Your Psoas Isn't Just Tight, It's WEAK [Don't Stretch, Do These Instead]

Precision Movement
31 Mar 202318:52

Summary

TLDRThe video explains why tightness and achiness in the hip flexors happens and provides 5 exercises to address the root causes. It covers the anatomy of key muscles like the psoas, rectus femoris and pectineus. Sitting incorrectly shortens these muscles causing weakness and tightness over time. Static stretching can make this worse. The 5 exercises - self-myofascial release, standing glute contraction, standing slumpy psoas, side-lying hip extension and front support hip flexion - aim to restore muscle length, strength and control throughout the range of motion. Doing them 2-3 times a week for 4+ weeks can provide lasting relief.

Takeaways

  • πŸ˜€ The psoas muscle contributes to hip flexion but also to lumbar spine stability. It needs to work properly for good alignment.
  • πŸ‘‰ Sitting too much shortens and weakens the psoas over time. This causes tightness and achiness in the front of the hips.
  • πŸ§˜β€β™‚οΈ Avoid static stretching for tight hip flexors, as it can make the problems worse. Follow a structured routine instead.
  • πŸ’ͺ Do self-massage first to improve tissue quality. Then activate and strengthen the muscles through their full range of motion.
  • πŸ‘£ Standing glute contractions co-activate the hip flexors in a neutral spine position to restore proper activation.
  • 🀸 The standing slumpy psoas technique strengthens hip flexion with a neutral spine, avoiding compensation.
  • πŸ‹οΈβ€β™€οΈ Progressively add load to hip flexor exercises once technique is solid, to build strength effectively.
  • 🦡 The side-lying hip extension drill works on regaining full hip extension range of motion and hip flexor length.
  • πŸ” A complete routine should be done 2-3 times per week for at least 4 weeks to retrain movement patterns.
  • 😊 Following a program like this can relieve achiness and tightness over time by addressing the root causes.

Q & A

  • Why does the psoas muscle often get tight and weak?

    -The psoas often gets tight and weak from too much sitting. When we sit, we are often in a posterior pelvic tilt and lumbar flexion, which shortens the psoas and prevents it from working properly to stabilize the lumbar spine.

  • Why is static stretching not recommended for tight hip flexors?

    -Static stretching doesn't address the root issue of weakness and can actually further irritate the joint capsule and ligaments, leading to more pain and tightness over time.

  • What is the purpose of the self-myofascial release technique?

    -The self-myofascial release technique helps to break up adhesions and scar tissue in the muscles and improve tissue quality so the muscles can contract through their full range of motion.

  • How does the standing glute contraction exercise help with tight hip flexors?

    -Activating and strengthening the glutes helps to balance out overactivity of the hip flexors by co-contracting the muscles around the hip.

  • What is dissociated movement and why is it important?

    -Dissociated movement separates out commonly linked patterns to better target specific muscles, like flexing the hip without posteriorly tilting the pelvis to better activate the psoas.

  • How can you adjust the standing slumpy psoas if the TFL is overactive?

    -Cues like abducting and externally rotating the hip can help shut off overactivity of the TFL to better target the psoas and iliopsoas.

  • What is the purpose of the side-lying hip extension technique?

    -This technique strengthens the hip extensors and flexors through their full range of motion to improve flexibility.

  • Why use bands for the front support hip flexion?

    -The bands allow progressive loading to build strength in the hip flexors in an integrated, functional position.

  • How often should you do this hip flexor routine?

    -Aim to do the full routine 2-3 times per week for at least 4 weeks to see results. More frequency with just bodyweight, less frequency if adding load.

  • What other resources are available for hip pain?

    -There is a full hip pain solution program available that includes more exercises and an easy-to-follow, time efficient programming approach.

Outlines

00:00

🚫 Why Standard Hip Flexor Stretches May Not Help

The video introduces the topic by explaining the common issue of achiness and tightness in the hip flexor area, particularly focusing on the psoas muscle. The speaker, Coach E from Precision Movement, emphasizes the importance of understanding the anatomy and function of hip flexor muscles to address the root causes of discomfort effectively. Instead of relying on standard stretching techniques, which may not offer lasting relief, the video promises to present five exercises designed to target the underlying issues. The approach is grounded in scientific reasoning and anatomy, highlighting the role of the psoas muscle in lumbar stability and its impact on overall hip function. The narrative sets the stage for a deeper exploration of specific exercises aimed at relieving tightness and improving muscle function through targeted activation and strength building.

