DOS 2017

DOS Kongressen 2017 ·

219

Conservative treatment of excessive anterior pel-

vic tilt: A systematic review

Anders Falk Brekke, Søren Overgaard, Asbjørn Hróbjartsson, Anders Holsgaard-

Larsen

Orthopaedic Research Unit, Department of Orthopaedic Surgery and Trauma-

tology, Odense University Hospital, Denmark; Orthopaedic Research Unit, De-

partment of Orthopaedic Surgery and Traumatology, Odense University Hospi-

tal, Denmark; Center for Evidence-Based Medicine, Odense University Hospital,

Denmark; Orthopaedic Research Unit, Department of Orthopaedic Surgery and

Traumatology, Odense University Hospital, Denmark

Background:

Excessive anterior pelvic tilt has been linked to pain and dysfunc-

tion 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 / Aim of Study:

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. Conserva-

tive intervention studies on adults aiming at reducing anterior pelvic tilt were

included. Titles/abstracts screening was done by one reviewer and full text ar-

ticles 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

Findings / Results:

Four studies, two RCT´s and two trials without control,

were included (n=5047). All four interventions were different and had dura-

tion 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 symp-

tomatic subjects demonstrated a significant reduction in pain and disability, re-

spectively.

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.

No conflicts of interest reported

171.