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Stability Ball Back Extension and Twist

Beginner
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A stability ball exercise combining spinal extension and rotation that targets the erector spinae and obliques to build core stability and improve posture; suitable for all levels with optional weights for progression.

About Exercise

Equipment

Stability Ball

Difficulty

3/5 • Beginner

Primary Muscle Groups

Lower Back, Obliques

Secondary Muscles

Hamstrings, Abs

Popularity Score

6

Goals

Stability
Strength

Training Style

Functional Training

Setup Requirements

Requires Rack

No

Requires Bench

No

Requires Spotter

No

Space Needed

Medium

Noise Level

Low

Muscle Breakdown

Lower Back

9/10

Erector Spinae

Obliques

8/10

External Obliques, Internal Obliques

Glutes

6/10

Glute Max

Hamstrings

5/10

Biceps Femoris

Abs

4/10

Rectus Abdominis

Programming

Typical Rep Range

8-15 reps

Rest Between Sets

30-60 seconds

How to Perform

Lie prone on a stability ball with hips and lower abdomen centered on top. Anchor feet against a wall or floor hip-width apart, hands behind head or crossed over chest.

  1. Lower torso slowly over the ball to feel a back stretch.
  2. Exhale and lift upper body using back muscles until body forms a straight line from head to heels.
  3. At peak extension, rotate torso slowly to one side from thoracic spine.
  4. Return torso to center while maintaining extension.
  5. Inhale and lower upper body controlled back over the ball.
  6. Alternate twist direction on next rep.

Coaching Tips

Form Cues

  • Engage core throughout
  • Twist from upper back
  • Keep neck neutral
  • Anchor feet firmly
  • Avoid arching low back

Breathing

Exhale during lift and twist; inhale as you lower.

Tempo

3-2-1

Range of Motion

Start draped over ball with torso relaxed; extend to straight body line from head to heels; rotate torso 30-45 degrees each side without lumbar over-twist.

Safety

Safety Notes

  • Use appropriate ball size for height
  • Stop if lower back pain occurs
  • Maintain control to prevent strain
  • Focus thoracic rotation over lumbar

Spotting

Not required; use wall for foot anchor if needed for stability.

Common Mistakes

  • Hyperextending lower back
  • Twisting from hips
  • Jerky movements
  • Unsecured feet causing roll

When to Avoid

  • Acute lower back pain
  • Recent spinal injury

Flexibility Needed

  • Thoracic spine rotation
  • Hip flexion for ball positioning

Build Up First

  • Basic core engagement
  • Familiarity with back extensions

Also known as

Swiss Ball Back Extension with Rotation, Exercise Ball Back Extension Twist, Physio Ball Spinal Extension and Twist

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