What does ‘Anterior Pelvic Tilt’ look like?
It should be noted that many people have ATP naturally and it does not cause them any pain or issues. To a slight degree ATP is a natural anatomical position of the human body. The purpose of this article is to analyze and address this position if you or a client are experiencing side effects or strength performance and output discrepancies due to an excessive arch of the lumbar spine and hip flexion.
During an OHSA, APT can be identified if the details previously mentioned (excessive flexion of the hips and extension of the lower back) are observed and interventions can then be used to help correct this dysfunction.
The OHSA is also a great tool to come back to after using interventions to see potential progress in a previous dysfunction(s) or to analyze if any other abnormalities are occurring.
What muscles are short/over-active and long/under-active with APT?
The muscles that are too tight from being in an excessive position are the muscles involved in lumbar extension and those make up the hip flexors. Muscles that become lengthened and weak from excessive lordosis are core/trunk flexors and hip extensors.
Among the reasons this dysfunction is an issue worth correcting is it negatively impacts posture, athletic performance, and force production; it increases back pain and/or causes low back fatigue; and it causes pain and discomfort in tight muscles.
*For full list of muscles involved check out the first source at the end of this article
Cues & Progressions
The cues and progressions I will be going over and are examples of what I typically use on my clients who exhibit APT in a fashion I feel as their coach is needed to be addressed. These exercise selections and progressions have helped correct my APT clients whether they be a beginner needing slow progression and closer attention to detail, or advanced lifters needing just a warm up into more optimal movement patterns for their mechanics before performing main lifts.
- Cue client (or self) to keep band over shoulders behind head and simultaneously pull belly button in and tuck butt in.
- Have client keep this position throughout the decent and accent of OHBS, reminding them at the box to clinch their core and glute in so it remains in position as they return to standing position.
- At the bottom of the squat, tell client to push hips forward out of the squat rather than lift them up.
- Once clients technique improves in the box variations, apply same principles and cues without a box. This variation may initially cause them to reflexively resort back to old habits due to not having a box for reassurance, so stay patient and continue to give them cues where needed.
- Make sure to limit repetitions at first as fatigue will also cause client to lose both form and focus.
Once the parallel box squat then low box squat are completed with good technique and the client understands what to feel for throughout the movement they can progress to the next exercise.
Goblet Parallel-Low Box Squat, Goblet Squat
- Keep same cues in mind while coaching client through a goblet box squat followed by goblet squat.
Adding load to the front will be an easier first progression than going immediately to a back loaded squat due to tendencies in arching the lower back during back squats. Fixing these tendencies and reflexes will be far more achievable the more simple and gradual the exercises are until APT isn’t nearly as (if at all) prevalent.
Banded Good Morning
I love using a banded good morning as the next progression before introducing the client to deadlift variations. In this exercise the client has to perform a hip hinge without arching their lower back.
- Have client stand in front of a bench or box just under the height of their knees.
- Instruct them to engage their core and glutes just as they have practiced in previous progressions.
- Tell them to now sit back pushing their hips toward the wall behind them and explain that their knees should remain vertical to their ankles (purpose of the bench or box being placed in front of them -to prevent their knees from going past it), unlike a squat when their knees drive slight forward after the break at their hips.
- To come back to the initial standing position, cue client to squeeze glutes and drive them forward through the same path they took to get into the hip hinge, as they drive their chest up toward the ceiling.
DB Farmers Carry
- Instruct client to focus on keeping trunk and glutes engaged envisioning a neutral/straight spine, as well as rotating their shoulders back and down to activate their lats (a prime muscle involved in lumbar extension) as they walk down the room or on a treadmill holding a dumbbell in each hand.
This exercise will help reinforce a neutral spine and pelvis during standing and gait/walking.
- Kettlebell Conventional Stance Deadlift from Low Box
- Single-Double KB Conventional Deadlift
- Barbell Conventional Deadlift
- Time Under Tension Goblet Squat Variations: Tempo, Pause, 1.5, etc.
- Barbell Parallel-Low Box Squat
- Barbell Front Squat
- Back Squat