NIFS Healthy Living Blog

Posture and Fitness (Part 2): Anterior Pelvic Tilt

ThinkstockPhotos-611184084.jpgIn part 1 of this series covered kyphosis (rounded shoulders). Now we move on to another posture issue, anterior pelvic tilt.

What Is It?

Anterior pelvic tilt (APT) is a postural deficiency that results in an excessive forward tilt of the pelvic region. Essentially, it protrudes the abdominal region while creating an excessive lower-back curvature. This postural deficiency can cause one to have lower back pain, more abnormal movement mechanics, and muscle accommodation throughout the body, which we refer to as reciprocal inhibition.

What Causes It?

APT is commonly caused by excessive sitting. While in the seated position, your hip flexor muscles become very tight from being in their shortened position. When the hip flexors become tight, they pull down on the pelvis, which causes a forward tilt. Tight hip flexors also keep the gluteus muscles from firing efficiently, which causes the hamstrings to compensate for the lack of use, which in return causes them to become overworked. (The root cause for tight hamstrings may be anterior pelvic tilt.) APT is also a cause of weak abdominal muscles. The abs become loose and overstretched, which allows the pelvis to tilt forward even more. This may lead to a false conclusion of having too much fat around the abdominal region because your belly tends to stick out farther than what is natural.

Why Is It Bad for Fitness?

APT causes an overextension of the lumbar spine, lack of glute activation, and quad dominance, which leads to compensation patterns and poor exercise technique.

How to Fix It

There is a solution! In order to fix this problem, you must attack the root cause. Most commonly you will need to improve your hip flexibility, which can be done with a variety of hip stretches and proper warmup and movement patterns that I will list below. Once the hips have regained flexibility through stretching, the gluteus and hamstring muscles should be allowed to fire more efficiently. This will allow the pelvic region to rotate back into proper alignment, which will make movement patterns such as the squat and deadlift more comfortable, especially for the lower back. It is also a good idea to strengthen up the abdominal region as this will pull up on the quadriceps muscles, also allowing the pelvis to be pulled back into place.

Muscles to Stretch

  • PSOAS
    Hip stretches: Butterfly stretch, pigeon pose, kneeling hip flexor stretch, etc.
  • Quads
    Quad stretches: Standing quad stretch, kneeling quad stretch, etc.

Muscles to Strengthen

  • Glutes (Gluteus Maximus and Minimus)
    Glute exercises: Hip thrust, squats, etc.
  • Hamstrings
    Hamstring exercises: Straight-leg deadlifts, Swiss ball leg curls, lying hamstring curls
    Anti-extension abdominal: Planks, hallow holds, hanging leg raises, reverse crunches, lying pelvic tilt 

See a NIFS Health Fitness Specialist today if you believe APT may be keeping you from proper exercise mechanics.

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This blog was written by Darius Felix, Health Fitness Instructor. Click here for more information about the NIFS bloggers.

Topics: NIFS fitness muscles stretching strength training glutes functional movement assessments posture glute abs hamstring APT anterior pelvic tilt

Posture and Fitness: Kyphosis (Rounded Shoulders)

One thing I have really begun to pay special attention to within my exercise program lately is correcting my postural deficiencies. About a month ago as I was staring in the mirror (in awe of my handsome looks) waiting to begin my next set of shoulder presses, I noticed that both of my shoulders were comfortably rounded forward as I stood straight up. I made a conscious effort to pull them back in line with my ear, knee, and ankle (correct posture); however, this was very uncomfortable for me to maintain for a short period of time.

ThinkstockPhotos-148154696.jpgIt then dawned on me that if it was uncomfortable for me to maintain good posture for a few seconds, imagine the effect these deficiencies will eventually have on my muscularity, the efficiency of my resistance training in regard to compensation for the targeted muscles, as well as the greater postural deficiencies that naturally occur as we get into our later years. So for the next couple of months I will be doing a series of blogs on the most common posture problems and what causes them, as well as how to improve them before they get too far out of hand.

Many people find themselves hunched over a keyboard or office desk for many hours throughout the day. This can have a huge effect on your posture over time. Hunchback, or rounded shoulders, occurs because we often do not have the muscular endurance in our upper back and shoulder muscles to resist and fight against gravity. When we allow our shoulders to round forward (known as kyphosis), our anterior muscles (pectoralis major and minor) become tight due to always being in a shortened state while our posterior shoulder muscles (trapezius, rhomboids, and rotator cuff muscles) become lengthened and weak.

The best way to find out if you might have this problem is to have someone take a photo of you from the side in your natural, relaxed, standing position. If your ears, shoulder, knees, and ankles are not aligned with each other, you could have a moderate to severe case of kyphosis. No worries, however, as this is very common now, especially with the prevalent use of computers in the workplace and at home. Here are some quick solutions you can implement into your warmup to help your alignment.

Solution One: Maintain Correct Positioning When Sitting at the Computer

Maintain correct positioning (shoulder blades back, chest open wide) when sitting at a computer desk. This may seem obvious, but if it was as obvious as it seems, we wouldn’t be having this conversation in the first place. The more time you spend in this position, the quicker your body will adapt to being in proper alignment.

Also try to avoid excessive use of laptops. Laptops naturally put your body in a rounded-shoulder positioning because of how low the computer screen is when placed in the lap. Instead, try stacking the laptop on top of a box or a stack of books so that the upper edge of the monitor is just below eye level. This will help you maintain a natural, “unrounded,” or upright shoulder position because you no longer have to be hunched over looking down at the computer monitor.

Solution Two: Foam Rolling

Foam roll the thoracic spine to improve thoracic extension range of motion. Myofascial release (foam rolling) will help you regain full extension in your thoracic spine that might have been lost due to weak upper-back muscles and constant downward pull on the anterior pectoral and shoulder muscles.

Solution Three: Static Stretching

Statically stretch the pectoralis major and minor muscles to free up any tightness in the chest. Hold each stretch for about 30 seconds and repeat two to three times before your resistance or cardio training workout. This will help eliminate some pulling of the anterior shoulder muscles, which will make it easier for you to maintain proper postural alignment. Here’s a video of some static chest stretches you can try.

Solution Four: Upper Posterior Chain Muscle Exercises

Increase muscular strength and endurance of the posterior shoulder muscles by performing various upper posterior chain muscle exercises. By strengthening these muscles, maintaining proper alignment of the shoulders will become much more natural and manageable for an individual over long periods of time. When our posterior shoulder muscles lack strength, they have little chance of winning the fight against gravity when hunched over a computer keyboard.

One example of an exercise you can implement is the floor cobra. This will help with thoracic extension (as stated above) as well as retraction of the shoulder blades and opening of the chest muscles.

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Remember, it took a great deal of time for your body to eventually adapt to the poor postural alignment, so you can expect the same with the correction process. Even though these tips will help you regain postural alignment, you cannot expect to see a great deal of change overnight. These tips have to be implemented into your daily life in order to see long-term changes.

Stay tuned for my next blog, where I will be covering another common postural problem: Anterior pelvic tilt.

Like what you've just read? Click here to subscribe to our blog!

This blog was written by Darius Felix, Health Fitness Instructor. To find out more about the NIFS bloggers, click here. 

Topics: fitness muscles exercises workplace wellness posture