Hip Muscle Imbalances Related to Postural Impairments

By Carolyn Kisner PT, MS and Lynn Allen Colby PT, MS on November 18th 2008

Anterior Pelvic Tilt Posture
• Short TFL and IT band
• General limitation of hip external rotation
• Weak, stretched posterior portion of the gluteus medius and piriformis
• Excessive medial rotation of the femur during the first half of stance phase of gait with increased stresses on the medial structures of the knee
• Associated lower extremity compensations including medial rotation of the femur, genu valgum, lateral tibial torsion, pes planus, and hallux valgus

Slouched Posture
• Shortened rectus femoris and hamstrings
• General limitation of hip rotators
• Weak, stretched iliopsoas
• Weak and shortened posterior portion of the gluteus medius
• Weak, poorly developed gluteus maximus
• Associated lower extremity compensations including hip extension, sometimes medial rotation of the femur, genu recurvatum, genu varum, and pes valgus

Flat Back Posture
• A shortened rectus femoris, IT band, and gluteus maximus
• Variations of the above two postures

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Filed Under: Physical Therapy, tribes001
Tags: gluteus medius, hallux valgus, iliopsoas, lateral tibial torsion, pes planus, piriformis

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