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QL (quadratus lumborum)

Region

Origin & Insertion

['Origin: Iliac crest and iliolumbar ligament', 'Insertion: 12th rib and transverse processes of L1–L4']

Synergistic Muscles

['Iliopsoas', 'Erector spinae']

Joints

['Lumbar intervertebral joints']

Primary Actions

['Lateral flexion of trunk', 'Extension of lumbar spine', 'Fixes 12th rib during breathing']

Nerve & Spinal Segment

Ventral rami of T12–L3

Lumbar plexus; T12–L3

Interesting

Common site of low back pain due to posture/imbalance. [Moore's Anatomy]

Reversal of Action

Elevate pelvis while spine remains fixed

Common Dysfunctions

Low back pain, lateral pelvic tilt, hip hike compensation

How to Stretch

Side bend away while standing or kneeling.

Trigger Points

How to Strengthen

Side planks or loaded carries.

Concentric Action

Hip hike while standing on one leg

Applications:

Important in gait stabilization and unilateral low back support

Eccentric Action

Lower pelvis slowly after a hike

Isotonic Action

Side bends with dumbbell or band

Related Conditions

['Lumbar strain', 'Pelvic tilt']

Isometric Action

Hold pelvis elevated on one side

Exercise Ideas

['Suitcase carry', 'Side plank', 'Bird-dog with lateral lift']

Related Blogs

Images

Videos

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