6-week-exercise programme for anterior pelvic tilt in healthy male adults with different anterior pelvic tilt: a controlled trial.

The intervention group participants will be enrolled in a therapeutic programe that has been designed for the purpose of this study. It combines a repertory of standardized exercises that have been previpusly described in scientific literature. This programe of exercises will be conducted in a Hospital and delivered by a physiotherapist who supervise and control each therapeutic session during the intervention period. Each participant will receive 45min therapy per session, in 18 separated sessions (three sessions per week, for 6 weeks). The programe involve 2 stages The first from week 1 to three and the second from the fourth to sixth week. The sessions are individual (not in group) and based on 1) active therapeutic exercise (80% of the intervention time) and 2) manual therapy (20% of intervention time). During the first stage all participants will perform 18 therapeutic active exercises and 5 manual therapy passive exercises. During the second stage 19 therapeutic active exercises and 5 manual therapy passive exercises. Exercise progression from the first to the second stage will involve exercise-difficulty-demand and incresed number of repetitions (bouts per exercise). The therapeutic exercises includes: a) active lumbopelvic mobility, b) global hip muscle flexibility, c) hip muscle-strengthening exercises and d) lumbopelvic sensorimotor control exercises. Four flexibility-based-exercises will be developed during the first stage and 4 bouts and 15s position position maintenance, will be perform. In the second stage one flexibility exercise 4 bouts and 15s position maintenance will be perform. Mobility exercises during the first stage are 3 and 2-4 buts and 8 to 12 repetitions per bout will be perform; in the second stage 5 exercises and 2 to 3 bouts and 6, 8 or 12 repetitions will be performed. Both mobility flexibility exercises will be performed to self-perceived mid discomfor, no pain. Strengthening exercises for hip flexors include 5 exercises in the first stage and 4 in the second stage; the number of bouts are 2-3 during the first stage and 3 in the second stage and repetitions per bout will ranged from 6-8 during the first stage to 5-6 during the second stage. Exercises intensity-progression will be adjusted based on percent body weight bearing and/or the use of elastic bands. Posterior pelvic tilt drills will be included only during the second stage with three exercises that will be repeated from 2 two 5 times. The manual therapy includes: soft tissue massage and central lumbar vertebral posterior-anterior mobilization. Soft tissue massage includes 3 exercises both during the first stage and second stage each one of them will be performed two bouts for 30s. Lumbopelvic mobilization include lumbar soft tissue massage and lumbar z-joint mobilization During the intervention period all the participants will be encourage to continue with their habitual routines and regular activities including physical exercise. Adherence to the therapeutic programe will be control by session attendance registry.