Corrective Exercise Toolkit

Posterior Pelvic Tilt

Posterior pelvic tilt is a posterior rotation of the pelvis that reduces lumbar lordosis and can limit hip extension.

Lumbar/Pelvis - Postural

Biomechanical Mechanism

Shortened hamstrings and glutes with weak hip flexors and lumbar extensors can bias the pelvis posteriorly.

Clinical Rationale

Posterior tilt reduces lumbar mobility and can increase disc stress. Restoring neutral alignment improves function.

Practical Solution

Improve hamstring extensibility and restore neutral pelvic control with balanced strengthening.

Common Compensations

Progression

  1. 1Level 1: Mobility and awareness
  2. 2Level 2: Core and hip activation
  3. 3Level 3: Hinge patterns
  4. 4Level 4: Loaded integration

Regression

  • Reduce load
  • Use supported positions
  • Shorten ROM

Red Flags

Differential Diagnosis

Hamstring tightnessLumbar hypolordosisSpondylolisthesis
Related Assessments
postural assessmentpelvic tilt visual assessmentactive slr assessment
Related Exercises
active hamstring stretchhip flexor strengthcat cowbird doghip flexor stretchhip hinge rdlsingle leg hip thrust

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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