THE NO B.S. GUIDE TO ANTERIOR PELVIC TILT Conor Harris BS, CSCS, XPS, CES, CPT DISCLAIMER This eBook is for educational purposes only. It is not meant to serve as a means of injury diagnosis or treatment. If you are in pain, go see a qualified physical therapist. INTRODUCTION Welcome to the eBook. This is designed for those who seek to improve posture, movement options, and mobility around the pelvic and lower body region. I have had the pleasure of working with the human body in a wide range of populations. These include, but are certianly not limited to: NBA, MLB, and NFL athletes Collegiate D1 athletes Powerlifter & Strongman competitors Casual gym trainees Geriatric clientele (above age 60) Youth populations (age 18 and under) What I have continually appreciated is that while we all have individual differences, the human body is still the human body. INDIVIDUAL DIFFERENCES VS COMMON HUMAN PATTERNS That last statement may come as a surprise, but it's true. The human body is complex, but it isn't necessarily extremely complicated. That is an important distinction to make. We all have different demands on our lives. Lifestlyle habits, jobs, sports, and genetics all dictate how we move and compensate. I have found that most people need a lot of similar interventions to improve movement. I am not claiming everyone is the same, but I am saying that the human body tends to compensate in somewhat predictable patterns and we can utilize our understanding of those patterns to our advantage. Assuming there aren't any signficant genetic abnormalities that change the structure of how your body is built, we can leverage certain positions to predictably improve mobility and movement capabilities. This book was designed with years of experience through trial and error. I have chosen the exact protocol I would give to someone to improve their movement as much as possible without me being there by your side every step of the way. This protocol will be clear, concise, and easy to implement without any added B.S. I hope you enjoy! HOW TO USE THE EBOOK Follow the eBook exactly as written. If you half-ass it and then come to me saying it isn’t working, I’m not going to be very receptive. This program will help you if you follow it diligently. Every single exercise is chosen for a very specific reason. Each exercise is providing a specific input into your body that another exercise in the program may not be. Daily Drills: These are to be done every day of your life. They should be completed for around 2-3 sets per day. It takes consistent input every day into your body to convince it to accept new positions and hold them over time. The most optimal way to do these would be a few sets in the morning and a few sets at night. I tell all of my clients: “The ball is in your court for how quickly you will see results." If you do less, you’ll see slower results. If you do more, you’ll probably see faster results. COMMON UPPER BODY LIMITATONS It's first important to realize that your shoulder blade (scapula) rests on your back ribcage. It needs to glide smoothly in order for your humerus (arm bone) to be able to effectively move and rotate. Ribcage position = Scapular mobility = Shoulder mobility The point is, it all starts with the ribcage first. The primary motion that affects the ribcage on a daily basis is the ability to move it through breathing and respiration. When we inhale, the diaphragm contracts and helps expand the ribcage in every direction. This circumfrential "expansion" is the foundation of shoulder health and has (in my opinion) been under-appreciated for a long time. If we do not breathe well, we will push air into the easiest place possible, since air is a gas that follows the path of least resistance. A variety of compensations can happen if we do not breathe well, but this is one of the most common examples: We have a large cavity in our back ribcage called the Posterior Mediastinum. This needs to expand when we inhale. If it does not due to compression of the back ribs, air will go primarily forward into our belly. When this occurs, it is because the low and/or upper