For example, your quadriceps muscles are a group of four that are located at the front of the thigh; one of the group members, the rectus femoris flexes the hip, which brings your lower extremity (thigh, lower leg, and foot) forward, in front of you. On the other hand, your hamstring muscles are located at the back of the thigh. When they contract, they extend the lower extremity, bringing it behind you.
Grade III (severe): A complete tear in your muscle that causes severe pain and swelling and you can't bear weight on that leg, making it difficult to walk. You've also lost more than 50 percent of your muscle function. These injuries are less common and may need surgery to repair the torn muscle. They can take several months or more to completely heal.
Gait analysis studies in the elderly show that they typically have a shortened step length. Whether that is a result of tight hip flexors or due to reduced balance, the propensity to walk with shorter steps will itself lead to tightness in hip flexors and anterior joint structures. Hip stretches may be a relatively easy preventative strategy for the elderly with gait abnormalities and may help to prevent falls.
Keep adjusting your position until you find a hot spot ("A what? I don't know what you're ... Oh! My God! There one is!"), and then hold that position for at least 30 seconds. Your first impulse will be to tense up when you feel tenderness, but it's important that you relax and continue to move around the area. Keep it up, and don't hurry. The more slowly and more often you can do this, the better.
To stretch your quadriceps at the hip, the idea is to do the opposite movement to flexion, i.e., extension. You can perform extension moves at the hip while standing, lying on your side, lying prone (on your stomach) and kneeling. Even basic stretches done at a pain-free level where you can feel a small bit of challenge, and that are held continuously for approximately 30 seconds may translate to better posture and less back pain.
Have the client or athlete stand with one foot on a plyo box (24″ works well for most) that places the knee above the hip. With the hands overhead or behind the head, attempt to lift the foot off the box and hold for five seconds. Inability to lift and hold is indicative of a weak psoas and or iliacus. To add resistance and use this test as an exercise, lateral resistors or bands can be used to increase the difficulty of the isometric. It is important to note that any test of the psoas originating from below the hip is inherently invalid, as the iliac-originated hip flexors are now at a leverage advantage.
How to: Sit down with your knees bent and feet flat on the floor in front of you (a). Place your right ankle on top of your left thigh and flex your right foot (b). Put your hands behind your body, fingertips facing away from your body and begin to press your hips toward your heels until you feel a stretch through your outer left hip. Keep your back tall and chest open (c). Hold for six to eight breaths, then repeat on the other side.