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Research Article

Therapy of poor posture in adolescents: Sensorimotor training increases the effectiveness of strength training to reduce increased anterior pelvic tilt

ORCID Icon, & | (Reviewing Editor)
Article: 1262094 | Received 18 Sep 2016, Accepted 09 Nov 2016, Published online: 30 Nov 2016

Figures & data

Figure 1. (a) Pivot model of anterior pelvic tilt, RA–rectus abdominis, IL–iliopsoas, GM–gluteus maximus, HA–hamstrings, PA–pelvic tilt angle, ASIS–anterior superior iliac spine, PSIS–posterior superior iliac spine. (b) Muscular imbalance leads to an increased anterior pelvic tilt (1) and an increased lumbar lordosis (2).

Figure 1. (a) Pivot model of anterior pelvic tilt, RA–rectus abdominis, IL–iliopsoas, GM–gluteus maximus, HA–hamstrings, PA–pelvic tilt angle, ASIS–anterior superior iliac spine, PSIS–posterior superior iliac spine. (b) Muscular imbalance leads to an increased anterior pelvic tilt (1) and an increased lumbar lordosis (2).

Table 1. Anthropometric data of the participants

Figure 2. Position of the test person on the isometric measurement device.

Note: Left: knee flexors, right: trunk flexors.

Figure 2. Position of the test person on the isometric measurement device.Note: Left: knee flexors, right: trunk flexors.

Figure 3. Strength training on the machine.

Note: Left: Seated crunch machine (rectus abdominis), middle: knee curl machine (biceps femoris), right: hip extension machine (gluteus maximus).

Figure 3. Strength training on the machine.Note: Left: Seated crunch machine (rectus abdominis), middle: knee curl machine (biceps femoris), right: hip extension machine (gluteus maximus).

Figure 4. Exercises to improve body perception in the pelvic region. (a) Pelvis lift in a lying position: lifting the pelvis a few centimeters, (b) elimination of lumbar lordosis: drawing in the navel, (c) retroversion of the pelvis: turn the pelvis backwards like a wheel, (d) controlling pelvis and posture in a mirror.

Figure 4. Exercises to improve body perception in the pelvic region. (a) Pelvis lift in a lying position: lifting the pelvis a few centimeters, (b) elimination of lumbar lordosis: drawing in the navel, (c) retroversion of the pelvis: turn the pelvis backwards like a wheel, (d) controlling pelvis and posture in a mirror.

Figure 5. Box plots of the PA differences for the three groups.

Notes: The boxes span the interquartile range, the horizontal bar marks the median, and plus signs mark outliers. Stars represent significant differences between the groups (*p < 0.05, ***p < 0.001).

Figure 5. Box plots of the PA differences for the three groups.Notes: The boxes span the interquartile range, the horizontal bar marks the median, and plus signs mark outliers. Stars represent significant differences between the groups (*p < 0.05, ***p < 0.001).

Figure 6. Changes in PA and torque of RA, RA and GM from pre- to post-test for the three groups, mean values ± standard deviations.

Figure 6. Changes in PA and torque of RA, RA and GM from pre- to post-test for the three groups, mean values ± standard deviations.

Figure 7. Voluntary reduction of pelvic tilt by a 16 year old subject after the exercise program (STR + SENSO).

Note: The decrease in pelvic angle that results in a reduction of the lumbar lordosis and the improved alignment of the body in relation to the perpendicular.

Figure 7. Voluntary reduction of pelvic tilt by a 16 year old subject after the exercise program (STR + SENSO).Note: The decrease in pelvic angle that results in a reduction of the lumbar lordosis and the improved alignment of the body in relation to the perpendicular.