Anterior Pelvic Tilt DOES NOT Increase Hip Internal Rotation Range of Motion

Range of motion testing is a critical skill every physical therapist masters as part of their doctoral training, along with the ability to critically assess research. When examining the literature on pelvic tilt and hip ROM, a clear pattern emerges: anterior pelvic tilt limits hip internal rotation, while posterior tilt increases it.

This can seem counterintuitive, especially since anterior tilt is often (but not always) linked with hip internal rotation and posterior glide of the femur. (For more on exceptions, check yesterday’s post.)

But here’s where many people who think they understand ROM get it wrong: just because a bone moves a certain way doesn’t mean it shows more of that motion during testing. In fact, it’s often the opposite.

The hip involves both the pelvis and femur, and each contributes to the total motion. If anterior pelvic tilt ‘uses up’ some internal rotation (and posterior glide), less is available for the femur. Posterior tilt ‘gives back’ that motion (biasing external rotation and anterior glide), allowing the femur to take up more internal rotation.

The concept is simple: ‘You can’t be where you already are.’ Understanding this makes a world of difference when selecting interventions, cues, and progressions in your treatment or training process—especially if you’re not just winging it with ROM assessments.

#physicaltherapist #personaltrainer #hipmobility #mobility #anteriorpelvictilt

[baderqassim]

Experts like conor and neal are making too much harm. The human body is complex yet adaptable. I talk from experience after i lost the ability to move and gained it back. Keep up the good work!

[nftcoincrab]

Yea ill stick to connor and neal thanks mate lol. Good luck with ur channel. Little tip. Dont call out people who no far better than u