Enhance Non-REM Sleep Low-Frequency Oscillations

Study Objectives

We have recently shown higher parietal-occipital EEG gamma activity during sleep in long-term meditators compared to meditation-naive individuals. This gamma increase was specific for NREM sleep, was present throughout the entire night and correlated with meditation expertise, thus suggesting underlying long-lasting neuroplastic changes induced through prolonged training. The aim of this study was to explore the neuroplastic changes acutely induced by 2 intensive days of different meditation practices in the same group of practitioners. We also repeated baseline recordings in a meditation-naive cohort to account for time effects on sleep EEG activity.

Design

High-density EEG recordings of human brain activity were acquired over the course of whole sleep nights following intervention.

Setting

Sound-attenuated sleep research room.

Patients or Participants

Twenty-four long-term meditators and twenty-four meditation-naïve controls.

Interventions

Two 8-h sessions of either a mindfulness-based meditation or a form of meditation designed to cultivate compassion and loving kindness, hereafter referred to as compassion meditation.

Measurements and Results

We found an increase in EEG low-frequency oscillatory activities (1–12 Hz, centered around 7–8 Hz) over prefrontal and left parietal electrodes across whole night NREM cycles. This power increase peaked early in the night and extended during the third cycle to high-frequencies up to the gamma range (25–40 Hz). There was no difference in sleep EEG activity between meditation styles in long-term meditators nor in the meditation naïve group across different time points. Furthermore, the prefrontal-parietal changes were dependent on meditation life experience.

Conclusions

This low-frequency prefrontal-parietal activation likely reflects acute, meditation-related plastic changes occurring during wakefulness, and may underlie a top-down regulation from frontal and anterior parietal areas to the posterior parietal and occipital regions showing chronic, long-lasting plastic changes in long-term meditators.     

EEG Spectral Analysis on OM Mantra Meditation: A Pilot Study

Mantra meditation is easy to practice. “OM” Mantra is the highest sacred symbol in Hinduism. The present study investigated the temporal dynamics of oscillatory changes after OM mantra meditation. Twenty-three naive meditators were asked to perform loud OM chanting for 30 min and the EEG were subsequently recorded with closed eyes before and after it. To obtain new insights into the nature of the EEG after OM chanting, EEG signals were analyzed using spectral domain analysis. Statistical analysis was performed using repeated measures of analysis of variance. It did not reveal any specific band involvement into OM mantra meditation. But significantly increase in theta power was found after meditation when averaged across all brain regions. This is the main effect of OM mantra meditation. However, the theta power showed higher theta amplitude after condition at all regions in comparison to the before condition of meditation. Finding was similar to other studies documenting reduction in cortical arousal during a state of relaxation. The study argues for the potential role of loud ‘OM’ chanting in offering relaxation. It provides a new perspective of meditation to the naive meditators. This information may help to demystify meditation and encourage those considering this as beneficial practice.     

Efficacy of two different stretch training programs (passive vs. proprioceptive neuromuscular facilitation) on shoulder and hip range of motion in older people

The aim of this study was to determine the influence of 2 methods of stretch training (passive and proprioceptive neuromuscular facilitation [PNF]) on range of motion (ROM) in older people between the age of 60 and 70 years over a period of 13 weeks. Fifty-four participants (39 women and 15 men) were divided into 3 groups: passive (n = 17; 66.5 ± 6.5 years), PNF (n = 17; age, 64.7 ± 4.0 years old), and control (n = 17; age, 66.4 ± 4.5 years). The subjects trained 2 times per week on nonconsecutive days for 13 weeks. Each training session included 2 flexibility exercises focused on the shoulder and hip joints. The PNF group performed 6 seconds of passive stretching, 3 seconds of muscular contractions, and 2 seconds of relaxation. The passive group performed 10 seconds of stretching and 5 seconds of relaxation. This sequence was repeated 3 times by each group. The control group did not perform any stretching. In the PNF group, there was an increase in hip ROM (p < 0.001) between pretest and posttest in the passive group and an improvement (p < 0.001) was observed between pretest and posttest, whereas in the control group, there was a significant decrease (p < 0.01) in hip ROM between pretest and posttest. In shoulder ROM, there was an increase (p < 0.001) between pretest and posttest in the passive group and an improvement (p < 0.001) was observed between pretest and posttest in the PNF group. There were no changes in shoulder ROM between pretest and posttest in the control group. The analysis of variance showed significant differences in hip and shoulder ROM between passive and control groups and PNF and control groups, but no significant differences were found between passive and PNF. The main finding was that the ability of physically active older people to increase ROM in response to stretching techniques is similar for both passive and PNF techniques.     

The Computerized Table Setting Test for Detecting Unilateral Neglect

Background

Patients with unilateral neglect fail to respond normally to stimuli on the left side. To facilitate the evaluation of unilateral spatial neglect, we developed a new application that runs on a tablet device and investigated its feasibility in stroke patients.

