Stretch · beginner · 5s hold

Pelvic Tilt

Pelvic tilts are a basic exercise in lumbar stabilisation programmes. The reasoning comes from Hodges and Richardson (1996), who found the transversus abdominis switched on later in 15 people with low back pain than in 15 matched controls. That study measured timing, not treatment. A 2016 Cochrane review found motor control exercise gives outcomes similar to other forms of exercise for chronic low back pain, so pick the exercise you will keep doing. None of the studies in our references tests pelvic tilts on their own.

Transverse abdominisLower abdominalsLumbar paraspinals (lengthened)
Person lying on back, knees bent, pressing lower back into the floor with abdominal engagement

Illustration · follow the steps below for the actual technique

How to do it

  1. 1

    Lie on your back, knees bent, feet flat

    Knees bent

  2. 2

    Notice the natural arch in your lower back

    Find your arch

  3. 3

    Tilt your pelvis to flatten your low back into the floor

    Flatten the arch

  4. 4

    Engage your lower abdominals to hold this position

    Lower abs engage

  5. 5

    Hold 5 seconds, release. Repeat 10 times

    Ten reps

The evidence

Pelvic tilts are a basic exercise in lumbar stabilisation programmes. The reasoning comes from Hodges and Richardson (1996), who found the transversus abdominis switched on later in 15 people with low back pain than in 15 matched controls. That study measured timing, not treatment. A 2016 Cochrane review found motor control exercise gives outcomes similar to other forms of exercise for chronic low back pain, so pick the exercise you will keep doing. None of the studies in our references tests pelvic tilts on their own.

Citation: Hodges PW, Richardson CA (1996). Inefficient muscular stabilization of the lumbar spine associated with low back pain. A motor control evaluation of transversus abdominis. Spine · DOI: 10.1097/00007632-199611150-00014

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Written by Oliver Wakefield-Smith
Founder of Digital Signet. Researches and writes evidence-based consumer health content. Not a clinician. The studies this site relies on are named and linked on the references page. Email corrections.
Last reviewed 2026-08-02 · lowerbackstretches.com