The Pelvic Floor and Posture: Exploring the Foundations of Functional Balance

Pelvic floor muscles (PFMs) play a crucial role in the support of pelvic organs, the maintenance of continence, and the preservation of postural stability. The functions of the pelvic floor (PF) extend beyond localized muscular activity; they are intrinsically linked to postural control and respiration dynamics. This complex and integrated relationship can be elucidated through neuromuscular interactions, which significantly influence spinal alignment and pelvic positioning. Pelvic floor dysfunction (PFD) may result in postural deviation, diminished spinal stability, and the onset of chronic pain syndromes. This review critically explores the effects of pelvic floor musculature on posture and examines the bidirectional interactions between these systems. Additionally, the clinical implications of the PF–posture relationship are discussed in the context of physiotherapy and rehabilitation approaches. In this regard, emerging evidence underscores the efficacy of exercise programs targeting the pelvic floor to improve postural control and spinal stability. Ultimately, a more comprehensive understanding of the interplay between the pelvic floor and posture may pave the way for innovative, integrative approaches for the prevention and management of PFDs. In this regard, interdisciplinary research and clinical practice will contribute significantly to advancing our understanding of the PF–posture nexus. This review synthesizes a range of perspectives to provide a thorough evaluation of the complex relationship between PF and posture.