05:01

πŸ”„ Introduction to Active Self Myofascial Release & Glute Activation

This section elaborates on the first two of the five exercises aimed at addressing hip flexor tightness. The first technique, active self myofascial release for the hip flexors, involves using a massage ball and weight to apply pressure and improve tissue quality around the hip. This is followed by the standing glute contraction exercise, which focuses on activating the glute muscles with proper alignment and slight internal rotation of the hips. The video emphasizes the importance of following tissue loosening with muscle activation to ensure lasting improvements in muscle function. These exercises are presented as foundational steps to prepare the body for more intensive strengthening exercises, highlighting the methodical approach to resolving hip flexor issues.

10:01

πŸ”‘ Key Exercises for Hip Flexor Strength and Mobility

The third paragraph introduces more advanced exercises that build upon the foundation laid by the initial techniques. The standing slumpy psoas exercise is designed to dissociate the commonly associated movement patterns of hip flexion and lumbar flexion, targeting effective psoas activation. The side lying hip extension and range expansion technique further aims to strengthen the hip flexors in an extended range of motion, enhancing both strength and flexibility. These exercises are detailed with specific cues and variations to ensure proper execution and maximum benefit. The narrative underscores the importance of correct posture and alignment in achieving effective hip flexor activation and strength.

15:02

πŸ’ͺ Advanced Techniques for Hip Flexor Conditioning

The final set of exercises, including the front support hip flexion, are designed for individuals looking to further challenge their hip flexors with added resistance. These exercises incorporate external loads, such as dumbbells and bands, to progressively build strength in the hip flexor muscles. The video emphasizes functional integration, demonstrating how core stability and hip flexor strength support each other. The concluding remarks encourage viewers to integrate these exercises into their routine for at least four weeks, suggesting that such commitment can lead to improvements in flexibility, strength, and potentially reduce pain. The speaker invites feedback and engagement from the audience, highlighting the community aspect of shared health and wellness journeys.

Mindmap

Keywords

πŸ’‘Psoas

The psoas muscle is a major hip flexor located deep in the abdomen, which connects the lower spine to the femur. In the context of the video, it's highlighted for its role in hip flexion and lumbar spine stability. The tightness and achiness in the psoas can significantly impact posture and mobility, leading to discomfort. The video emphasizes understanding the psoas's functions and how specific exercises can alleviate tightness, thereby improving hip flexibility and reducing pain.

πŸ’‘Hip Flexor Stretch

Hip flexor stretches are commonly prescribed for tightness in the front of the hip, involving movements that aim to elongate the hip flexor muscles. The video critiques the standard kneeling lunge stretch for not effectively addressing the root causes of tightness, such as lack of strength and over-aggressiveness in stretching, which could potentially aggravate the condition. Instead, alternative exercises are suggested to strengthen and properly elongate the hip flexors.

πŸ’‘Active Self Myofascial Release

Active self myofascial release (ASMR) is a technique involving massage balls or other tools to apply pressure to muscles, aiming to relieve tension and improve tissue quality. In the video, it's introduced as a method to address tightness in the hip flexors by manually breaking up adhesions and restoring muscle function, setting a foundation for more targeted strength exercises.

πŸ’‘Glute Activation

Glute activation exercises focus on engaging and strengthening the gluteal muscles. The video explains how activating these muscles, especially after loosening the hip flexors, can help maintain improvements in muscle tissue quality and support hip stability. Glute activation is presented as a crucial step for balancing muscle function around the hip and preventing future tightness.

πŸ’‘Lumbar Stability

Lumbar stability refers to the strength and steadiness of the lower back's lumbar region. The video emphasizes the psoas muscle's significant role in maintaining lumbar stability, especially during movements that require hip flexion. Exercises targeting the psoas are designed to enhance this stability, which is key for overall posture and reducing lower back discomfort.

πŸ’‘Posterior Pelvic Tilt

Posterior pelvic tilt describes a position where the front of the pelvis rises and the back of the pelvis drops. The video points out that excessive sitting often leads to this condition, which can contribute to the tightness and weakness of the hip flexors, including the psoas. Understanding and correcting this pelvic tilt is critical in addressing hip flexor issues.

