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Correcting a swayback posture by…changing how you sleep?

The first one of these is An example of how important your sleep positioning can be. In that I cover the similarities between a lateral pelvic tilt and how one sleeps. Next up, the similarities between sleep positioning and a swayback posture.

First up, going over a swayback posture. I’ll use some pictures from Kendall’s book, many of which are found online.

The most pressing aspects of this posture are:

The hips are extended:

The lower back is being pushed forward:

Often to the point it’s in extension:

The thoracic spine may be flexed, and head in forward head posture:

Note how far the head is in front of the shoulders

From the side, we could simply say the body’s center of mass is being pushed forward:

With that, it’s very common for the feet to be turned out and or the knees to be turned in. (This isn’t so much part of being a “swayback” as it is common postural / movement issues.)

And the neck may be tilted,

These are very, very common issues.

Connection to sleep positioning

Let’s look at someone sleeping on their stomach:

Right away, there’s some obvious connection. The lower back is extended:

The hips may or may not be extended.

This can depend on the mattress’ hardness. Here’s a good picture from a mattress company:


Specifically looking at stomach sleeping:

Notice in the “Soft” category the hips are extended:

Because the body’s center of mass is located around the hips, this is where the body is most likely to sink into the mattress.

Even if you’re on a hard mattress, negative things can happen at the hips. Because gravity is still acting on the hips, gravity can still push the head of the femoral head downwards:

I’ve written about this hip ailment before herehereand here. In summary, it’s not a good thing.

A less obvious connection is at the feet. When sleeping on the stomach it’s very likely the feet are going to turn out:

Finally, the neck. It’s typical to favor having the head turned one direction more than the other. I haven’t really examined this, but it seems most people favor turning their head to the left. Even a quick google image search of “Stomach Sleeping” seems to agree:

Of the people on their stomach, notice how many have their head to the left.

This coincides with what you often see at the neck in stance: Tilting to the left.

A full comparison

Our two positions:

Outlining:

Rotating:

The other way:

Get off your stomach.

You can get my manual on sleep positions here:

Or find more about it here.

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