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Horseback riding requires considerable pelvic mobility and strength. The pelvic floor is where the rider and the horse meet. Riders can have muscle imbalances of the pelvis that affect the advancement of their riding. A healthy pelvis supports high performance riding.

Clinical presentations of pelvic floor dysfunction apparent in the equestrian population include hip and pelvis misalignment, difficulty with breathing, pelvic pain, and tailbone injury. 


Return-to-sport, including postpartum and later in the lifespan, should consider injury prevention and rehabilitation. Physiotherapy can support individuals’ goals and prescribe exercises to optimize performance though balancing the pelvis.


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