Activity of the Quadratus Lumborum and Trunk Muscles Relates to Pelvic Tilt Angle During Pelvic Tilt Exercises.

Abstract

Pelvic tilt exercises are used clinically to correct lumbopelvic alignment. The anterior and posterior layers of the quadratus lumborum are important for pelvic motor control in the coronal plane. This study aimed to evaluate whether the anterior and posterior activity is related to the pelvic tilt angle during pelvic tilt exercises. The study design was single-occasion repeated measures in a randomized manner. Twelve healthy men performed the four directions of the pelvic tilt exercises (anterior or posterior pelvic tilt and lateral pelvic elevation on the ipsilateral or contralateral measurement side). The electromyographies of the anterior and posterior were recorded using intramuscular fine-wire electrodes and normalized to isometric peak electromyography. The activity of the anterior and posterior during lateral pelvic elevation on the ipsilateral measurement side (19.0 ± 16.0 percent of maximal voluntary isometric contraction) was significantly higher than that during other directions of the pelvic tilt exercises (P < 0.01). There was a significant positive correlation between the anterior activity and the maximum change angles of pelvic tilt during lateral pelvic elevation on the ipsilateral measurement side (r = 0.674, P = 0.016). The anterior activity was related to a large lateral pelvic elevation angle on the ipsilateral side during pelvic tilt exercises.