title: Low Back Pain Response to Pelvic Tilt Position: An Observational Study of Chiropractic Patients.
abstract: OBJECTIVE
  The aim of this study was to look for differences between patients with an increased pain response as compared with those with a decreased pain response.
  
  
  METHODS
  Data were collected from consecutive new patients with lumbar or lumbopelvic pain in a chiropractic clinic. A pelvic tilt exercise was included in the initial examination, and pain response was noted. Analysis was made of pain and disability severity, as well as symptom location, chronicity, and other characteristics, before and after a course of chiropractic care.
  
  
  RESULTS
  Patients with an increased pain response to pelvic tilt (n = 12) had higher levels of pain and disability at baseline than patients without (n = 34). There were no between-group differences in other aspects of their complaints; in age, sex, or body mass; or in the types of care they received (eg, manipulation, stretching, exercise instruction). On the average, both groups of patients showed improvement with chiropractic care, and there was no detectable difference in improvement between groups.
  
  
  CONCLUSIONS
  This study found that patients experiencing pain in response to a pelvic tilt maneuver may have a poorer precare status than patients with a decreased pain response.
authors.affiliation: Private Practice of Chiropractic, Intelligent Chiropractic, Sandy Springs, GA.
authors.forename: Salvatore J
authors.initials: SJ
authors.lastname: Minicozzi
authors.affiliation: Professor, Center for Chiropractic Research, Life University, Marietta, GA.
authors.forename: Brent S
authors.initials: BS
authors.lastname: Russell
authors.affiliation: Private Practice of Chiropractic and Alternative & Holistic Health Care, New Day Network Wellness Center, Chicago, IL.
authors.forename: Kathryn J
authors.initials: KJ
authors.lastname: Ray
authors.affiliation: Research Director, The Institute for Neurosurgical and Spinal Research Foundation, Atlanta, GA.
authors.forename: Alessandria Y
authors.initials: AY
authors.lastname: Struebing
authors.affiliation: Adjunct Professor, Center for Chiropractic Research, Life University, Marietta, GA.
authors.forename: Edward F
authors.initials: EF
authors.lastname: Owens
keywords: Chiropractic; Lordosis; Low back pain; Lumbar region