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imPostURE Syndrome

Episode 2:

Posture is often thought to be at the heart of Pilates, but is it still relevant?

Can “faulty” posture really cause pain or dysfunction? What is dysfunction anyway? We take a look at all these topics and a few more in relation to posture.


  • Variability in the location of bony landmarks makes postural assessment meaningless here
  • Experienced physiotherapists have 1.5-2cm error when palpating ASIS and PSIS here
  • Posture is highly variable and poorly reproducible here
  • Lordosis, range of movement and lumbo-pelvic rhythm are all highly varied in people with and without back pain here
  • No consensus on causality of spine postures and low back pain: A systematic review of systematic reviews here
  • No relationship of lumbar lordosis with hip flexibility or abdominal strength here
  • No relationship between pelvic tilt, lumbar lordosis and abdominal strength here
  • No relationship between pelvic asymmetry and back pain here
  • Exercise probably can’t change posture anyway here

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