Aligning the head, shoulders, hips, knees and ankles on a stable base of a neutral spine and pelvis, provide the ability to move joints in their intended range of movement, (ROM), ie flexion, extension, lateral rotation and flexion, abduction, adduction, supination, pronation and circumduction from zero to 360 degrees depending on the limb and its limitations. It is also necessary to consider the alignment of the smaller joints such as wrist, elbows, knees, ankles and feet too. This awareness of alignment and stable base encourages correct muscle recruitment and prevents excessive load through the joints that causes dysfunction.
Alignment is the key to good stability both statically and dynamically. Drawing a plumb line from the head to the toes is a helpful visualization of alignment whether in a start position of standing; lying; prone; four-point kneeling; side lying or upright on knees.