Common Postural Patterns

Postural Analysis

Posture is rarely an isolated problem. A misalignment at the ankle can ripple all the way to your head, with each segment compensating for the one below it. Understanding your postural pattern tells you which muscles to lengthen and which to strengthen.

1

Identify the pattern

Five postural archtypes

Each archtype is named for its dominant characteristic.

Neutral

The ideal alignment for absorbing shock and transferring force efficiently throughout the body.

Kyphotic-Lordotic

An anterior pelvic tilt and rounding of the shoulders create excessive curves in the spine. Common in desk workers.

Sway Back

A posterior pelvic tilt and forward pelvic displacement. Common in people who stand for long periods, such as waiters.

Military

An anterior pelvic tilt creating imbalances in the lower body, but a mostly neutral spine. Common in military personnel.

Flat Back

A posterior pelvic tilt and generally flat spine driven by strong hamstrings and abdominals, creating suboptimal force transfer and shock absorption. Common in athletes who tend to tuck their pelvis.

2

Assess the findings

What to look for, segment by segment

The pelvis is usually where the story begins and it impacts everything above and below it.

Assessment order - A King Helps People Learn To Cry So Hush!

Ankle
·
Knee
·
Hip
·
Pelvis
·
Lumbar
·
Thoracic
·
Cervical
·
Scapulae
·
Head
Neutral
Kyphotic-Lordotic
Sway Back
Military
Flat Back
Ankle
Neutral
Plantarflexedslightly
Neutral
Plantarflexedslightly
Plantarflexedslightly
Knee
Neutral
Extendedslightly
Extended
Extendedslightly
Extended
Hip
Neutral
Flexed
Extended
Flexed
Extended
Pelvis
Neutral
Anterior tilt
Posterior tilt+ anterior displacement
Anterior tilt
Posterior tilt
Lumbar Curve
Normal lordosis
Excessive
Flat
Excessive
Flat
Thoracic Curve
Normal kyphosis
Excessive
Excessive+ posterior displacement
Normal kyphosis
Flat
Cervical Curve
Normal lordosis
Excessive
Excessiveslightly
Normal lordosis
Excessiveslightly
Scapulae
Neutral
Protracted
Neutral
Neutral
Neutral
Head
Neutral
Forward
Forward
Neutral
Forward
Neutral
Extended
Flexed
Anterior Tilt
Posterior Tilt
Excessive Curve
Flat Curve
Forward head
3

Understand the muscles

Muscle imbalances

Each postural pattern has associated muscle imbalances. Short muscles have adaptively tightened and long muscles have been pulled beyond their optimal resting length.

Forward Head

Short

  • Neck extensors

Long

  • Neck flexors
Rounded Shoulders

Short

  • Pectoralis Major
  • Pectoralis Minor

Long

  • Rhomboids
  • Middle trapezius
  • Lower trapezius
Scoliosis

Short

  • Erector spinae (concave side)
  • Quadratus lumborum (concave side)

Long

  • Erector spinae (convex side)
  • Quadratus lumborum (convex side)
Winged Scapula

Short

  • Pectoralis Minor

Long

  • Serratus Anterior
  • Rhomboids
  • Lower Trapezius
Flat Thoracic Curve

Short

  • Serratus anterior
  • Thoracic extensors

Long

  • External obliques
  • Rectus abdominis
Excessive Thoracic Curve

Short

  • Pectoralis major
  • Pectoralis minor
  • Rectus abdominis

Long

  • Thoracic erector spinae
  • Rhomboids
  • Middle trapezius
  • Lower trapezius
Flat Lumbar Curve

Short

  • External obliques
  • Abdominals

Long

  • Internal obliques
  • Lower back
Excessive Lumbar Curve

Short

  • Hip flexors
  • Erector spinae

Long

  • Gluteus maximus
  • Abdominals
  • Hamstrings
Anterior Pelvic Tilt

Short

  • Hip flexors
  • Erector spinae

Long

  • Gluteus maximus
  • Abdominals
  • Hamstrings
Posterior Pelvic Tilt

Short

  • Hamstrings

Long

  • Hip flexors
Lateral Pelvic Tilt

Short

  • Hip adductors (elevated side)
  • Gluteus medius (depressed side)

Long

  • Hip adductors (depressed side)
  • Gluteus medius (elevated side)
Rotated Pelvis

Short

  • Hip external rotators
  • Obliques (ipsilateral)

Long

  • Hip internal rotators
  • Obliques (contralateral)
Knee Valgus (Knocked-Knee)

Short

  • Hip adductors
  • TFL / IT Band

Long

  • Gluteus medius
  • Vastus medialis
Knee Varus (Bow-Legged)

Short

  • Gluteus medius
  • TFL / IT Band

Long

  • Hip adductors
  • Vastus medialis
Hyperextended Knee

Short

  • Quadriceps
  • Gastrocnemius

Long

  • Hamstrings
Knee Flexion

Short

  • Hamstrings

Long

  • Quadriceps
  • Gastrocnemius
Plantarflexed Foot

Short

  • Gastrocnemius
  • Soleus

Long

  • Tibialis anterior
Dorsiflexed Foot

Short

  • Tibialis anterior

Long

  • Gastrocnemius
  • Soleus
Everted Foot

Short

  • Peroneals

Long

  • Tibialis Anterior
Inverted Foot

Short

  • Tibialis Anterior

Long

  • Peroneals

What this means for your practice

Short muscles are candidates for lengthening work through eccentric movements to help increase their capacity and full range. Long muscles need isometric and concentric exercises that restore their ability to generate tension at their natural resting length. A well-designed Pilates session addresses both simultaneously, which is why understanding your posture matters before you begin.

Recommended Resources

Posture Direct