Corrective Exercise Toolkit

Anterior Pelvic Tilt

Anterior pelvic tilt is an anterior rotation of the pelvis that increases lumbar lordosis and is commonly associated with lower crossed syndrome.

Lumbar/Pelvis - Postural

Biomechanical Mechanism

Shortened hip flexors and lumbar extensors with weak abdominals and glutes. This shifts the pelvis forward and increases lumbar extension.

Clinical Rationale

APT increases lumbar load and impairs hip extension mechanics. Correcting pelvic position reduces stress and improves movement.

Practical Solution

Address hip flexor tightness and improve posterior pelvic control with glute/core strengthening.

Common Compensations

Progression

  1. 1Level 1: Mobility and activation
  2. 2Level 2: Core control
  3. 3Level 3: Integrated hip hinge
  4. 4Level 4: Loaded strength

Regression

  • Reduce load
  • Use supported positions
  • Shorten ROM

Red Flags

Differential Diagnosis

Hip flexor contractureLumbar facet irritationSI joint irritation
Related Assessments
pelvic tilt visual assessmentoverhead squat assessmentmodified thomas assessment
Related Exercises
hip flexor stretchglute bridgedead bugposterior pelvic tilt drillplankside plankgoblet squathamstring smrhip flexor contract relaxsquat to box

Evidence

Level: mixed

Exercise interventions show mixed effects on lumbopelvic posture and lordosis; outcomes vary by program and population.

Effects of exercise programs on kyphosis and lordosis angle: A systematic review and meta-analysis.

systematic review/meta-analysis View source

Effects of Stretching or Strengthening Exercise on Spinal and Lumbopelvic Posture: A Systematic Review with Meta-Analysis.

systematic review/meta-analysis View source

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