Methods

We made the computerized table setting test (CTST) to run on the tablet computer. Forty acute ischemic stroke patients (20 patients with right hemispheric infarction with neglect, 10 patients with right hemispheric infarction without neglect, and 10 patients with left hemispheric infarction) and 10 healthy controls were prospectively enrolled to validate the CTST. The test requires subjects to set a table by dragging 12 dishes located below the table on the tablet screen. The horizontal deviation of the 12 dishes from the midline of the table, the selection tendency measured by the sequence of the dish selection, and the elapsed time for table setting were calculated automatically.

Results

Parameters measured by the CTST were correlated with the results of conventional neglect tests. The horizontal deviation was significantly higher in patients with right hemispheric infarction with neglect compared with the other groups. The selection tendency and elapsed time also were significantly different in patients with right hemispheric infarction with neglect compared with the left hemispheric infarction and control groups, but were similar to those with right hemispheric infarction without neglect.

Conclusions

The CTST is feasible to administer and comparable with conventional neglect tests. This new application may be useful for the initial diagnosis and follow-up of neglect patients.     

Comparison of naive and experienced students of elementary physiology on performance in an advanced course

The purpose of this study was to determine whether, in comparison with naive students, experienced students who have completed an elementary physiology course 1) have a greater knowledge level of physiology and 2) perform better in an upper division physiology course. The educational setting for this study was the cardiovascular block of an advanced undergraduate level course entitled Principles of Human Physiology (PGY 412). The study employed students who had completed elementary physiology (PGY 206) at the University of Kentucky (group 1), students who had completed elementary physiology in another academic program (group 2), and naive students with no prior physiology experience (group 3). A cardiovascular pretest was presented during the opening session of the cardiovascular block in PGY 412. Respective scores for the three groups were 29.4%, 31.7%, and 24.1%, and there were no significant between-group differences. Respective scores on the same pretest items given as a posttest at the end of the cardiovascular block were 90.4%, 91.4%, and 90.4%, and, again, there were no significant between-group differences. Respective scores on other cardiovascular test items given at the end of the block were 78.9%, 78.7%, and 81.1%. Interestingly, the highest score here was achieved by the naive students (group 3), but, once again, between-group differences were not significant. In summary, on the basis of pretest/posttest examination of cardiovascular physiology between naive and experienced students, the results of this study indicate 1) that the common assumption that students entering advanced level physiology courses have a significant retention of knowledge from elementary physiology is not valid and 2) that completion of an elementary physiology course does not offer an advantage in learning advanced material.     

Meditation Experience Predicts Introspective Accuracy

The accuracy of subjective reports, especially those involving introspection of one''s own internal processes, remains unclear, and research has demonstrated large individual differences in introspective accuracy. It has been hypothesized that introspective accuracy may be heightened in persons who engage in meditation practices, due to the highly introspective nature of such practices. We undertook a preliminary exploration of this hypothesis, examining introspective accuracy in a cross-section of meditation practitioners (1–15,000 hrs experience). Introspective accuracy was assessed by comparing subjective reports of tactile sensitivity for each of 20 body regions during a ‘body-scanning’ meditation with averaged, objective measures of tactile sensitivity (mean size of body representation area in primary somatosensory cortex; two-point discrimination threshold) as reported in prior research. Expert meditators showed significantly better introspective accuracy than novices; overall meditation experience also significantly predicted individual introspective accuracy. These results suggest that long-term meditators provide more accurate introspective reports than novices.     

The effects of stability ball training on spinal stability in sedentary individuals

Stability ball training (SBT) is believed to improve spinal stability (SS) and could reduce the risk of back pain in sedentary individuals. The purpose of this study was to examine the effects of SBT on SS. Twenty sedentary individuals were randomly assigned to either an experimental group that performed SBT twice per week for 10 weeks or to a control group. Differences between groups were assessed by analysis of variance (ANOVA) with repeated measures. The experimental group improved significantly (p < 0.05) on the static back-endurance test from pretest (149.3 +/- 72.3 seconds) to posttest (194.6 +/- 56.7 seconds) and the side bridge test from pretest (45.4 +/- 39.4 seconds) to posttest (71.3 +/- 59.7 seconds). Back endurance for the control group did not change from pretest (123.4 +/- 64.9 seconds) to posttest (87.5 +/- 40.2 seconds), nor did the results of the side bridge test change for this group from pretest (41.8 +/- 26.4 seconds) to posttest (51.6 +/- 35.9 seconds). These findings illustrate that SBT may provide improvements in SS within this population. Practitioners might use SBT exercises where the position of the spine is maintained during the early phases of back-pain prevention programs. This type of programming might be beneficial to individuals who spend a good deal of time sitting (i.e., in corporate fitness programs) or for individuals who are prone to back pain and have been cleared to exercise. Also, the side bridge and static back endurance assessments may be good choices for measuring SS in field settings.