Corrective Exercise Toolkit

Lumbar Hyperlordosis

Lumbar hyperlordosis is an excessive inward curve of the lumbar spine, commonly associated with anterior pelvic tilt and lower crossed syndrome.

Lumbar - Postural

Biomechanical Mechanism

Tight hip flexors and lumbar extensors with weak abdominals and glutes. This increases anterior pelvic tilt and lumbar extension bias.

Clinical Rationale

Excess lordosis increases lumbar compression and can contribute to pain. Correcting pelvic position reduces stress.

Practical Solution

Reduce anterior pelvic tilt by lengthening hip flexors and strengthening core/glutes.

Common Compensations

Progression

  1. 1Level 1: Mobility and activation
  2. 2Level 2: Core stability
  3. 3Level 3: Integrated patterns
  4. 4Level 4: Loaded movement

Regression

  • Reduce load
  • Use supported positions
  • Shorten hold times

Red Flags

Differential Diagnosis

SpondylolysisFacet irritationDisc pathology
Related Assessments
pelvic tilt visual assessmentpostural assessmentoverhead squat assessmentlumbar lordosis assessment
Related Exercises
hip flexor stretchglute bridgedead bugplankside plankposterior pelvic tilt drillcat cowgoblet squat90 90 breathing

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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