πŸ’‘Sitting

Sitting is identified as a primary cause of hip flexor tightness due to prolonged periods of hip flexion and inactivity. The video discusses how the typical seated posture encourages a posterior pelvic tilt and lumbar spine flexion, leading to shortened and weakened hip flexors. It suggests that reducing sitting time and incorporating specific exercises can mitigate these negative effects.

πŸ’‘Functional Integration

Functional integration in the context of the video refers to exercises that simulate real-life movements or activities, integrating various muscle groups to work together efficiently. The front support hip flexion exercise exemplifies this by combining core stability with hip flexor activation, mirroring the dynamic stability required in sports and daily movements.

πŸ’‘TFL (Tensor Fasciae Latae)

The TFL is a muscle within the hip flexor group that assists in hip flexion, abduction, and internal rotation. The video mentions the importance of not over-recruiting the TFL during exercises aimed at strengthening the psoas and other hip flexors, providing tips to minimize its activation to ensure a balanced development of the hip flexor muscles.

πŸ’‘Eccentric Motion

Eccentric motion refers to the lengthening of a muscle under tension, usually occurring as it returns from a contracted (shortened) state. In the video, exercises incorporating eccentric motion of the hip flexors are highlighted for their effectiveness in strengthening these muscles through their full range of motion, improving flexibility, and reducing tightness.

Highlights

The psoas muscle contributes to hip flexion and lumbar spine stability.

Sitting shortens the psoas muscle, makes it weak, and causes tightness and achiness in the front of the hips.

Static stretching can worsen achiness in the front of the hips without fixing the underlying weakness.

Self-massage helps break up adhesions, improve tissue quality, and restore mobility of the hip flexors.

Activate the hip flexors after massage to make the changes last.

The standing glute contraction trains hip muscles like the psoas in a neutral spine position.

The standing slumpy psoas targets the psoas muscle by combining hip flexion and spinal extension.

Add load to the standing slumpy psoas once technique is good to build strength.

Use cues like external rotation to prevent over-recruitment of the TFL during hip flexion.

The side lying technique strengthens hip extensors and flexors through full range of motion.

The front support exercise trains core stability while activating the hip flexors.

Use enough load and reps to sufficiently challenge the muscles without over 12 reps.

Perform this 2-3x per week for at least 4 weeks to improve hip flexor mobility and strength.

Consider the full Hip Pain Solution program for more exercise variations and structured programming.

Stop static stretching and focus on strength to relieve hip tightness and achiness for good.

Transcripts

play00:00

if your psoas or your front of the hip

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area feels achy and tight stop doing the

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standard hip flexor stretches in this

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video you're going to learn why that is

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and five exercises to get to the root

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cause so you can relieve that achiness

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and that tightness for good

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[Music]

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hey it's coachee here from Precision

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movement and we're back with another

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YouTube video to help you move freely

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and without pain and today we're

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focusing on this area the hip flexor

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area and we're going to focus a little

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bit more on the psoas muscle but there

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are other muscles involved in the

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exercises out I'm going to show you and

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in the problems of achiness and

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tightness in the front of the hip right

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here now if you like unique time

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efficient and most importantly effective

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exercises to get you out of pain and to

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keep you moving then make sure you're

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subscribed to our Channel because that's

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what we do around here now before we get

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into the five exercises I want to cover

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a little bit of background some anatomy

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and some scientific reasoning behind why

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the soas muscle and the hip flexor area

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does get tight and achy and even before

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that I just want to commend you for

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being here for continuing to be a

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student and learning and taking control

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of your own health and well-being this

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is something that we need more of and we

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need more people like you so keep it up

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good work

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now the muscle is involved I mentioned

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the psoas muscle it's a popular one and

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it's part of the hip flexor group so hip

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flexion is this movement right here

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bringing the knee to the chest that's

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hip flexion the PSO is is one muscle

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that does it there's also the iliacus

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and those two muscles are often combined

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and called the iliopsoas but we like we

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think of them differently because they

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have slightly different functions which

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I'm going to cover in a second there's

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also the rectus femoris which is a

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quadricep muscle it's part of the

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quadriceps group but because it crosses

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the hip joint it can contribute to hip

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flexion thing is we just don't want it

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to contribute to hip flexion too much

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and the last muscle that I'll talk about

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is the pectineus and that's a short