back muscles are too tight and restricting this expansion. The point is, a variety of compensations can happen, but those compensations almost always involve a restriction in some area of the ribcage. The good thing about this program is it's going to address limitations at all areas of the ribcage which will help improve range of motion regardless of your inidvidual limitations. COMMON LOWER BODY LIMITATONS The above description of the upper body is often coupled with Anterior Pelvic Tilt, in which our weight is more forward on our toes and the back is arched excessively. In this position of Anteiror Pelvic Tilt, the hamstrings are elongated and then the muscles on the front side of the body (hip flexors and quads) become tight along with the low back muscles. Sometimes this is coupled with a lateral pelvic tilt where one side of the pelvis is higher than the other. In a lateral pelvic tilt orientation, there are now asymmetrical muscular imbalances present, which limit certain ranges of motion on the higher side and others on the lower side. I can't easily give specifics, but if you want to know which are most common, see the webinar I link later on. Another common compensation is Swayback Posture. This is usually an additional compensation built upon Anterior Pelvic Tilt in which the body essentially senses that it is "falling too far forward" within the hips, so the glutes and other muscles tighten up to "pull" the pelvis back to regain a more neutral center of mass. Notice below how despite different postural compensations, the body ultimately just wants to find an even balance of weight distribution down the mid-line of the body: Similarly to the upper body, the point is that despite individual differences, these compensations restrict certain ranges of motion more than others. The great thing about this program is that we're going to work on many different positions of hip mobility to allow you to improve your results across the board. I would bet 95% or more of people doing this program have limitations in most assessments. That means there is room to improve across them all. If you didn't have limitations on several assessments, you probably aren't buying this program in the first place. Now, let's move on to the assessment protocol. ASSESSMENT PROTOCOL Let’s now get a starting assessment for where you’re at right now. The goal of these assessments are to provide you an objective process for knowing you’re getting better. You should be able to test yourself and then re-test in a week and see objective improvements. If you aren’t, then you’re either not fully following the program or you need a more individualized approach. The goal is not to pass all of the tests initially. If you are, I guarantee you’re trying to force your way through them. We want get a baseline and see improvements over time. Please do not try to force your way into a “good” test result at first. Most people will have asymmetrical test results and that's to be expected. There is an example of the desired range of motion at the end of each video example of the assessments. Be sure to film and keep these so you can reference them later to see progress. I would also encourage you to take visual posture photos of yourself from the front, back, and side to see yourself progress with your posture as well. Shoulder Flexion: This is assessing how well your shoulder blade moves on your ribcage through a full range of motion, which, as described above, is going to be limited if you have APT. End Goal: 130+ degrees Active Hip Flexion: This is assessing your pelvis' ability to go into external rotation. If you are in anterior pelvic tilt, you are biased into internal rotation and this will be limited. End Goal: 110-120 degrees Active Straight Leg Raise: This is assessing your pelvis' ability to go into genuine, non-compensatory internal rotation. End Goal: 70-80+ degrees HOW TO INTERPRET ASSESSMENT RESULTS If you want to have as percise measurements as possible, my recommendation would be to download the app "Angle Meter" (available on the App Store). It is very easy to then measure the degrees