Anterior Pelvic Tilt vs Innominate Torsion
How exactly was it determined you have an anterior pelvic tilt (symmetrically bilateral tilt) vs an innomate torsion (R) vs (L) asymmetrical tilt?
- ASIS Palpation? Clinical Testing?
- Does a LLD exist (if so True or Functional)?
- Any Frontal Plane Deviations?
- Neuromusclar Involvement?
- Knee Alignment (Genu Valgum vs Varum) Any Pain?
- Any secondary contributing factors?
"I've decided to fix this problem by doing the necessary exercises and
maintain a good sitting posture."
It's not that simple. You first need to figure out what the exact issue(s) are and what tests will rule in / rule out the possible contributing factors.
For example -- Without knowing these answers, you can end up treating a neuromuscular issue (such as incorrect muscle firing patterns) presenting as Lower Back Pain (LBP) by stretching your hamstrings.
Pain and Dysfunctional Movement
“Exercise of the core musculature is more than trunk strengthening.
In fact, motor relearning of inhibited muscles may be more important
than strengthening in patients with LBP"
"Poor movement can exist anywhere in the body poor movement patterns
can only exist in the brain. Pain attenuated movement patterns may
lead to protective movement and fear of movement, resulting in
clinically observed impairments such as decreased ROM, muscle length
changes, declines in strength, and ultimately contribute to the
resultant disability.”
Kinematic Relationships
Some pictures that show the chain of muscular imbalances associated with pelvic dysfunction.
Pelvic and LE
An Innominate Torsion with a Lateral Lumbar Deviation.
Basic Imbalances
Bottom Line
Proper testing is required to understand what is happening. Without this an accurate treatment plan cannot be developed.
Sources:
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3364068/
- http://www.pelinks4u.org/bookreviews/media_1011.htm
- http://www.profedf.ufpr.br/rodackibiomecanica_arquivos/Books/Duane%20Knudson-%20Fundamentals%20of%20Biomechanics%202ed.pdf
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4060319/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4127517/