Ideal

• Pubic Symphysis is in same coronal plane as ASISs
• In males ASIS – PSIS level to 5° anterior tilt
• In females ASIS – PSIS 5 to 10° anterior tilt

You See

• ASIS lower than PSIS (>5° in males, >10° in females)
• ASIS in front of pubic symphysis
• Increased lumbar lordosis and thoracic kyphosis
• Lower crossed syndrome

Likely Cause

• Short hip flexors
• Short (lumbar) spine extensors
• Long rectus abdominis
• Weak gluteus maximus