Anteflexion: Anatomical Definition, Joint Examples, and Clinical Relevance

Anteflexion (Latin ante = before/forward, flexio = bending) is forward bending or tilting of a body part in the sagittal plane, decreasing the angle between ventral surfaces.

Joint-Specific Anteflexion

Anteflexion vs. Hyperextension

  • Anteflexion: Forward bending (ventral approximation).
  • Hyperextension: Backward bending beyond neutral (dorsal approximation) — e.g., knee >0°, cervical extension >75°.

Pathologic Anteflexion

  • Fixed flexion contracture (stroke, cerebral palsy, burn contracture, prolonged immobilization).
  • Anteflexed uterus with adhesions (Asherman) or endometriosis → dysmenorrhea, infertility.
  • Anterior pelvic tilt → lumbar facet overload, hamstring strain.

Therapeutic Use

  • Yoga: Uttanasana (standing forward fold), Paschimottanasana (seated forward bend) — controlled spinal/hip anteflexion.
  • PT: Stretching hip flexors, strengthening glutes/abs to correct anterior pelvic tilt.
  • Neurodevelopmental: Facilitate flexion patterns in extensor-tone infants.

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JointAnteflexion MovementNormal RangeClinical Notes
Cervical (C0–C1)Chin to chest (head nod)40–60°Excessive = "text neck"; loss = ankylosing spondylitis, DISH
Shoulder (Glenohumeral)Arm forward/upward180° (with scapular motion)Limited in adhesive capsulitis, rotator cuff tear
ElbowForearm toward arm140–150°Flexion contracture if limited extension
HipThigh toward abdomen120–130° (knee flexed)Thomas test for fixed flexion deformity
KneeLower leg toward thigh130–140°Limited by effusion, OA, meniscal tear
Lumbar SpineForward bending (touch toes)40–60°Increased = hyperlordosis compensation; decreased = stenosis, fusion
PelvisAnterior pelvic tilt (ASIS forward/down)~10–15° (anatomic)Excessive = "swayback," lumbar strain; associated with hip flexor tightness
UterusFundus bent forward on cervixAnteflexed + anteverted = normal (75%)Retroflexed = backward; may cause dysmenorrhea, UTI risk