Posterior Pelvic Tilt

Lumbar/Pelvis - Postural

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

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

• Reduced lumbar lordosis
• Limited hip extension
• Flat-back posture

Progression

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

Regression

• Reduce load
• Use supported positions
• Shorten ROM

Red Flags

• Severe pain
• Neurological symptoms

Differential Diagnosis

• Hamstring tightness
• Lumbar hypolordosis
• Spondylolisthesis

Related Patterns

• lumbar hyperlordosis
• hamstring dominance

Related Exercises

• active hamstring stretch
• hip flexor strength
• cat cow
• bird dog
• hip flexor stretch
• hip hinge rdl
• single leg hip thrust

Related Assessments

• postural assessment
• pelvic tilt visual assessment
• active slr assessment

Evidence