Pure Ascending Distortional Postural Pattern

​Gravity Drive Pronation

Kyphotic Postural Pattern 

Pronation Pattern:  Right Foot > Left Foot

  • Right Innominate more anteriorly rotated relative to left innominate (e.g., pelvis is tilted right)
  • Right Temporal Bone more posteriorly rotated relative to left temporal bone (ear flare, right > left)
  • Class II Occlusion (See Animation Below)
  • Sphenoid in extension and side bent (pupils unlevel)

Mirror image of the above when the pronation pattern is Left Foot > Right Foot

Ear Unleveling and Flaring -  observed when the temporal bones are asymmetrically posteriorly rotated. 

Class II Malocclusion

Posture

Pure Ascending Pattern

Definition

A postural pattern that is being driven entirely by foot pathomechanics.

The postural pattern is predictable and non-skewed (absence of a descending postural pattern)

Pure Ascending Non-Distortional Postural Pattern

Hip Drive Pronation

Ideal Postural Pattern

​Pronation Pattern:  Right Foot = Left Foot

  • ​Innominates in their anatomical neutral position (pelvis is level)
  • Temporal Bones in their anatomical neutral position (ears are symmetrical)
  • Sphenoid bone is level (pupils are level)