Low Back Pain Response to Pelvic Tilt Position: An Observational Study of Chiropractic Patients

Abstract

Objective: The aim of this study was to look for differences between patients with an increased pain response as compared with those with a decreased pain response. Methods: Data were collected from consecutive new patients with lumbar or lumbopelvic pain in a chiropractic clinic. A pelvic tilt exercise was included in the initial examination, and pain response was noted. Analysis was made of pain and disability severity, as well as symptom location, chronicity, and other characteristics, before and after a course of chiropractic care. Results: Patients with an increased pain response to pelvic tilt (n = 12) had higher levels of pain and disability at baseline than patients without (n = 34). There were no between-group differences in other aspects of their complaints; in age, sex, or body mass; or in the types of care they received (eg, manipulation, stretching, exercise instruction). On the average, both groups of patients showed improvement with chiropractic care, and there was no detectable difference in improvement between groups. Conclusions: This study found that patients experiencing pain in response to a pelvic tilt maneuver may have a poorer precare status than patients with a decreased pain response.

Pelvic tilt exercises in different positions for alleviating lumbar pain during pregnancy – a pilot study

“…Pelvic tilt exercises designed in sitting and standing position is a low level intensity exercise done to activate the core muscle (internal oblique, external oblique, transverse abdominis, pelvic floor) that are stretched during pregnancy. This co-activation of core muscles imparts active stiffness through thoracolumbar fascia to the lumbar spine and thereby reducing the exaggerated lumbar lordosis which is considered to be one of the causes for lumbar pain during pregnancy [27,28]. Like any other joints in the human body, range of motion and core activation around pelvic joints need to be maintained as well.…”

A Sensor-Based Screening Tool for Identifying High Pelvic Mobility in Patients Due to Undergo Total Hip Arthroplasty

“…Finally, the applications of our device also extend beyond pre-operative THA planning. Due to the complex interplay between lumbar and pelvic mobility, pelvic movements may also play a key role in chronic back pain; one of the leading causes of disability worldwide [38][39][40], and thus our device may enable identification of potentially pathological pelvic movement patterns which can be targeted via physiotherapy.…”

Myofascial Release Therapy in Addition to the Posterior Pelvic Tilting in Hyperlordosis Individuals

“…Researchers also suggested that posterior pelvic tilting would help to reduce the lordotic curvatures. Result of the studies have demonstrated that properly trained pelvic tilting maneuver produce voluntary rotation of the pelvis and produce sufficient amount of alteration in the lordotic curvatures (Minicozzi et al, 2016).…”