Effect of progressive postural control exercises on altered pelvic tilts and plantar pressure in individuals with chronic low back pain - A randomised controlled trial

Low back pain (LBP) is a prevalent musculoskeletal condition caused by poor posture, muscle weakness, degenerative changes, and neurological factors. Conventional physiotherapy, including heat therapy, stretching, strengthening exercises, postural training, and manual therapy, helps reduce pain, improve spinal stability, and enhance mobility. Strengthening exercises like pelvic tilts, bridging, and back extensions target core muscles for better spinal support. Progressive Postural Control Exercise (PPCE) further improves neuromuscular adaptation and postural control, reducing pain and disability in chronic LBP. Both approaches are effective in enhancing function, preventing recurrences, and promoting long-term spinal health through structured rehabilitation programs.

Chronic low back pain (CLBP) affects mobility, posture, and quality of life, often leading to altered pelvic tilt and plantar pressure distribution, causing postural imbalances and gait abnormalities. While core stability exercises are commonly used, their effectiveness in correcting pelvic misalignment remains unclear. Progressive Postural Control Exercises (PPCE) integrate motor control, core strengthening, and balance training to improve neuromuscular adaptation and postural stability. This study explores PPCE’s role in pelvic alignment and plantar pressure correction, aiming to enhance movement efficiency, reduce pain, and improve functional outcomes in CLBP patients.