Kneeling Hip Flexor Static Stretch

The Kneeling Hip Flexor Static Stretch is a stretching exercise that lengthens the hip flexors, a group of muscles at the top of the upper leg. This stretch is done by getting down on one knee and stepping the other leg forward or angled slightly outwards. The front knee should be bent at a 90 degree angle and the back knee should be on the ground. The person should then lower their upper body straight down until a stretch is felt and hold that position for 20-

Transcript

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This is Brent of the Brookbush Institute
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and in this video we're going over our
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static hip flexor stretch. I'm going to have my friend Adam come out he's going to help
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me demonstrate both the wrong way and the right way to do this stretch. Now me
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and you have been personal trainers a long time, let's show everybody how we
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see this done poorly quite often. Alright and you can see he gets
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this nice arch to his back, if he threw his arms back he looks like he should be
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on the front of the Titanic. Although this might be pretty like it's
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definitely not the greatest way to do this stretch. If we think about how much
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hip extension you have, which is just 10 to 15 degrees, we know that this is not
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15 degrees, that's more than 45. He has to be getting that mobility from somewhere
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else and that should worry you a little bit. We want our stretches to be specific.
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You can get out of that position, it even irks me a little bit to see
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you in that position right. It's not a great thing to not know what you're
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stretching, we want to make sure that we're stretching stuff that's short.
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Remember hypermobility is just as dangerous as hypomobility, so if
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we're stretching things that aren't short we could be setting somebody up
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for some dysfunction, or possibly pain in the future. So how can we make this
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specific to just the hip flexors, and the truth is that it's actually easier. The
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the stretch I'm going to show you is way easier than the ones you just saw.
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So Adam is going to set himself up with these nice 90-degree angles, so
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he's going to be 90 degrees with knee right underneath his hip and then leg straight
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back, and then he can go ankle right under this knee, and then this knee is
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level with this hip, so we get these nice right angles and we get easy lines
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to monitor. He's got good straight posture this way, remember your psoas
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connects into your lumbar spine so it is important to even watch how much
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lordosis you're getting here. Now once he's in this position all you have to do
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is go posterior pelvic tilt. Now I don't tell my clients to posterior pelvic tilt
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but that's what we're going teach them. What I usually tell my clients to do is
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can you tuck your tail, alright it's scared dog,
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and if I have to I'll give them a little manual pressure on their PSIS
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usually that'll get people to tuck under, good. Squeeze their glutes is
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another good way to get them to posterior pelvic tilt, and usually if
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you can teach that simple little turn of their pelvis under, can you feel that in
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the front of your hip, it's like immediate. It just makes it so easy, you're just going
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oh hip flexor stretch got it, got it. It's just that easy, and now we can be pretty
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certain because all we've done there with a posterior pelvic tilt is lengthen
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out our hip flexors via some hip extension. Now what I can do from here is
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add a few little modifications if I wanted to go after specific muscles.
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Let's say I've taken my assessment one step further, I went from just doing the
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overhead squat assessment and seeing things like anterior pelvic tilt or
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excessive forward lean that make me think that my hip flexors are tight, to
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now I'm starting to think about well if knees bow in that's femoral internal
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rotation; of my hip flexors, my gluteus minimus and my TFL are internal
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rotators you following me, how can I make a hip flexor stretch specific to
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the TFL and gluteus minimus? It's actually not that hard, I'm going to have
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Adam take this leg and turn it, face the camera real quick for me Adam, he's going to
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take this this foot, hopefully you can see what I'm seeing, and he's
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going to put it behind this ankle. So we don't need a lot of external rotation,
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but just a little bit of external rotation because my TFL and glute minimus
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are internal rotators, so I'm going to externally rotate to lengthen them. He's
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then going to hip hike a little bit, or lean in this way, that's going to adduct his
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hip relative to his pelvis, and you don't even have to do that much because we
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still want just enough room to do a posterior pelvic tilt. Alright so now
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tuck under, and you should feel that more on the lateral side of your hip. How's
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that feeling? Good. So now I'm getting real specific, like I felt like
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okay he had knees bow in, that functional valgus, I know the internal rotators are
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overactive contributing to that knees bow in functional vagus. Maybe I even
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did some goniometry and he had a reduction in either internal rotation or
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external rotation, that gets a little complicated, but I'm getting specific. Now
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what else could I do? Well, let me have you turn around one more time. Alright
