Table 1.
Authors, year | Design | Sample* | Impairment (symptoms) | Intervention (Experiment/Control) |
Outcomes (Patient/Observer) |
Results | Adverse effects |
---|---|---|---|---|---|---|---|
Cottingham et al, 198830 | RCT |
n = 32 males Mean age = 27 years Allocation 1:1 |
Pelvic anteversion > 9o. Healthy non-symptomatic. | The immediate and 24-hour follow-up effect. E: Rolfing soft tissue manipulation of the pelvic region (3 x 15 minutes). The three primary myofascial regions manipulated were the iliopsoas, deep hip rotator, and hamstring muscles. C: Lying in the same positions as those receiving treatment (3 x 15 minutes), without soft tissue manipulation. |
O: Inclinometry of pelvis tilt in standing defined as the angle between an ASIS/PSIS line and the horizontal plane. Parasympathetic activity assessed with a Vagal Tone Monitor |
The experimental group demonstrated immediate and 24-hour decreases of 1.7 o (12.3 o vs. 10.6 o) and 1.4 o (12.3o vs. 10.9 o) (p < 0.01), respectively, in standing anterior pelvic tilt angle, and a significant increase in vagal tone. The control group did not show significant pretest-posttest differences. |
No |
Levine et al, 199729 | RCT | n = 40; F/M: 32/8 Mean age = 24.5 years Exp/control group F/M distribution: NA Allocation 1:1 |
Healthy subjects with no LBP. Abdominal muscle weakness (Kendall double leg lowering test) | E: Eight-week (5 of 7 days) individual prescribed programme of primarily abdominal strengthening and supplementary hip/lumbar spine stretching exercises. Supervised once a week for programme adjustments. C: Instructed not to change their activity level during the eight weeks. |
O: Inclinometry of pelvis tilt in standing defined as the angle between an ASIS/PSIS line and the horizontal plane. Theta, an index of lumbar lordosis calculated from the length and depth of the lordosis, measured using a flexible ruler in standing position. Abdominal muscle strength (Kendall double leg lowering test). |
Analysis of covariance in the experimental group vs. controls showed an increased abdominal muscle strength (p = 0.001), but no relationship to a mean reduction of 0.5o
(pre 8.7 o vs. post 8.2o) anterior pelvic tilt was found (p = 0.17). |
12 subjects were replaced during the intervention period |
Barbosa et al, 201328 | Intervention study without control |
n = 7; F/M: NA Age: 18–35 years |
Anterior pelvic tilt and LBP without radiculopathy | Eight weeks (3 sessions per week). HVLA thrust applied to the SIJ. At MVC 12%, isotonic eccentric contractions for knee flexion and concentric contractions of knee flexion were applied. The number of repetitions and series varied in each session. | P: VAS O: Digital photogrammetry in standing of pelvis tilt defined as the angle between an ASIS/PSIS line and the horizontal plane. |
P: Baseline 5.83 ± 1.59 cm and final assessments 1.29 ± 0.58 cm (p = 0.009). O: Baseline 20.38 ± 5.70 degrees and final assessment 14.63 ± 2.17 degrees. Change of 5.8 degrees (p = 0.009). |
No |
Lee et al, 201431 | Intervention study without control | n = 16 females Mean age ± SD = 23.63 ± 3.18 years |
Habitually wearing high-heeled shoes and having pain in both SIJs during ASLR | The immediate and 24-hour follow-up effect of an application of posterior pelvic tilt taping (PPTT) using kinesiology tape aiming at decreasing anterior pelvic tilt | P: A six-point scale for disability on the ASLR test ranging from 0 (not difficult at all) to 5 (unable to perform). O: Inclinometry of pelvis tilt in standing defined as the angle between an ASIS/PSIS line and the horizontal plane. |
After one day of PPTT all results (p < 0.001) P: ASLR scores (mean ± SD)** Dominant side 3.00 ± 1.10 to 1.38 ± 1.08 Non-dominant side 2.75 ± 1.18 to 1.25 ± 1.13. O: Pelvic tilt (meano ± SD)** Dominant side 11.97 ± 2.81 to 7.16 ± 2.87. Change of 4.8 degrees. Non-dominant side 12.68 ± 2.76 to 7.25 ± 2.45. Change of 5.4 degrees. |
No |
Note. Studies are presented methodologically with RCTs before non-RCTs and publication year.
LBP, low back pain; NA, not applicable; HVLA, high velocity, low amplitude; SIJ, sacroiliac joint; MVC, maximum isometric voluntary contractions; ASIS, anterior superior iliac spine; PSIS, posterior superior iliac spine; VAS, visual analogue scale; RCT, randomized controlled trial; ASLR, active straight leg raise test; SIJ, sacroiliac joint.
*n (number of participants), F/M (female/male).
**Criteria for dominant/non-dominant side are not defined. All patients are described as right-side dominant.