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Benefits of The Back Pedal ®

Back Pain

Realigning the pelvis and strengthening the correct muscles that attach to the front and back aspects of the pelvis help to stabilize the back and promote a preferred position at the lumbosacral angle, posterior sacral iliac space, pubic symphysis, and sacroiliac joint. This stability in the pelvis leads to a decrease in the pressure on the spine that often leads and causes low back pain.

Gait Deviations

Often problems with walking are due to a mis aligned rotation in one or both of the sides of the pelvis. This malalignement can lead to limping, hip hiking, pain on one side of the body, knee pain, ankle pain, and many more impairments. By using the back pedal and strengthening the pelvis we can ensure that our pelvis is strong and stabile. Leading to a better alignment and strength were we need it to help reduce walking problems associated with a weak mis-aligned pelvis.

Anterior Tilt

  • (weak abdominals or hip flexor contraction)
  • Seen in obesity and the aging population

Lack of forward and backward rotation

  • (back pain and restriction in ROM
  • In pt with Stenosis, parkinsons, and/or arthritis

Ipsilateral drop

  • Shorter limb, weak hip abductors
  • Seen in pt with shortened limb or weak trunk muscles


  • Separation of spinous process from body of vertebrae (unilateral)


  • Separation of spinous process from body of vertebrae (bilaterally) and body slides anterior into pelvic inlet

Pelvic floor impairments include

  1. Pelvic Prolapse
  2. Pelvic floor pain
  3. Pelvic incontinence

2014 publication in Obstetrics & Gynecology (1) indicated that 25% of women in the United States experience pelvic floor syndrome symptoms; the majority experience moderate-to-severe urinary incontinence, followed by fecal incontinence, and then incidence of prolapse.

There are five different stages of pelvic organ prolapse. These are:

  • First stage: No prolapse.
  • Second stage: Your pelvic organs are well supported but there are early signs of some prolapse.
  • Third stage: Your pelvic organs are still inside your vagina but they are starting to drop.
  • Fourth stage: Your pelvic organs are starting to bulge to the opening of your vagina and might be slipping outside your vagina.
  • Fifth stage: Your pelvic organs have advanced outside of your vagina and are hanging between your legs.

The back pedal will strengthen muscles of the pelvic floor and muscle that are targeted and strengthened during rehab for pelvic floor pathologies and impairments. These muscles are spoas major, spoas miner, iliacus, and transverse abdominus. When realigning the two sides of the pelvis we help to faciliatate changing the level of tension on the coccyegenus, levator ani, and sacrospinus ligament which make the bottom of your pelvic floor. These muscles are what is targeted and strengthened when performing Pelvic Floor muscle strengthening in a clinic. With the back Pedal we target and strengthen muscles of the pelvic floor which helps to promote strength and stability in the pelvis.