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I could go rectus femoris, let's say I have Adam as a patient and I noticed
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that a lot of his issues seemed more geared around the knee. Now if you
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are physical therapists, athletic trainers or chiropractors you could even
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goniometric assessment to see if they had enough knee flexion. Maybe
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there's somebody who's post-surgical, right we know that the rectus femoris has
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just geared way up, lots of overactivity, lots of active trigger points, lots of
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shortening and we want to figure out a way to lengthen it. Well, Adam he's
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already in the habit of doing this, but if we take the hip flexor
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stretch and we go from this plantar flat foot out position to
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dorsiflexed, notice that increases the amount of flexion at the knee which is
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now going to lengthen the rectus femoris a little bit; and what Adam should have
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noticed is when he goes from, so flop your foot all the way out, when he goes
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from their, posterior pelvic tilt, good and then tucks his toe in, then all of a
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sudden he feels a lot more down the center of his thigh, cool. Alright
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so that's great, so that's a little bit more rectus femoris.
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So we have got TFL which was the turn the foot in and lean over a little bit, and
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then we have rectus femoris which is throw the the toes in there and get a
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little bit more knee flexion, and then you of course have the first
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variation we showed you which is probably just more of a good general hip
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flexor stretch, maybe would incorporate a little bit more psoas and iliacus
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because the TFL and the rectus femoris have a little bit more slack in
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them than these other two positions I've showed you. Now let me harp on
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a couple of things that I don't like to see. The couch stretch has become incredibly
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popular, I want you to keep in mind that if I take this foot throw it up on
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something this way, and then jam my body back against my foot, that number one it
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is incredibly aggressive, and we have to get out of the habit of if it didn't
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work I need more. If it didn't work it might not be the right technique. I've
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never seen anybody get additional benefit from the couch stretch that I
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couldn't get from a kneeling hip flexor stretch, especially with toes in,
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it's just too much. Not to mention the couch stretch is just rectus femoris. You're
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shortening the rectus femoris so much at the knee, or lengthening it so much at
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the knee, that when you go into a posterior pelvic tilt the limiting
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structure is always going to be your rectus femoris, and you are going to miss
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TFL glute minimus, psoas and iliacus every time. So if your goal was to fix
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something like knees bow in or an anterior pelvic tilt, you're losing.
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You're losing because you're leaving a lot behind. Now the other thing that I
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don't like to see, is I don't like to see the very fancy hip flexor stretch which
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is Adam if you raise your right arm, and then Adam side bends towards
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me, good and then he rotates back this way. Now the problem with this stretch is
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not that it's not theoretically sound, it is a very theoretically sound stretch.
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What we're doing here is we're trying to lengthen the psoas as far as possible,
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remembering that our psoas attaches to the vertebral bodies of L1 through L5, so
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if I side bend a little bit, I pull my psoas a little longer on that side,
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and then if I rotate back it lengthens even further. The problem with
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this stretch is as soon as people do this stuff they tend to lose their
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posterior pelvic tilt, they tend to arch their
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back and then they tend to go into hip hiking, and now what we have is a
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theoretically great stretch with bad form; and I have to be honest I've never
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seen good form on that stretch ever, especially once left alone. It's one of
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those stretches where maybe you can get it set up right in clinic, maybe you can
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get it set up right with coaching, but as soon as you give it for a home exercise
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program, as soon as you walk away from your patient, as soon as you turn your
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back it becomes like this mess of they just look like Al'Dente noodles,
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like hey look I'm stretching my hip flexors, and it kind of goes back into
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our what we call the Titanic stretch, right, good. Alright last
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point I'm going to make harping on the static hip flexor stretch here is
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this is not a stability exercise, so feel free to give somebody something to hold
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on to. Let them hold on to a wall, like I like to do these stretches right next to
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a wall or like a weight rack so I can hold on to, there's nothing wrong with
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that, we're trying to stretch, we'll do stability exercises later, and first
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steps first, let's go all the way back to can we just do a good static hip flexor
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stretch. I know I'm giving you a lot to think about with modifications and maybe
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things you shouldn't do, but where we should start is stable position, 90, 90, 90,
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90. Can you posteriorly pelvic tilt, hold for
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30 to 120 seconds calmly, and get a good release. That's it,
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that's where we're going to start. If you have any questions leave them in the