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Deep Transverse Perineal

Region

Origin & Insertion

Origin: Ischial rami; Insertion: Perineal body and midline raphe

Synergistic Muscles

External urethral sphincter, Levator ani

Joints

None

Primary Actions

Supports pelvic organs and perineal body, stabilizes pelvic floor

Nerve & Spinal Segment

Perineal branch of pudendal nerve

Sacral plexus; S2–S4

Interesting

Part of the urogenital diaphragm. [Gray’s]

Reversal of Action

Core-lift during yoga bridge or chair pose

Common Dysfunctions

Core instability, pelvic pain syndromes

How to Stretch

Happy baby pose with slow exhales

Trigger Points

How to Strengthen

Pelvic lift with core cueing

Concentric Action

Support pelvic floor and urogenital structures

Applications:

Provides sling-like support; important in bladder control and posture

Eccentric Action

Control pelvic base descent

Isotonic Action

Pelvic floor lifts with breath patterning

Related Conditions

Bladder descent, postnatal weakness

Isometric Action

Sustain Kegel with postural cue

Exercise Ideas

Core Stability, Bladder Support, Functional Floor

Spry Juncture, LLC

How to Evolve Gracefully