PT intervention will include pelvic positioning for symptom relief.
An active lumbar stabilization program should be initiated and rectus femoris and iliopsoas should be stretched (to decrease the anterior tilt).
Begin with isometric exercises and cocontraction of multifidi and abdominals in flexion.
Progress into stabilization of the abdominals and back muscles through strengthening.
Training of lumbar multifidus and deep abdominal muscles has been shown to have significant reduction in pain intensity and functional disabilities as compared to exercises such as swimming, walking, and gym work. Overall treatments consisting of bracing, therex, and activity restriction has shown the highest rate of success (Klein).
In a study by Ferrari, it was shown that treatment consisting of postural re-education, stretching, and strengthening increased all outcome measures. Outcome measures included Oswestry, Prone instability test, passive lumbar extension test, and muscle function tests (abarrant movement patterns, active SLR, prone and supine bridging test) (Ferrari et. al).