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    Pelvic Tilt & Lower Crossed Syndrome

    Uploaded by

    Simo Aster
    This document discusses anterior and posterior pelvic tilt. It begins by describing the hips, pelvis, and sacroiliac joints. It then defines anterior and posterior pelvic tilt, noting that anterior tilt is more common and causes a hyperlordosis. Anterior tilt occurs when the PSIS is higher than the ASIS by at least half an inch. It lists muscular causes and imbalances that can lead to anterior tilt. Assessment methods like the anterior innominate rotation test and modified Thomas test are described. Treatment focuses on massage, stretching, strengthening, and postural reeducation.

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    Pelvic Tilt & Lower Crossed Syndrome

    Uploaded by

    Simo Aster
    144 views18 pages
    This document discusses anterior and posterior pelvic tilt. It begins by describing the hips, pelvis, and sacroiliac joints. It then defines anterior and posterior pelvic tilt, noting that anterior tilt is more common and causes a hyperlordosis. Anterior tilt occurs when the PSIS is higher than the ASIS by at least half an inch. It lists muscular causes and imbalances that can lead to anterior tilt. Assessment methods like the anterior innominate rotation test and modified Thomas test are described. Treatment focuses on massage, stretching, strengthening, and postural reeducation.

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    Original Title

    Pelvic Tilt

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    This document discusses anterior and posterior pelvic tilt. It begins by describing the hips, pelvis, and sacroiliac joints. It then defines anterior and posterior pelvic tilt, noting that anterior tilt is more common and causes a hyperlordosis. Anterior tilt occurs when the PSIS is higher than the ASIS by at least half an inch. It lists muscular causes and imbalances that can lead to anterior tilt. Assessment methods like the anterior innominate rotation test and modified Thomas test are described. Treatment focuses on massage, stretching, strengthening, and postural reeducation.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    144 views18 pages

    Pelvic Tilt & Lower Crossed Syndrome

    Uploaded by

    Simo Aster
    This document discusses anterior and posterior pelvic tilt. It begins by describing the hips, pelvis, and sacroiliac joints. It then defines anterior and posterior pelvic tilt, noting that anterior tilt is more common and causes a hyperlordosis. Anterior tilt occurs when the PSIS is higher than the ASIS by at least half an inch. It lists muscular causes and imbalances that can lead to anterior tilt. Assessment methods like the anterior innominate rotation test and modified Thomas test are described. Treatment focuses on massage, stretching, strengthening, and postural reeducation.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 18

    Pelvic Tilt &

    Lower Crossed Syndrome


    Hips and Pelvis
    Structural core of the body
    Contains center of gravity

    Innominate Bone = Ilium/Ischium/Pubis

    Sacroiliac Joints
    - moveable eg. walking, running, breathing
    - supported by strong ant./post. ligaments
    Sacroiliac Region and Ligaments


    Anterior Posterior
    Pelvic Tilting
    Common causes:
    - acquired postural distortions
    - muscle imbalances (weak/tight)
    - leg length inequality

    Pelvic Tilt Assessment
    Anatomical Landmarks
    ASIS, PSIS, Iliac Crest

    Normal posture = No tilting

    Innominate bones rotate:
    PSIS > ASIS anterior rotation
    ASIS > PSIS posterior rotation
    ANTERIOR PELVIC TILT
    Anterior Pelvic Tilt
    Forward/Anterior rotation of the pelvis
    PSIS higher than ASIS
    Most common type of tilt
    Corresponding hyperlordosis
    Anterior Pelvic Tilt
    ASIS lower than PSIS by >=
    Contributes to:
    - SI joint dysfunction
    - vertebral dysfunction
    - decreased spinal shock absorption
    - altered biomechanics
    Causes hyperlordosis
    Anterior Pelvic Tilt
    May be asymptomatic due to
    compensation
    or may cause symptoms elsewhere
    Unilateral (one sided tilt)
    = R or L anterior tilt
    Anterior Pelvic Tilt
    Muscular Causes
    Short &Tight

    1. Rectus femoris
    2. Iliopsoas
    3. Erector spinae
    Lengthened & Weak

    1. Rectus Abdominus
    2. Biceps Femoris
    Anterior Pelvic Tilt
    Muscular Attachments
    Rectus femoris AIIS
    Iliopsoas lesser trochanter
    Erector spinae indirectly into pelvis
    Rectus abdominis pubic bone
    Biceps femoris ischial tuberosity
    Anterior Pelvic Tilt - Assessment
    ASIS vs. PSIS height
    LBP due to - muscle hypertonicity
    - facet joint compression
    Hyperlordosis / prominent gluteals
    Hypertonic QL, RF, ES
    AROM: trunk flexion
    hip extension (tight psoas)
    Anterior Pelvic Tilt -
    Assessment

    Anterior Innominate Rotation Test
    - positive if ASIS > I cm lower than
    PSIS
    Anterior Pelvic Tilt -
    Assessment
    Modified Thomas Test

    Hip flexed 45 degrees.
    Observe opposite thigh.
    - hip flexion = tight
    psoas
    - knee extension = tight
    rectus
    femoris
    Anterior Pelvic Tilt - Treatment
    Massage, Stretching & Postural
    reeducation
    Manually release hypertonic muscles
    Stretch tight muscles
    Strengthen weak muscles
    Pic of three sacral angles and
    corresponding lordosis
    POSTERIOR PELVIC TILT
    Posterior Pelvic Tilt
    Backward/Posterior rotation of the
    pelvis
    ASIS higher than PSIS
    Corresponding hyporlordosis

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