Investigation of the Effects of Visual Biofeedback-assisted Lumbopelvic Movement Training on Pelvic Proprioception, Pelvic Oscillation, Balance and Core Muscle Endurance in Healthy Sedentary Individuals

The lumbopelvic region is an anatomical region where the lumbar spine and pelvis move in harmony in terms of timing and intensity, called the lumbopelvic rhythm, which requires the static, dynamic and neural system to work together, formed by local and global muscles, osteoligamentous structures and neural control. It acts as a force bridge between the lower and upper extremities. Pain, disability, limited activations, atrophy and especially decreases in motor control and proprioception can negatively affect the rhythm and stabilisation in the region. Exercises that contribute to the movement and stabilisation of the lumbopelvic region. There are studies showing that it re-facilitates synaptogenesis, synaptic potentials and reorganisation in areas represented by movement in the motor cortex.

The pelvis makes sinusoidal up-down movements in the frontal and sagittal planes and rotational movements in the transverse plane during walking. These movements are provided by the local and global muscles surrounding the pelvis and hip joint. The reduction of pelvic oscillations in the normal gait pattern may lead to decreased energy expenditure and increased muscle force production.

Lumbopelvic proprioception plays an important role in providing neuromuscular control, creating effective movement, providing coordination, revealing muscle activation at the appropriate timing, preventing spinal and lower extremity injuries and reducing lumbar pain. Decreased proprioceptive sensation leads to impaired movement of the lumbopelvic region and lower and upper extremities, as well as pain and injuries.

In case of weakening of lumbopelvic neuromuscular control and spinal proprioception, significant losses in balance and muscle strength and endurance occur. In order to gain proprioception, balance and strength-endurance parameters should be focused on, and in order to gain balance and strength-endurance parameters, proprioception sense should be developed.

In this direction, the investigators think that lumbopelvic movement training accompanied by visual biofeedback will have a direct effect on pelvic oscillations, lumbar, lumbopelvic, hip and knee proprioception, lower extremity balance and core muscle endurance and these effects will be reflected on the health parameters and daily living activities of individuals. For this purpose, the investigators aim to evaluate the effects of lumbopelvic movement training. At the same time, as a result of the literature review, it is aimed to eliminate the deficiency in this field.