Haltungstraining

Haltungstraining is a term used in German-speaking contexts to describe a structured program of exercises and educational measures aimed at improving posture and the neuromuscular control of the spine and body. The goal is to promote proper alignment of the head, spine, pelvis and shoulders during static and dynamic tasks, support musculoskeletal health, reduce pain, and enhance functional performance.

A typical program includes assessment of habitual postures and movement patterns, strengthening of core and back extensor muscles, scapular stabilization, thoracic mobility, and coordinated breathing and movement. Training emphasizes motor control and functional tasks rather than isolated stretches. Components can include postural awareness training, ergonomic guidance for daily activities and work tasks, and, when appropriate, biofeedback or video-feedback to increase self-correction.

Delivery and settings vary: Haltungstraining is conducted by physiotherapists, occupational therapists, sports scientists or qualified trainers, depending on context. It can be delivered as individual or group sessions in clinics, rehabilitation centers, schools or workplaces, with home exercises advised as part of ongoing practice.

Indications typically include chronic or recurrent back and neck pain associated with poor posture, postural faults such as forward head carriage or anterior pelvic tilt, as part of rehabilitation after injury or surgery, and preventive programs for people with sedentary lifestyles.

Evidence on effectiveness varies; systematic reviews often report small-to-moderate improvements in pain and function when posture training is combined with general exercise and education, with adherence being a major determinant of outcome. Safety is generally high, provided the program is tailored to the individual and monitored by a professional.