Influence of pelvic position on shoulder range of motion

Abstract Background pelvis and shoulder are deeply integrated. They are connected by myofascial slings. The pelvic and spinal posture affects the position of the scapula and the activity of its muscles and affects acromio-humeral distance and so that affects shoulder movement. The aim of the study w...

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Main Authors: Bishoy S. Lobbos, Mohamed M. M. Essa, Alaaeldin Khaireldin, Mohamed Y. Gamal El-Din, Phillips Rizkallah, Heba Allah Samy
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12891-025-08280-0
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author Bishoy S. Lobbos
Mohamed M. M. Essa
Alaaeldin Khaireldin
Mohamed Y. Gamal El-Din
Phillips Rizkallah
Heba Allah Samy
author_facet Bishoy S. Lobbos
Mohamed M. M. Essa
Alaaeldin Khaireldin
Mohamed Y. Gamal El-Din
Phillips Rizkallah
Heba Allah Samy
author_sort Bishoy S. Lobbos
collection DOAJ
description Abstract Background pelvis and shoulder are deeply integrated. They are connected by myofascial slings. The pelvic and spinal posture affects the position of the scapula and the activity of its muscles and affects acromio-humeral distance and so that affects shoulder movement. The aim of the study was to investigate the influence of pelvic position on the shoulder range of motion. Methods The full active range of motion (flexion/extension, abduction, and external/internal rotation) of both shoulders was measured by digital goniometer for 33 normal adult subjects. Measurements were taken from a standing position in the following pelvic positions: 1- Neutral posture, 2- Evoked anterior and posterior pelvic tilt, 3- Evoked right and left pelvic rotation, 4- Evoked right and left lateral pelvic tilt. For every shoulder movement, One-Way ANOVA including Tukey post hoc test was used to compare between different positions. Results Anterior pelvic tilt leads to a significant increase in flexion and a significant decrease in extension of both shoulders (P value was < 0.001). Posterior pelvic tilt leads to the opposite. Pelvic rotation leads to a significant decrease in shoulder flexion on the same side of rotation and shoulder extension on the opposite side of rotation (P value was < 0.001). Lateral pelvic tilt leads to a significant decrease in abduction on the same side of lateral tilt (P value was < 0.001). Conclusion pelvic position affects shoulder range of motion.
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spelling doaj-art-dec373c4af4c494fb993e87d57f3f94c2025-01-19T12:04:31ZengBMCBMC Musculoskeletal Disorders1471-24742025-01-012611910.1186/s12891-025-08280-0Influence of pelvic position on shoulder range of motionBishoy S. Lobbos0Mohamed M. M. Essa1Alaaeldin Khaireldin2Mohamed Y. Gamal El-Din3Phillips Rizkallah4Heba Allah Samy5Lecturer of Orthopedic Physical Therapy, Faculty of Physical Therapy, Deraya UniversityAssociate Professor of Biomechanics, Faculty of Physical Therapy, Sphinx UniversityLecturer of Orthopedic Physical Therapy, Faculty of Physical Therapy, Deraya UniversityLecturer of Physical Therapy, Basic Science Department, Faculty of Physical Therapy, October University for Modern Sciences and ArtsFaculty of Medicine, Sohag UniversityLecturer of Physical Therapy, Basic Science Department, Faculty of Physical Therapy, Suez UniversityAbstract Background pelvis and shoulder are deeply integrated. They are connected by myofascial slings. The pelvic and spinal posture affects the position of the scapula and the activity of its muscles and affects acromio-humeral distance and so that affects shoulder movement. The aim of the study was to investigate the influence of pelvic position on the shoulder range of motion. Methods The full active range of motion (flexion/extension, abduction, and external/internal rotation) of both shoulders was measured by digital goniometer for 33 normal adult subjects. Measurements were taken from a standing position in the following pelvic positions: 1- Neutral posture, 2- Evoked anterior and posterior pelvic tilt, 3- Evoked right and left pelvic rotation, 4- Evoked right and left lateral pelvic tilt. For every shoulder movement, One-Way ANOVA including Tukey post hoc test was used to compare between different positions. Results Anterior pelvic tilt leads to a significant increase in flexion and a significant decrease in extension of both shoulders (P value was < 0.001). Posterior pelvic tilt leads to the opposite. Pelvic rotation leads to a significant decrease in shoulder flexion on the same side of rotation and shoulder extension on the opposite side of rotation (P value was < 0.001). Lateral pelvic tilt leads to a significant decrease in abduction on the same side of lateral tilt (P value was < 0.001). Conclusion pelvic position affects shoulder range of motion.https://doi.org/10.1186/s12891-025-08280-0PelvisPostureSpineShoulderRangeMotion
spellingShingle Bishoy S. Lobbos
Mohamed M. M. Essa
Alaaeldin Khaireldin
Mohamed Y. Gamal El-Din
Phillips Rizkallah
Heba Allah Samy
Influence of pelvic position on shoulder range of motion
BMC Musculoskeletal Disorders
Pelvis
Posture
Spine
Shoulder
Range
Motion
title Influence of pelvic position on shoulder range of motion
title_full Influence of pelvic position on shoulder range of motion
title_fullStr Influence of pelvic position on shoulder range of motion
title_full_unstemmed Influence of pelvic position on shoulder range of motion
title_short Influence of pelvic position on shoulder range of motion
title_sort influence of pelvic position on shoulder range of motion
topic Pelvis
Posture
Spine
Shoulder
Range
Motion
url https://doi.org/10.1186/s12891-025-08280-0
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