Background: During daily activities, stability is maintained to enhance the function of muscles surrounding the lumbopelvic and hip structures. The core muscles such as the rectus abdominis (RA), external oblique (EO), and internal oblique (IO) responsible for this stability. One effective static exercise for strengthening these muscles is the plank. Objects: This study aimed to compare abdominal electromyographic activation when an unstable support surface was applied to the upper and lower extremities during a standard and a knee plank. Methods: A total of 30 adults (15 males and 15 females) participated in this study. Surface electromyography electrodes were placed on the RA, EO, and IO muscles. Data were collected under six conditions for males, including two plank postures (standard and knee planks) and three unstable surface conditions (a dynamic balance cushion applied to the upper extremities, lower extremities, or no cushion). Female participants performed only the knee plank. A mixed-effects model with a random intercept was used to analyze muscle activation across plank posture and surface position, with statistical significance set at α = 0.05. Results: In males, the standard plank elicited greater muscle activation than the knee plank across all muscles (p < 0.0001). Additionally, applying an unstable support surface to the upper extremities significantly increased muscle activation in both plank postures in EO and IO (p < 0.001). Other muscle, RA, was only affected by the unstable support surface in the standard plank position only. In females, the knee plank with upper limb instability resulted in the highest muscle activation for all muscles. Conclusion: These findings highlight the importance of surface instability in core muscle engagement. However, future studies should further investigate abdominal muscle activation with a more detailed analysis and the inclusion of a control group to enhance comparative validity.

INTRODUCTION
MATERIALS AND METHODS
    1. Participants
    2. Measurement Tools and Methods
RESULTS
    1. Muscle Activity Comparison Based on Plank Postureand Unstable Support Surface Condition in Male
    2. Muscle Activity Based on Sex and Unstable SupportSurface Condition
DISCUSSION
CONCLUSIONS
FUNDING
ACKNOWLEDGEMENTS
CONFLICTS OF INTEREST
AUTHOR CONTRIBUTION
ORCID
REFERENCES

• Gyubum Choi(Department of Physical Therapy, College of Medical Science, Jeonju University, Jeonju, Korea)
• Jinhong Choi(Department of Physical Therapy, College of Medical Science, Jeonju University, Jeonju, Korea)
• Bokyeong Kim(Department of Physical Therapy, College of Medical Science, Jeonju University, Jeonju, Korea)
• Hanbee Jeong(Department of Physical Therapy, College of Medical Science, Jeonju University, Jeonju, Korea)
• Sujin Kim(Department of Physical Therapy, College of Medical Science, Jeonju University, Jeonju, Korea) Corresponding author