Conservative treatment of excessive anterior pelvic tilt: a systematic review

Publikation: Konferencebidrag uden forlag/tidsskriftPosterForskningpeer review


Conservative treatment of excessive anterior pelvic tilt: A systematic review

Anders Falk Brekke1,2,3, Søren Overgaard1,2, Asbjørn Hróbjartsson4, Anders Holsgaard-Larsen1,2

1Orthopaedic Research Unit, Department of Orthopaedic Surgery and Traumatology, Odense University Hospital
2Department of Clinical Research, University of Southern Denmark, Denmark
3Department of Physiotherapy, University College Zealand, Denmark
4Center for Evidence-Based Medicine, Odense University Hospital, Denmark

Anders Falk Brekke
Mob: +45 7248 2626
Add: Sdr. Boulevard 29, DK-5000 Odense C, Denmark

ABSTRACT (1795 anslag)
Background: Excessive anterior pelvic tilt has been linked to pain and dysfunction of the hip and pelvic region. Conservative treatment (e.g. manual therapy and physical training) is suggested in correcting the tilt and eventually related symptoms. However, the effectiveness in reducing excessive anterior pelvic tilt in adults is unknown.
Purpose: To systematically review studies investigating the effectiveness of conservative treatment in reducing anterior pelvic tilt in adults and evaluate the quality of evidence.
Materials and methods: MEDLINE, EMBASE, Web of Science and Cochrane (CENTRAL) were searched for relevant studies up to February 2017. Conservative intervention studies on adults aiming at reducing anterior pelvic tilt were included. Titles/abstracts screening was done by one reviewer and full text articles were assessed for methodology quality by two reviewers using Cochrane Collaboration’s tool for assessing risk of bias in RCT’s and the ROBINS-I tool (Risk Of Bias In Non-randomized Studies - of interventions). Data was synthesized qualitatively. The GRADE approach was used to determine the overall quality of the evidence. PROSPERO protocol id: CRD42017056927
Results: Four studies, two RCT´s and two trials without control, were included (n=5047). All four interventions were different and had duration from one day up to eight weeks. Two studies intervened on symptomatic and two on healthy subjects, respectively. Three of the studies demonstrated a significant reduction in anterior pelvic tilt. The two studies intervening on symptomatic subjects demonstrated a significant reduction in pain and disability, respectively.
Conclusions: Very low quality of evidence suggests that further studies are needed to clarify whether conservative treatment may reduce anterior pelvis tilt and reduce symptoms in relation to faulty posture.
Keywords: pelvis, anterior tilt, anteversion, posture
Publikationsdato25 okt. 2017
StatusUdgivet - 25 okt. 2017
BegivenhedDOS Kongressen 2017 - København, Danmark
Varighed: 25 okt. 201727 okt. 2017


KonferenceDOS Kongressen 2017