and how much you're improving. INTERPRETING ASSESSMENT RESULTS: PICKING THE RIGHT PROGRAM FOR YOU Depending on your assessment results, you will benefit from doing either Program A (Posterior Compression) or Program B (Anterior Compression) It's important you interpret your assessment results very accurately. Anterior Pelvic Tilt tends to take form in two main ways: A: Posterior Compression More tightness (compression) of musculature on the back side of your pelvis "pushing" it forward. B: Anterior Compression More tightness (compression) of musculature on the front side of the pelvis "pulling" it forward. Use the following table to determine which program is for you: Straight Leg Raise Hip Flexion Shoulder Flexion Posterior Compression <50 Degrees >100 Degrees <100 Degrees Anterior Compression >50 Degrees <100 Degrees >100 Degrees If you do not fit completely into either posterior or anterior compression, do not worry. Pick the one that you fit into at least two out of the three total assessment results. For example, if I had a 45 Degree Straight Leg Raise, 110 Degrees of Hip Flexion, and 90 Degrees of Shoulder Flexion, I would fit into the Posterior Compression category. If your results are asymmetrical, use the lowest of the two sides as the measurement you apply to this table. HOW TO BREATHE Breathing is foundational to the success of this program. Please understand how to effectively breathe before working on incorporating it with the exercises. If there is a breathing component to an exercise, this is how I want you to execute it: Relaxed, full exhales through your mouth. The longer and more relaxed, the better. Many people use their six-pack (front) abs more than their obliques (side-abs), yet our obliques are what drive proper respiration. Therefore, I want you to be able to feel your obliques and not your six-pack when you exhale. Think "jelly-belly" as if your stomach was a jelly-filled donut. The obliques should come on because you're exhaling, not because you're bracing. If you don't feel them, you're not exhaling long enough (not to be interpreted as hard enough). Period. A general guideline is 5 second exhales and 5 second inhales. Here is a video with an in-depth explanation on how to do this. THE PROGRAM Now, let's move on to the program. This eBook is broken up into eight weeks, each with progressions building on the previous weeks. The idea is that the progressions will build upon the earlier weeks as you gain access to new range of motion. I have strategically selected exercises I've found to work best with people who are new to these types of exercises. The consistent repetition of the exercises will help you progressively integrate certain positions and muscles into harder poisitions over time. Please do not skip weeks. If you have to miss a day, be sure to complete at least 14 days of the given exercises before moving on to the next week. I have found 14 days to be a very effective timeline for allowing the body to adapt to the intended positions, range of motion, etc. PROGRAM A: POSTERIOR COMPRESSION DAILY DRILLS: WEEKS 1-2 COMPLETE 2 SETS IN THE MORNING AND 1-2 SETS AT NIGHT (3-4 TOTAL PER DAY) EXERCISE & PURPOSE REPS Short Seated Breathing with Balloon or Straw Trains essential & optimal respriation pattern with ability to get ribs down that will carry over to other exercises Short-seated position puts diaphragm in optimal position to ascend 6 breaths into balloon or straw (can break it up into 2 rounds of 3 breaths if needed) EXERCISE VIDEO LINK DAILY DRILLS: WEEKS 1-2 COMPLETE 2 SETS IN THE MORNING AND 1-2 SETS AT NIGHT (3-4 TOTAL PER DAY) EXERCISE & PURPOSE REPS All Four Posterior Expansion with Ball Push Trains low abs to control tilt of pelvis Low abs help inhibit ("shut off") hip flexors 5-10 breaths EXERCISE VIDEO LINK DAILY DRILLS: WEEKS 1-2 COMPLETE 2 SETS IN THE MORNING AND 1-2 SETS AT NIGHT (3-4 TOTAL PER DAY) EXERCISE & PURPOSE REPS 5 breaths Hooklying Hamstring Bridge Restores hip flexion & extension Restores shoulder flexion IMPORTANT NOTE ON THIS EXERCISE: As your competency improves in this exercise over the course of the