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Chiropractic Treatment

Abnormal Pelvic Posture

Pelvic tilt is the orientation of the pelvis in respect to the thighbones and the rest of the body. The pelvis can tilt towards the front, back, or either side of the body. Also called as Abnormal Pelvic Postures. 


Pelvic flexion and extension postures also known as Pelvic anterior and posterior tilting are very common. Like other postures, these abnormalities may be difficult to visualise in patients. Therefore, pelvic flexion and extension are generally best visualised with a lateral lumbo-pelvic radiograph.  

ChiroBioPhysics (CBP) Protocols
According to CBP protocols, following key points are kept in mind:
1.    Determine the pelvic morphology and sacral base angles (angle between pelvic/hip and lumbar spine). 
2.    Assess the sagittal plane alignment for anterior or posterior translations of the thorax. 
3.    Consider the use of traction procedures along with Mirror Image exercises to reduce pelvic extension/flexion postures. 

 

Pelvic Anterior Flexion
Pelvic anterior flexion, also known as anterior pelvic tilt, occurs when the hip flexor muscles shorten or due to pelvic morphology, pulling the pelvis down into an anterior, or forward tilt. 
This abnormal pelvic posture can be corrected by mirror image exercise as advised. 

 

Mirror Image Exercise  

  • - Take the kneeling position, knees flexed at 90 degrees. 

  • - Lean on your hands, elbows extended. 

  • - now bend the pelvis backward direction by contracting your lower abdominals and buttock muscles. 

  • - Keep your head in line with your chest and do not arch your chest downward. 

  • - This exercise can also be done in lying position, with knees bent, while raising the pelvis and rocking the pelvis backwards. 

 

Pelvic Posterior Extension
Posterior pelvic tilt is a condition where the front of the pelvis rises and the back of the pelvis drops, causing the pelvis to rotate upwards. It is caused by the imbalance between the leg muscles and the core muscles. This can lead to a variety of symptoms, including a flat back, tucked glutes, slouched posture, and back or hip pain. 
This abnormal pelvic posture can be corrected by mirror image exercise as advised.

 

Mirror Image Exercise

  • - Take the kneeling position, knees flexed at 90 degrees. 

  • - Lean on your hands, elbows extended. 

  • - Bend your pelvis forward/down by letting your lower abdominals fall to the floor. 

  • - Keep your head in line with your chest and do not arch your chest backward. 

  • - This can be done standing, while bending the pelvis forward over a roll or ball. 
     

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