Problems
- Hip Flexion Range of Motion: capsular mobilization + end-range loading (90/90 stretches, controlled articular rotations)
- Anterior chain strength in length: exercises that load hip flexors eccentrically or isometrically in lengthened positions (dead bugs, hollow body progressions, leg lowers)
- Spinal flexion control: segmental articulation drills (cat-cow, pelvic tilts, roll-downs with pauses)
Key consideration: Hip mobility restrictions tend to limit your ability to isolate spinal flexion—if hips won’t flex adequately, you compensate by over-rounding the lumbar spine or can’t achieve the positions at all. This means the protocol needs to address hip capsule first, then layer in strength and control work.
Risk
Prescribing exercises without seeing your movement patterns could reinforce compensation. The items below assume typical presentation, but if something causes pain or feels “wrong,” it likely is.
Proposed Protocol
30-45 minutes, 3-4x/week for skill acquisition
Phase 1: Hip Capsule Mobility (10-12 min)
- 90/90 Hip Stretch (both sides): 2 min each, focus on keeping torso upright
- Supine Hip Flexion with Strap: 90 sec each leg, gently pull knee toward chest while keeping opposite leg extended
- Controlled Articular Rotations (Hip CARs): 8-10 reps each side, slow and controlled through full available range
Phase 2: Anterior Chain Strengthening (12-15 min)
- Dead Bug Progression: Start with arms/legs at 90°, lower one leg while maintaining lumbar contact with floor. 3 sets of 8-10 reps each side
- Hollow Body Hold: 3-4 sets of 20-30 sec, focus on posterior pelvic tilt
- Leg Lowers (bent knee initially): 3 sets of 6-8 reps, only lower as far as you can maintain lumbar floor contact
- Reverse Crunch: 3 sets of 10-12, lifting hips off floor using lower abs
Phase 3: Spinal Articulation (8-10 min)
- Cat-Cow with Pauses: 10 reps, hold each segment of spine for 2 sec during flexion
- Seated Roll-Downs: sit on mat, slowly roll down vertebra by vertebra, use hands on floor behind for support if needed. 8-10 reps
- Supine Pelvic Tilts: 15-20 reps, focus on segmental movement through lumbar spine
Phase 4: Integration (5-8 min)
- Modified Rollup Progression: Start lying down, reach arms overhead, lift one vertebra at a time. Use bent knees or resistance band behind back for assistance. 6-8 reps
- Boat Pose Holds: 3 sets of 15-20 sec, working toward straighter legs as hip flexor strength improves
This protocol prioritizes your actual constraints in logical sequence: create ROM first (capsule work), build strength in new ranges (anterior chain), develop control (spinal articulation), then integrate (rollup progressions). Expect 6-12 weeks of consistent work (3-4x/week) before rollups feel significantly easier. The teasers will lag behind—they’re a higher-level skill that requires all three systems working well.
Track one metric weekly: can you sit on floor with legs extended and touch your toes without rounding your back? That’s your hip flexion ROM indicator.


