Introduction: Pelvic tilt is an important biomechanical factor that affects spinal alignment, hip joint function, and load distribution in the lumbopelvic–hip segment. Changes in pelvic tilt can lead to adaptations in lumbar lordosis, thereby influencing hip mobility and joint loading. An imbalanced pelvic position is often associated with pain and limited hip function and may contribute to the development of femoroacetabular impingement. Research indicates that targeted exercise, stabilization techniques, or taping can influence pelvic position and improve movement biomechanics and trunk control. However, it remains unclear to what extent exercise can produce long-term changes in pelvic tilt and whether these changes significantly reduce pain or prevent pathological hip conditions. Purpose: The purpose of this thesis is to review the literature on the relationship between pelvic position, hip pain, and femoroacetabular impingement and to determine whether exercise can influence pelvic tilt. Methods: Literature was searched in the PubMed database. We used a combination of the following keywords: »pelvic tilt« AND »physiotherapy«, »joint mobilization« AND »movement pattern training«, »pelvic tilt« AND »taping« AND »stroke«, »posterior pelvic tilt taping« AND »lumbar lordosis« and »posterior pelvic tilt« AND »hip motion« AND »systematic review«. Results: Six studies involving a total of 310 participants from heterogeneous populations were included in the review. Interventions targeting pelvic tilt mostly led to a reduction of anterior pelvic tilt and improved spinal alignment, particularly when exercise was combined with taping. Some studies also reported improvements in trunk and hip muscle activation and strength. Several studies demonstrated improved functional hip biomechanics and clinically significant pain reduction, with no statistically significant differences between the compared interventions in most cases. Discussion and Conclusion: The literature review indicates that pelvic tilt plays an important role in hip and lumbar spine biomechanics and in the occurrence of pain. Targeted exercise for strength and trunk stabilization, combined with stretching and, if necessary, taping, can improve pelvic position and reduce symptoms, whereas interventions without active muscular control do not provide lasting effects.
|
