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Pelvic Tilting and Rotations: Made by DR, Tariq Ahmad PT DPT, MSPT

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Pelvic Tilting and Rotations

Made by Dr, Tariq Ahmad PT


DPT,MSPT
Motion of Pelvis
Pelvic motion and muscle function
• Pelvis is connection
link between spine
lower extremity
• Movement of pelvis
cause motion at hip
and lumber spine
articulations
• Hip musculature cause
pelvic motion through
reverse action
Pelvic motion and muscle function

• Hip flex cause an ant pelvic


tilt
• Hip ext post pelvic tilt
• Abductors and adductors lat
pelvic tilt
• Rotators cause pelvic rotation

• To prevent excessive pelvic


motion when moving femur
at hip
• Pelvis must stabilized by
abdominals , errector spine,
multifidus, and quadratus
lumborm
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Anterior pelvic tilt
• ant sup iliac spine
of pelvis move
anterior and
inferior
• Closer to ant asp
of femur as pelvis
rot forward
around transverse
axis of hip jts
• Result in hip flex
and inc lumber
spine extension
Anterior pelvic tilt
• Muscle causing this are
hip flexors and back
extensors
• During standing line of
gravity trunk falls ant
to axis of hip jt effect is
an ant pelvic tilt movt
• Stability provided by
abdominal muscle and
hip ext muscle.
Post pelvic tilt
• Post sup iliac
spine of pelvis
move post and
inf
• Thus closer
post aspect of
femur
• As pelvic rotate
back ward
around axis of
hip
• Result in hip ext
n lumber spine
flexion
Post pelvic tilt

• Muscle causing this


motion r
• Hip extensors n trunk
flex
• During standing when
line of gravity of trunk
fall post to axis of hip
jt
• Effect post pelvic tilt
• Dynamic stability
provided by
• Hip flex n back
extensors
• Passive stability is by
illio femoral lig
Pelvic movements
Pelvic shifting
• During standing a forward translatory
shifting of pelvis result in ext of hip n
ext of lower lumber spinal segment
• There is compansatory post shifting of
thorax on upper lumber spine with inc
flex of these spinal segments
• Often seen in slouched n relaxed post
• Little muscle action required
• Posture is maintained by illio femoral lig
at hip ant longitudnal lig of lower
lumber spine
• Post lig of upper lumber spine and
thoracic spine
Lateral pelvic tilt
• Frontal plane pelvic motion
result in opposite motion
at each hip jt
• Pelvic elevate called hip
hiking
• Lowering called hip drop
• On side elevate hip
adduction
• Drop side hip hip abduction
• During standing lumber
spine laterally flex towards
side of elevated
pelvis(convexity of lat
curve is toward lower side)
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Lateral pelvic tilt

• Muscle include
• Quadrates' lumborm on elevated side
• Reverse muscle pull of gluteus medius
on side of lower pelvis
• With a n asymmetric slouched posture
person shift weight onto one leg
• And allow pelvis to drop on other side
• Passive support come from illio
femoral lig and illio tibial band on
elevated side(stance leg)
• When stand on one leg there is add at
hip tending cause pelvis drop on
unsupported thigh
• This prevent gluteus medius stabilizing
pelvis on same side
Quadratus lumborum hip hiking
and gluteus medius
Pelvic rotation

• Rot occurs one lower ext fixed


on ground
• The unsupported leg swing
forward n backward
• Along with pelvis
• When un supported side move
forward called forward rotation
• The trunk rotate in opposite
direction
• Femur on stabilized side rotate
internally
• When unsupported side moves
backward it is backward
rotation
• Femur rotates externally
• Trunk rotate opposite
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Anterior and Posterior Pelvic Rotation
•Pelvic rotation is motion of the entire
pelvic ring in the transverse plane
around a vertical axis.
•Forward rotation of the pelvis occurs in
unilateral stance when the side of the
pelvis opposite to the supporting hip
joint moves anteriorly .
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• Forward rotation of the pelvis produces
medial rotation of the supporting hip joint.
Backward rotation of the pelvis occurs when
the side of the pelvis opposite the supporting
hip moves posteriorly.

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• Posterior rotation of the pelvis produces lateral
rotation of the supporting hip joint.

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• Thank You

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