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muscle in the front of the hip here and

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it does hip flexion and adduction so

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these are kind of the four main hip

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flexor muscles and the psoas is the one

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that we're going to focus on

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because of where it originates it

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originates on the different vertebrae

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and the lumbar spine and this tells us

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that

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it contributes to hip flesh and yes but

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it also contributes to something at the

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lumbar spine that's something is lumbar

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stability especially in the neutral

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position or the slightly extended

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position so that's a key cue throughout

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all of the exercises that you'll see is

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that we need to maintain that lumbar

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spine's position so that the psoas can

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effectively work so now that you can see

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it and you can visualize it it should

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help you to execute the exercises better

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and get more out of the exercises

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so that's one of the cues that is really

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important when you do the exercise so

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remember that we're going to cover a

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couple other now why does this always

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get tight and weak sitting that's one

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thing that contributes to so many issues

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in today's society we sit too much but

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specifically when we sit

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we are on our butts often in a posterior

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pelvic tilt so if we had a tail it would

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be as if we were tucking our tail

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between our legs and with a flexed

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lumbar spine So based on what I just

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said the psoas can effectively work in

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that position the other thing is we've

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got a backrest so we're leaning back

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we're in this bad position this slumped

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flexed position so the psoas is

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shortened up and it doesn't have to work

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because we're on this backrest so it the

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psoas doesn't have to contribute to this

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proper neutral spine good alignment of

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the lumbar spine and stability of the

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lumbar spine so if we're not using it

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we're going to lose it use it or lose it

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that's a maxim that applies to pretty

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much everything human at least but if

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we're not using it we're losing it so

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it's getting weak it's atrophying it's

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in the shortened position it's getting

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short and that causes so many issues so

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we're gonna do exercises to restore all

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of those issues now I mentioned at the

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outside of this outset of this video no

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static stretching the standard stretch

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is this hip flexor kneeling

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lunge half dealing lunge hip flexor

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stretch where you basically go like this

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you can stick an arm up you can reach

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over to the side like that and stretch

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out the hip flexor I used to prescribe

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this quite a bit actually but I rarely

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do so now and when I do there's a few

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specific cues that we need to keep in

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mind

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the problem with this is that

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number one it doesn't restore strength

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so if you're expecting

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lasting changes in muscle length and

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range of motion from this you're not

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going to get it because you're not going

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to strengthen the muscle with this and

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number two it's really easy to be over

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aggressive with this stretch you can get

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in there you can really put your weight

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into it Reef on it and

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be aggressive

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the issue here is that doing so will

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aggravate the anterior

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part of the hip specifically the hip

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joint capsule and the ligaments there

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when you do that you can increase your

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achiness and you think oh I need to do

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more stretching you do it you keep doing

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it and it's just a vicious cycle and

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you're going to get worse and worse and

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more and more achy and you're not going

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to really improve your hip flexor length

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so we're going to go through five

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exercises in this routine that you can

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do two three days a week for if you want

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to feel some good effects at least four

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weeks it could be up to eight weeks but

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four weeks is a good amount of time to

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feel some good effects two weeks you

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might to feel some stuff I mean you

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might do start to feel some beneficial

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Effects by doing it just once with me

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today but if you want your results to

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persist and the changes to persist

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you've got to put in the time and the

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Reps the first technique we're going to

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go through is active self myofascial

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release for the hip flexors and with

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this

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got a massage ball here and I'm going to

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use a weight that's the easiest thing to

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use for this exercise you can use apply

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pressure with your hand but it's much

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easier to do it with the weight

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for this all you're going to do is in

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the front of the hip where those muscles

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are you're going to place the ball then

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you're going to place the weight on the

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ball and keep your knee bent to start

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once you got some pressure there

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relax all the muscles you're not tensing

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up the hip flexors and then just slide

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the legs slowly

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forwards now you're going into hip

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extension

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and then move the ball to another area

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and repeat

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if you feel anything weird you might be

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on a vessel

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just don't go on that area don't do

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anything that feels weird or causes more

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pain so I'm going to reset all around

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the front of the hip here for one to two

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minutes

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and if you only have one side that

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bothers you do both sides this is good

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for you and this will help to restore

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tissue quality

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break up any adhesions or scar tissue

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and

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allow that muscle to work properly

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through its full range of motion allow

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it to contract through its full range of