two weeks, progressively try to get your hips higher in the air without losing your hip tuck (posterior tilt). This will also help improve your hip extension which is very important to have for future exercises in this program. Be sure to start easy (low to the ground) and work up from there a bit more each day. Don't push it too far too early. Work within the range you have at first. EXERCISE VIDEO LINK DAILY DRILLS: WEEKS 3-4 COMPLETE 2 SETS IN THE MORNING AND 1-2 SETS AT NIGHT (3-4 TOTAL PER DAY) EXERCISE & PURPOSE REPS PRI Wall Supported Reach with FA IR Retraining diaphragmatic breathing & ribcage expansion Restores hip flexion Restores shoulder flexion 5-10 breaths EXERCISE VIDEO LINK Copyright © 2022 Postural Restoration Institute®. Used with permission. www.posturalrestoration.com DAILY DRILLS: WEEKS 3-4 COMPLETE 2 SETS IN THE MORNING AND 1-2 SETS AT NIGHT (3-4 TOTAL PER DAY) EXERCISE & PURPOSE REPS Half-Kneeling Hip Flexor Stretch with Reach Begin to reach end-range hip extension (passively) Stretching the hip flexors Reaching to create stacked ribcage over pelvis 5 breaths per side EXERCISE VIDEO LINK DAILY DRILLS: WEEKS 3-4 COMPLETE 2 SETS IN THE MORNING AND 1-2 SETS AT NIGHT (3-4 TOTAL PER DAY) EXERCISE & PURPOSE REPS Hooklying Staggered-Stance Hamstring Bridge Hip extension on back leg Beginning to actively hold endrange hip extension Restores hip flexion 5 breaths per side EXERCISE VIDEO LINK Exercise credit: Bill Hartman DAILY DRILLS: WEEKS 5-6 COMPLETE 2 SETS IN THE MORNING AND 1-2 SETS AT NIGHT (3-4 TOTAL PER DAY) EXERCISE & PURPOSE REPS Cross-Connect Glute Bridge Ground-based end-range hip extension via glutes and hamstrings Restores shoulder and hip flexion 5 breaths per side EXERCISE VIDEO LINK DAILY DRILLS: WEEKS 5-6 COMPLETE 2 SETS IN THE MORNING AND 1-2 SETS AT NIGHT (3-4 TOTAL PER DAY) EXERCISE & PURPOSE REPS 5 breaths per Incline Cross-Connect Stationary control of end-range side hip extension in a more challenging position EXERCISE VIDEO LINK DAILY DRILLS: WEEKS 5-6 COMPLETE 2 SETS IN THE MORNING AND 1-2 SETS AT NIGHT (3-4 TOTAL PER DAY) EXERCISE & PURPOSE REPS 12 per side Wall-Referenced Roller Hinge: Training proper internal rotation of pelvis Restores straight leg raise EXERCISE VIDEO LINK DAILY DRILLS: WEEKS 7-8 COMPLETE 2 SETS IN THE MORNING AND 1-2 SETS AT NIGHT (3-4 TOTAL PER DAY) EXERCISE & PURPOSE REPS Standing Cross-Connect Trains end-range hip extension with a significant amount of dissociation between sides of hips 5-10 breaths per side Be sure to use lower box height if you can't keep pelvis tucked & neutral with floor. EXERCISE VIDEO LINK DAILY DRILLS: WEEKS 7-8 COMPLETE 2 SETS IN THE MORNING AND 1-2 SETS AT NIGHT (3-4 TOTAL PER DAY) EXERCISE & PURPOSE REPS Inchworm with Reach: Release of calves that get tight when anterior pelvic tilt pushes weight onto toes Can help restore shoulder flexion 5 breaths and reaches per side EXERCISE VIDEO LINK DAILY DRILLS: WEEKS 7-8 COMPLETE 2 SETS IN THE MORNING AND 1-2 SETS AT NIGHT (3-4 TOTAL PER DAY) EXERCISE & PURPOSE REPS Half-Kneeling Lift-Off: Maintain control of full hip extension on rear leg through dynamic movement Create dissociation between sides of pelvis: Internal rotation on front leg, external rotation on rear 10 per side EXERCISE VIDEO LINK PROGRAM B: ANTERIOR COMPRESSION DAILY DRILLS: WEEKS 1-2 COMPLETE 2 SETS IN THE MORNING AND 1-2 SETS AT NIGHT (3-4 TOTAL PER DAY) EXERCISE & PURPOSE REPS Short Seated Breathing with Balloon or Straw Trains essential & optimal respriation pattern with ability to get ribs down that will carry over to other exercises Short-seated position puts diaphragm in optimal position to ascend 6 breaths into balloon or straw (can break it up into 2 rounds of 3 breaths if needed) EXERCISE VIDEO LINK DAILY DRILLS: WEEKS 1-2 COMPLETE 2 SETS IN THE MORNING AND 1-2 SETS AT NIGHT (3-4 TOTAL PER DAY) EXERCISE & PURPOSE REPS All Four Posterior Expansion with Ball Push Trains low abs to control tilt of pelvis Low abs help inhibit ("shut off") hip flexors 5-10 breaths EXERCISE VIDEO LINK DAILY DRILLS: WEEKS 1-2 COMPLETE 2 SETS IN THE MORNING AND 1-2 SETS AT NIGHT (3-4 TOTAL PER DAY) EXERCISE & PURPOSE REPS PRI Supine Hemi-Extension with Rectus Femoris Hip extension on down leg Restores hip flexion on up leg 15 reps per side EXERCISE VIDEO LINK Copyright © 2022 Postural Restoration Institute®. Used with permission. www.posturalrestoration.com DAILY DRILLS: WEEKS 3-4 COMPLETE 2 SETS IN THE MORNING AND 1-2 SETS AT NIGHT (3-4 TOTAL PER DAY) EXERCISE & PURPOSE REPS Doorframe Lat Stretch Release lats that get tight and push pelvis forward into APT Restores shoulder flexion 5 breaths per side EXERCISE VIDEO LINK DAILY DRILLS: WEEKS 3-4 COMPLETE 2 SETS IN THE MORNING AND 1-2 SETS AT NIGHT (3-4 TOTAL PER DAY) EXERCISE & PURPOSE REPS Half-Kneeling Hip Flexor Stretch with Reach Begin to reach end-range hip extension (passively) Stretching the hip flexors Reaching to create stacked ribcage over pelvis 5 breaths per side EXERCISE VIDEO LINK DAILY DRILLS: WEEKS 3-4 COMPLETE 2 SETS IN THE MORNING AND 1-2 SETS AT NIGHT (3-4 TOTAL PER DAY) EXERCISE & PURPOSE REPS PRI 90/90 Alternating Crossover Control of hamstrings & pelvic tilt in deeper hip flexion Restores hip flexion and potentially straight leg raise 5 breaths per side EXERCISE VIDEO LINK Copyright © 2022 Postural Restoration Institute®. Used with permission. www.posturalrestoration.com DAILY DRILLS: WEEKS 5-6 COMPLETE 2 SETS IN THE MORNING AND 1-2 SETS AT NIGHT (3-4 TOTAL PER DAY) EXERCISE & PURPOSE REPS 5-8 breaths Low Crab Position Breathing Ability to expand upper (anterior) chest with air Potentially improves straight leg raise EXERCISE VIDEO LINK DAILY DRILLS: WEEKS 5-6 COMPLETE 2 SETS IN THE MORNING AND 1-2 SETS AT NIGHT (3-4 TOTAL PER DAY) EXERCISE & PURPOSE REPS Supine Modified Wall Stride Improving end-range hip extension on back leg Restores hip flexion 5 breaths per side EXERCISE VIDEO LINK DAILY DRILLS: WEEKS 5-6 COMPLETE 2 SETS IN THE MORNING AND 1-2 SETS AT NIGHT (3-4 TOTAL PER DAY) EXERCISE & PURPOSE REPS 5 breaths per Incline Cross-Connect Stationary control of end-range side hip extension in a more challenging position EXERCISE VIDEO LINK DAILY DRILLS: WEEKS 7-8 COMPLETE 2 SETS IN THE MORNING AND 1-2 SETS AT NIGHT (3-4 TOTAL PER DAY) EXERCISE & PURPOSE REPS Standing Cross-Connect Trains end-range hip extension with a significant amount of dissociation between sides of hips 5-10 breaths per side Be sure to use lower box height if you can't keep pelvis tucked & neutral with floor. EXERCISE VIDEO LINK DAILY DRILLS: WEEKS 7-8 COMPLETE 2 SETS IN THE MORNING AND 1-2 SETS AT NIGHT (3-4 TOTAL PER DAY) EXERCISE & PURPOSE REPS PRI Long-Seated Pressdown Improves anterior expansion of ribcage Trains triceps and upper back muscles to hold shoulders in better position on ribcage 5 breaths EXERCISE VIDEO LINK Copyright © 2022 Postural Restoration Institute®. Used with permission. www.posturalrestoration.com DAILY DRILLS: WEEKS 7-8 COMPLETE 2 SETS IN THE MORNING AND 1-2 SETS AT NIGHT (3-4 TOTAL PER DAY) EXERCISE & PURPOSE REPS Half-Kneeling Lift-Off: Maintain control of full hip extension on rear leg through dynamic movement Create dissociation between sides of pelvis: Internal rotation on front leg, external rotation on rear 10 per side EXERCISE VIDEO LINK SPECIAL OFFER: SHARE YOUR RESULTS & GET A FREE PROGRAM ($40 value) OR 50% OFF BEGINNER BIOMECHANICS COURSE ($100 value) As you progress through this program, you will start to see things good things happen. You may notice: Improved posture Improve range of motion at your shoulder, hips, etc Better movement Less pain If you experience any, or multiple, of the above benefits, I would be very grateful if you can write a few words and/or show a before and after picture of your progress and share it on your Instagram, Twitter, Facebook, or TikTok story and tag @conor_harris_ in it. EXAMPLES We will respond with a question asking if you want a program or the discount code for the Beginner Biomechanics Course. Looking forward to seeing you progress! Ending Notes I hope you've enjoyed the program! I am confident you will see some great things happening. You can reach me at: @conor_harris_ on Instagram or Twitter conor@conorharris.com