Lower crossed syndrome - postural features. Which features define this pattern?

Lower crossed syndrome - postural features. Which features define this pattern?

• A. Anterior pelvic tilt, increased lumbar lordosis, hip flexion bias, and possible knee hyperextension.
• B. Posterior pelvic tilt, reduced lumbar lordosis.
• C. Pelvic tilting with knee flexion.
• D. Neck flexion only.

Answer: (D)

Lower crossed syndrome is driven by an imbalance where the front of the pelvis tilts forward and the lower back arches more than normal. This happens because the hip flexors and lumbar extensors are overactive, while the abdominal muscles and gluteal muscles are weak. The result is anterior pelvic tilt with increased lumbar lordosis, a hip flexion bias, and often knee hyperextension as a compensatory change to maintain upright posture. Neck position isn’t part of this lower-body pattern, so features like neck flexion only do not define the syndrome.

Lower crossed syndrome is driven by an imbalance where the front of the pelvis tilts forward and the lower back arches more than normal. This happens because the hip flexors and lumbar extensors are overactive, while the abdominal muscles and gluteal muscles are weak. The result is anterior pelvic tilt with increased lumbar lordosis, a hip flexion bias, and often knee hyperextension as a compensatory change to maintain upright posture. Neck position isn’t part of this lower-body pattern, so features like neck flexion only do not define the syndrome.