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motion

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so that's active self myofascial release

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for the hip flexors one to two minutes

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per side

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after that we've restored length there

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after that we want to get the activation

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going right away

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we never stretch or we never go for

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massages and then just leave it at that

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we loosen the tissue up improve the

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quality of the tissue then we activate

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that tissue and that's how we can get

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those changes that we've

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gained through the massage or through

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the stretch or the release

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we can get them to stick so the next

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exercise is the standing glute

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contraction

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this is in the ROM coach app

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and I've shown this in other videos but

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it's very simple

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all you do is you start off good posture

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good alignment

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relaxed knees soft not hyper extended

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just soft and then you're going to

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slowly ramp up glute activation with a

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little bit of internal rotation of the

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hips turning the thighs inside this way

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just a little bit it could be like

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one to five degrees that's all

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I'm gonna wrap it up nice and strong as

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hard as you can

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in terms of activating the glutes and

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then holding that for

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five to ten seconds

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and then you release gradually

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so it's a slow ramp up and slow ramp

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down

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the key is that internal rotation

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that'll help you to keep your weight on

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your feet even not rolling out to the

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sides and it keeps that alignment of the

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pelvis and the hips so again I'm

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standing here I'm going to ramp up the

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glute activation

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with a little bit of internal rotation

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once I'm holding it as strong as I can

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without any pain or issues

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I'm breathing and holding for five to

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ten seconds or one to two slow breaths

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and then I wrap it down

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and what this is doing is it's

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activating we're focused on activating

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the glutes but it's going to co-contract

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around the hips get all the hip muscles

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working those hip flexor muscles that we

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talked about earlier and it gets them

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working in this neutral or slightly

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extended position because remember we've

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got our hips stuck in this position from

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all the sitting so now we're lengthening

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it and we're activating the muscle so

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we're starting to restore that

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activation restore that strength for

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this exercise two to three sets no one

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to two sets actually four to six reps

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holding for five to ten seconds

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after that we're gonna go to the

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standing slumpy psoas and this is a

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great exercise because it dissociates

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the commonly associated movement pattern

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of hip flexion which is when we Flex our

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hips we often posteriorly pelvic tilt

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and flex our lumbar spines but by doing

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that we're not effectively targeting the

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psoas muscle especially so we're going

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to do the opposite

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what you do is you stand against the

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wall lean against the wall and just get

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in bad posture so we're starting off in

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that posterior tilt

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lumbar flexion and slumped spine it's

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really bad posture from here I'm going

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to do one side I'm going to flex the hip

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as I

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anteriorly pelvic tilt

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and straighten up and get into good

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posture good spinal posture at the top

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here I'm holding and what I'm thinking

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of is keeping my pelvis level so I might

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have to drop this

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hip towards the ground

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and then breathing naturally and sucking

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the leg in to the pelvis those two cues

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so I'm here holding and then from there

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I slowly lower down and try to feel

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the hip flexors lengthen and keep them

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contracted to work that eccentric motion

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of the hip flexors

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again let's demo that I'll do the other

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side so switch sides start off

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slumped posture bad posture

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and then I'm going to flex the hip

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and get into good posture at the same

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time

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and hold at the top keep driving the

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knee up to flex the hip and activate

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those hip flexors and think of pelvis

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level here so dropping this hip towards

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the ground and sucking the leg into the

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pelvis sucking the thigh into the pelvis

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not reaching it towards the wall but

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sucking it away from the wall

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a strong support leg here

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and then keep those muscles on as I drop

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the foot slowly to the ground for a soft

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Landing

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that's the standing slumpy sauce and

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it's a great exercise to work this

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muscle in the proper way to start to

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build strength here now once you've got

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good activation we can actually use them

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add some external load like a dumbbell

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to this because by then you're queuing

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your Technique should be good you know

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all the cues there

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and all you do is you start off

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same way and then place the dumbbell on

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the knee

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and then suck that leg in

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drive that knee up and here we can

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progressively add load

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to build strength

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just like any other exercise we would do

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in the gym

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so it's a great way to get that so as

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activated and then use the same

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technique and cues to get it stronger

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now one thing that a lot of people one

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problem that a lot of people run into is

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over recruitment of the tfl which is

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another hip flexor and it's not one that

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I talked about earlier because we don't

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really want it to hit Flex too much but

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if the tfl is working too much

