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Lumbar hyperlordosis is a condition characterized by an excessive inward curvature of the lumbar spine. This posture is primarily associated with an anterior pelvic tilt, where the front of the pelvis drops and the back rises. This tilt is typically caused by tightness in the hip flexors and weakness in the gluteal and abdominal muscles. When the pelvis tilts anteriorly, it increases the lordotic curve in the lumbar region to maintain the center of gravity and balance the body over the feet.

In contrast, a posterior pelvic tilt would decrease the lumbar curve, leading to a flatter lower back. A neutral pelvic position would maintain the natural curvature of the spine without exaggeration, while flat back posture is characterized by decreased lumbar curvature and alignment issues rather than an increased curve. Understanding the mechanics of lumbar hyperlordosis in relation to pelvic positioning is crucial for recognizing postural imbalances and tailoring appropriate interventions in therapeutic practice.