Training methods for strengthening muscles around pelvis: a narrative review

Few studies have examined how to strengthen the muscles around the pelvis after trauma and none mention the trunk. This narrative review focuses on rehabilitation after pelvic trauma and discusses it from the perspective of muscle strengthening. The literature was searched to identify methods for strengthening muscles around the pelvis (i.e., the trunk to the lower extremities). We also examined the reference lists of the papers captured by our literature search to identify additional potentially relevant research. Our review proposes methods for strengthening each muscle around the pelvis. At present, it is not possible to establish a clear strengthening method for the diaphragm and pelvic floor muscles. We recommend exercise within the bodyweight range starting immediately after pelvic fracture surgery. Muscle strengthening exercises should be started after about 12 weeks when the sutured muscles have fused.