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the tip you can do a couple tips you can

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do to shut it off is when you're flexing

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the hip you're going out a little bit

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it's a little abduction and a little bit

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of external rotation and that'll Target

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more the pectinius the iliopsoas the

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iliacus and turn off the tfl so those

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cues there can help you adjust if you're

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feeling too much tfl activation on the

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outer hip over here

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it's outstanding sloppy so us for that

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do two to three sets four to six reps

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per holding for five to ten seconds and

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if you can add load start to add load

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next up we've got one of my favorite

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techniques to restore this hip extension

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range of motion which is

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your lengthened hip flexor position

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it's the side lying hip extension and

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range expansion technique

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so for this relying on our side and make

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sure you're in good posture in terms of

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your spine you're not curled up into the

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fetal position

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and I'm going to work this bottom leg

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I'm going to actively

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bring my leg back let me switch views

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for you

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be a little easier for you to see

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so I'm going to actively bring my leg

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back this way so now I'm in hip

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extension with the glute activation

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and this is the range that I want to

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work so I'm driving it back and right

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there the first activation is holding

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there glued activation keep trying to

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drive my heel back

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holding for 10 to 15 seconds strong

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contraction of the glutes

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and then I'm going to place my other

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foot on the knee and drive my knee into

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the foot not letting it move and what

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this is doing is it's strengthening the

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hip flexors in this extended range of

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motion

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again 10 to 15 seconds holding nice and

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strong keep activating

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and the last contraction there are three

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contractions is the hip extension again

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driving the heel back firing up the

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glutes trying to get deeper into the

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range of extension

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maintaining good posture breathing

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and then let it go and that's one cycle

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on that side and I would switch sides

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and do two to four cycles and that's

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going to work that end range of motion

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of the hip flexors that length and range

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of motion of the hip flexors and it

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strengthens both the hip blasters and

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the glutes there the hip extensors there

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and that's what's going to tell your

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brain hey I've got strength here so I'm

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using it so I'm not going to don't don't

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lose it I need this all right so that's

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the side lying hip extension end range

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expansion Erie technique

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the final one we're going to go through

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is another one that you can

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progressively add load two and it's

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called the front support hip flexion so

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for this you can see I got some bands

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I've got these ankle straps here I've

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got an ankle strap attached over there

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and then I'm strapping up over here I'm

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going to crawl forward

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off the mat here and then front support

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is basically push-up position

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and from there all I'm doing is I'm

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flexing nip same cues apply keep the

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pelvis level so don't hike the hip

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keep driving the knee up so I'm

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activating constantly it's just a two

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second hold there

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and then return

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and then two second hold all the way up

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sucking the pelvis the leg into the

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pelvis

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and then controlling the way back

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the good thing with this band setup is I

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can add bands if I need more load

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and this exercise is an example of

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functional integration because here I

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need that good core stability to

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maintain alignment of the spine and to

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train this aligned spine which is

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necessary for any sport you're doing

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baseball tennis you want good posture

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and an aligned spine so I've got the

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core stability going while the hip

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flexion is going so even if you're

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running you want good posture and the

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ability to maintain good posture as

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you're running and the hip blusters are

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working properly so this is a great

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exercise and for this one do two to

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three sets six to ten reps depending on

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how much load you got but keep the Reps

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no more than 12 but if you can get

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enough load and enough bands so that

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it's challenging and you can only do six

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ten reps that's how you're going to

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build strength so this whole routine

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again do it two to three times a week

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the more intensity that you use like the

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more weight you use or the more bands

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you use the lower frequency per week

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you'd want to do if you're only doing

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body weight you can easily do this three

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days a week and give it at least four

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weeks and if you do that and you drop

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the static stretching you're going to

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feel looser you're going to have greater

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range of motion and you're going to have

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greater strength and if you have pain

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hopefully you're going to have less pain

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and I'd love to know how it goes for you

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so leave us a comment down below

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so that is today's video hope you found

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it enlightening and you found something

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useful and you're going to do this

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routine more importantly and got some

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other stuff for you if you want to check

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it out some other videos that are

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related here and here and they're pretty

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popular and if you do have pin if you

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like this approach the best that we can

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give you is our hip pain solution

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program so click the link down there

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because it includes exercises like this

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and a lot more and includes the approach

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and the programming that is easy to

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follow and time efficient