Condition Postural Dysfunction Benchmarked

Posterior Pelvic Tilt

Excessive posterior rotation of the pelvis flattening the lumbar lordosis. Driven by glute overactivity relative to hip flexors, hamstring dominance, thoracic kyphosis compensation, and pelvic floor tension. Common in desk workers and those who 'tuck under' habitually.

6
ROM Tests
4
Corrective Priorities
4
Risk Factors
4
Red Flags

Key ROM Tests

1 Pelvic Tilt Classification
2 Thomas Test
3 Straight Leg Raise
4 Thoracic Extension
5 Diaphragmatic Assessment
6 Hip Internal Rotation

Risk Factors Assessed

Pelvic Tilt Classification
Thomas Test
Thoracic Extension
Diaphragmatic Assessment

Expected Timeline

6-12 weeks for mild PPT, 12-20 weeks for chronic

Frequently Asked Questions

Can posterior pelvic tilt be corrected with exercise?
Typical improvement timeline is 6-12 weeks for mild PPT, 12-20 weeks for chronic. The protocol includes 4 prioritized corrective interventions and screens for red flags that require medical referral.
What assessments are done for posterior pelvic tilt?
The protocol assesses Pelvic Tilt Classification, Thomas Test, Straight Leg Raise, Thoracic Extension. Each test identifies the specific driver of the condition, guiding the corrective sequence.
Is posterior pelvic tilt the same for everyone?
No. The assessment differentiates structural from functional causes and identifies the individual's primary driver. The corrective plan is ordered by priority, with the highest-leverage corrections addressed first.
How do I get started with the Posterior Pelvic Tilt protocol?
Apply for an assessment through AKMI. Your coach will run the Posterior Pelvic Tilt protocol as part of your initial structural evaluation, then build a personalized corrective plan based on the findings.

Get your Posterior Pelvic Tilt assessment

Your coach runs this protocol as part of your structural evaluation, then builds a personalized corrective plan based on the data.

Apply for Assessment

Protocol Details

Category
Condition
Subcategory
Postural Dysfunction
ROM Tests
6
Corrective Targets
4
Benchmarked
Yes
Red Flag Screens
4
Timeline
6-12 weeks for mild PPT, 12-20 weeks for chronic
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Related Condition Protocols

Anterior Pelvic Tilt

Excessive anterior rotation of the pelvis increasing lumbar lordosis. Driven by hip flexor shortening, weak glutes, altered breathing patterns, and rib cage position dysfunction. Common in sedentary populations and lifters who skip glute activation work.

 External Rotation Gait (Duck Feet)

Externally rotated foot position during gait, driven by tibial torsion, hip external rotation dominance, ankle eversion, and foot pronation patterns. Can be structural (tibial/femoral torsion) or functional (muscle imbalance).

 High Arches (Pes Cavus)

Excessively rigid high arch with reduced shock absorption. Associated with lateral ankle instability, metatarsal stress, and supinated gait pattern. May indicate neurological conditions if progressive.

 Ankle Sprains (Chronic Instability)

Recurrent lateral ankle sprains with persistent instability. Assessment targets peroneal strength, proprioceptive capacity, ankle ROM, and proximal hip stabilizer contribution to ankle loading patterns.

 Lateral Knee Pain

Pain on the outer aspect of the knee, most commonly IT band friction syndrome (ITBS). Assessment targets ITB length (Ober's test), hip abductor strength, ankle dorsiflexion, and lateral meniscus provocation.

 Glute Amnesia (No Glute / Flat Butt)

Inhibited or weak glute muscles presenting as flat appearance and poor hip extension strength. Assessment covers glute activation testing, hip extension strength, anterior pelvic tilt connection, and progressive loading protocol.