This exercise is an excellent way to increase hip disassociation and more specifically hamstring flexibility. Foam rolling and/or myofascial compression therapy prior to stretching may further enhance range of motion. This exercise can be used with runners and clients struggling with tendonitis, IT band issues and patellofemoral pain. It is also helpful in eliminating asymmetry that appears on the active straight leg raise on the FMS.
This exercise can be used as part of a mobility workout, warm-up, regeneration day or at the end of a workout. Remember that maximally dorsiflexing the foot will increase dural tension and place more stretch across the back of the knee. So, relaxing the foot (or placing the rope more along the mid foot) will reduce this tension and allow for a more concentrated stretch in the hamstring. For clients with a history of sciatica, I would suggest avoiding the stretch with the foot in full dorsiflexion as a general precaution.
This is the second installment of corrective “go-to” exercises I am highlighting here and in my online column for PFP magazine. Click here to read the post on resisted overhead squats. The in-line lunge allows for the observer to pick up flaws or asymmetry by placing the body in a narrow stance with a wide stride to assess hip, knee, ankle and foot mobility and stability of the client. It places the upper and lower extremities in alternate asymmetrical patterns.
Limited mobility or hip disassociation will produce movement dysfunction with the in-line lunge (see picture below for how it is assessed during the FMS).
A common corrective exercise prescribed to improve mobility is the leg lock bridge.
Execution: Begin in supine flexing one leg up to the chest. Hold the flexed leg against the chest while keeping the extended (down) leg in line with the center of the body and the knee flexed. A small ball (pictured below), pillow or towel roll may be placed between the thigh and chest for tactile feedback regarding the lock position.
Next, push down through the extended leg on the floor to elevate the hips off the ground into a bridge. The height of the bridge should be limited to the point where contact can be maintained between the thigh of the flexed hip and the chest keeping the extended hip/thigh in the in-line position. Perform 2-3 sets of 10-15 repetitions.
Application: The ability to stride in a lunge position without forward trunk lean during the in-line lunge can be inhibited by tight hip flexors. Soft tissue work and stretching is certainly helpful, but this active mobility exercise will improve reciprocal movement and facilitate hip disassociation. It is a great exercise to include as part of your corrective exercise series and/or movement and pillar prep work with your clients.
If clients struggle or experience hamstring cramping, consider adding a small step beneath the foot of the extended leg to increase the hip flexion starting position. Modifications and adjustments to sets, repetitions and distance between the flexed thigh and chest as well as the extended foot and ground should be considered with exercise prescription.