I have a question about the pelvis. If one side of the pelvis is anterior and the other side of the pelvis is posterior, what type of exercises would help fix the disparity?
Great question. The first thing I would recommend is confirming the disparity using assessments other than palpation of bony landmarks. There are cases where a slight rotational disparity is structural and therefore can’t be “fixed.” In a functional disparity, the abnormal muscle tone may be causing the mal-alignment, thus “throwing off” the kinetic chain. In this case, you would focus on lengthening the soft tissues that are locked short and strengthening the structures that are locked long. With respect to your question, I would stretch the right hip flexor complex using a multi-planar approach followed by a multi-planar approach to the left hip extensor group. The stretching would then be followed up with strengthening the lumbo-pelvic-hip complex. Suggestive strengthening exercises are:
For multi-planar stretch ideas, see the PTontheNet.com Exercise & Flexibility Library, Gary Gray’s Audio Clinics and Chuck Wolf’s articles on flexibility (perform an Author search in the Content Library).
Q. Basically, wondering what that would be called: hip disparity?
A. Hip disparity works as long as you define what you mean. Typically, this is called a rotational mal-alignment. However, the exact terminology is dictated by the author.
Q. Is it the same as Lumbo-pelvic-Hip Postural Distortion?
A. LPH postural distortion is too general of a term in this case.
Q. What exercises would be contra-indicators?
A. If you are sure your client has a moderate to severe rotational mal-alignment, then any exercise performed before stretching the overactive muscles (in this case, the right hip flexor group and left extensor group) could make the situation worse. The key is to balance the musculoskeletal system before placing tension into it (resistance exercise puts tension in).
In closing, never forget the whole. In other words, ask yourself why is the pelvis mal-aligned? Is the foot/ankle complex restricted on the right, creating excessive hip flexion in attempts to clear the leg during every step? Point, look at the entire kinetic chain before creating your total program.
We hope this sheds some light! Thanks for your questions.