Factors Influencing Pelvic Tilt: A Systematic Review | ||
| دو فصلنامه مطالعات مروری علوم ورزشی وتندرستی | ||
| Volume 1, Issue 1 - Serial Number 2, January 2026, Pages 88-123 | ||
| DOI: 10.22054/jshsr.2025.19639 | ||
| Authors | ||
| Ali Asghar Norasteh1; Meghdad Teymouri* 2; Morteza Tafah2 | ||
| 1Professor, Department of Physiotherapy and Rehabilitation, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran | ||
| 2Doctor of Philosophy of Faculty of Sport Sciences and Health, University of Guilan, Rasht, Iran. | ||
| Abstract | ||
| Abstract The sagittal plane of the pelvis is a fundamental mechanism for maintaining the body's balance and the spine's alignment, which may undergo changes during the aging process and due to spinal deformities. Pelvic indices, which refer to the definition of the sagittal plane of the pelvis, are evaluated in two classifications: pelvic postural indices and pelvic anatomical indices. Pelvic tilt is one of the two variables (the other variable is sacral slope) that has been more extensively evaluated and analyzed compared to other pelvic postural indices, and it has always posed a challenge for researchers and physiotherapists in terms of how to measure it. Given the presence of contradictory information and the importance of the topic, the aim of this review article is to examine the factors influencing pelvic tilt, such as muscle performance and the positioning of various regions and limbs in the body, and intends to discuss the impact of different exercise regimens on the angle of pelvic tilt. Methods Access to articles was conducted using databases and search engines such as Google Scholar, PubMed, Science Direct, and Elsevier with keywords including Pelvic Tilt, Pelvic Review, Pelvic, Pelvic Assessment, Pelvic Evaluation, and their Persian keywords; pelvic tilt and pelvic, on the websites of the country's journal databases (MAGIRAN), the Iranian Academic Research Center (SID), and the Islamic World Science Citation Center (ISC). The time frame for the articles used ranged from 1980 to 2023. The method for selecting articles is illustrated in Figure 2. In this study, 22 English articles and 2 Persian articles were reviewed. Additionally, the studies were qualitatively assessed based on the PEDro scale, which is an 11-point scale. Given that the aim of this review article was to explore the factors influencing pelvic tilt as comprehensively as possible, no specific inclusion or exclusion criteria regarding the age of the subjects were considered, resulting in a wide statistical population that included ordinary and healthy individuals. Findings After reviewing and studying various articles, the research findings were categorized into two parts: the relationship between pelvic tilt and the performance of the muscles influencing, and the correlation between different exercise regimens and pelvic position (summarized in Table 1). The results of this study indicated that there is conflicting information regarding the relationship between pelvic tilt and muscle performance, as well as the effects of exercise. It has been stated that abdominal muscles, by affecting the lumbar lordosis area, can influence pelvic tilt and the degree of lumbar curvature. Although conflicting information has been reported in research, it appears that such a relationship exists, and strengthening the abdominal muscles reduces anterior pelvic tilt. Discussion and Conclusion Since the aim of this review research was to examine factors such as muscular performance and the effects of various exercises on pelvic tilt, it appears that due to the contradictory results in these topics, reaching a definitive conclusion in this regard remains quite challenging and should be the focus of future research and studies with high-quality qualitative value. The results of this study indicated that the positions and methods of measuring pelvic tilt (in standing, lying, or moving positions) can have a very significant impact on the outcomes of studies and the significance or lack of effectiveness of different training programs (stretching, strengthening, or other exercises) on the angle of pelvic tilt at the hip, and researchers should avoid measuring and observing the angle of pelvic tilt in a standing position. Although there seem to be contradictory results regarding the effects of exercises such as yoga, swimming, flexibility, balance, and strength on pelvic tilt, the findings clarified that strengthening the abdominal muscles leads to a reduction in pelvic tilt, and for individuals with natural hamstring muscle strength, there is no necessity for a correlation between changes in this muscle group and pelvic tilt. | ||
| Keywords | ||
| Exercises; Anterior and posterior pelvic tilt; Positional pelvic parameters; Pelvic muscles | ||
| References | ||
|
| ||
|
Statistics Article View: 121 |
||