Today I have a great exercise for the elderly.
Once again it is researched back.
Lets go through it.
How Important is if for the Elderly to Stretch their Hip Flexors?
What They Looked At
In a 10 week supervised hip flexor stretching program in the frail elderly, they looked to see if the stretching program would improve:
- hip extension
- stride length
- gait speed
- reduced anterior pelvic tilt during comfortable and fast-paced walking
They had 74 frail elderly (65 and over) individuals in the study with 41 in the control group and 33 in the stretching group.
What They Did
They had the stretching group perform a hip flexor stretching program twice a day and twice a week the program was supervised by a rehabilitation clinician.
What Kind of Hip Flexor Stretch Did they Do
They did a kneeling hip flexor stretch.
Highlights of the Study
The stretching group showed increases in:
- walking speed
- stride length
- passive hip extension range of motion
After the stretching program there were no significant changes in peak hip extension or anterior pelvic tilt during comfortable and fast-paced walking.
Last Word from Rick Kaselj <== THE PART TO READ
This is important information if you work with an order adult and you need to improve gait function (walking).
This research shows that a kneeling hip flexor stretch can help do that.
Where to Get More Information
Watt JR, Jackson K, Franz JR, Dicharry J, Evans J, Kerrigan DC. (2011). Effect of a supervised hip flexor stretching program on gait in frail elderly patients. PM R. 2011 Apr;3(4):330-5.
As I was researching the Watt 2011 study, I cam across some other studies that build on hip flexor stretching in the elderly.
Christiansen CL. (2008). The effects of hip and ankle stretching on gait function of older people. Arch Phys Med Rehabil. 2008 Aug;89(8):1421-8.
Participants participated in a 8 week stretching program and had improvements in joint motion in the hip and the ankle.
Kerrigan DC, Xenopoulos-Oddsson A, Sullivan MJ, Lelas JJ, Riley PO. (2003). Effect of a hip flexor-stretching program on gait in the elderly. Arch Phys Med Rehabil. 2003 Jan;84(1):1-6.
Unfortunately I was not able to get the Watt, 2011 full text journal but I was able to get the Kerrigan 2003 full text journal which is very similar to the Watt study.
In this study they got one group to do a hip flexor stretch and a second group to do to an arm cross shoulder stretch.
Each group did the stretch 4 times on each side, alternating and holding for 30 seconds for a total of 8 stretches. They did this twice a day for 10 weeks.
In the journal they had a photo of the Kneeling Hip Flexor stretch they got the participants to do:
It is not the prettiest kneeling hip flexor stretch that I have seen but it looks like it did the trick.
One other cool thing they had the participants do is a warm up and a cool down. I think this is not encouraged enough and I wonder how much it helped with the results.
- side stepping to the right and then the left, four times in each direction
- walking forwards and backwards with a clap after 3 steps, performing 3 sets
- four sets of stepping on the spot with high knees
- lifting both arms overhead while breathing in and then lowering the arms while breathing out
- shaking out the arms and legs
- performing wrist and ankle circles
The little warm up and cool down is simple and nearly any elderly individual can perform it.
The Last Word from Rick
I know this stuff is obvious but I find it is better when I have evidence backing what I do. I might have an opinion or have seen something on the internet but I feel much more comfortable giving something to a client that has been backed by research. You may have been doing this already but now you have some research backing what you are doing and if you work with health care professionals like doctors, physical therapists, Chiropractors, massage therapists or occupational therapists, they will like the fact you have some evidence backing what you do.
That is it.
Until the next article.
Thank you for reading and have a great day.
Before I go, it would be great to get your tips and feedback on working with the elderly. Let me know by leaving a comment below.
Rick Kaselj, MS