30. november 2017
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Denne artikkelen av Mike Westerdal, © 1999-2017 - Healing Through Movement, forklarer grundig hvorfor det er så viktig med vel fungerende hoftebøyere. Avstandet fra utspring til feste er kortere i sittende stilling enn når vi står og går, hvilket gjør at muskelen kan bli forkortet av mye sitting. Det kan lede til smerter i ryggen, spesiellt når vi reiser oss opp. Ofte går det seg litt til når vi har gått en stund, men smertene kan bli mer kroniske over tid. Arbeids stoler som gir en 'sadel-lignende' sittestilling med mer utstrakte ben (ikke 90 graders bøying i hoften) kan være forebyggende og fordelaktig for mange. Eksempel på 'sadel-stol' er Capisco fra Håg og Back App. En fin måte å tøye hoftebøyeren finns som siste bilde på https://ryggakutten.no/ovelser-selvhjelp-22088s.html
Kildehenvisninger på slutten av artikkelen.
Discover Your Body's Primal Muscle That helps Reduce Pain, Promote Weight Loss, Enhance Your Strength Training And Increase Energy when it's relaxed!
You might be surprised to learn it's tight hip flexors.You see, our hip flexors are the engine through which our bodies move. They control balance, our ability to sit, stand, twist, reach, bend, walk and step. Everything goes through the hips. And when the hip flexors tighten it can lead to a host of problems, even in seemingly healthy and active individuals.
Before I reveal how loads of people end up having tight hip flexors yet never realize it, let me introduce myself.
My name is Mike Westerdal and I'm a national best-selling fitness author, sports nutrition specialist, personal trainer, Iron Man magazine contributor and founder of the popular strength training site, CriticalBench.com
In a moment, I'll reveal to you a systematic, step-by-step program designed to loosen your hip flexors and unlock the hidden power in your body.
But first, let me explain just how deep-rooted the problem is.
HOW TIGHT HIPS CAN HOLD YOU BACK…
Many people don't realize that the root cause of some of their pain and other health problems might be tight hip flexors.
The impact the hips have on the whole body never occurred to me until I saw the effect tight hip flexors had on the health and well-being of my wife after she gave birth.
It was only then that I truly understood the magnitude of the problem.
Tight or locked hip flexors can contribute to the following problems:
Nagging joint pain in the legs, lower back or hips [19-26]
Walking with discomfort [19-27]
Hips locking up 
Bad posture 
Trouble sleeping 
Sluggishness in day to day life 
High anxiety 
Lack of explosiveness in the gym or sports [49-54]
Do you find it surprising that all of this might be simply caused by this one tight muscle?
Many people suffer from tight or locked hip flexors, especially those who sit for hours each day, but few realize the impact on your whole body.
Again, everything flows through the hips.
They help to support the strength and health of your entire body.
AND AT THE VERY HEART OF THIS IS THAT POWERFUL SURVIVAL MUSCLE - HIP FLEXORS
HIP FLEXORS ARE THE BODY'S MOST POWERFUL, PRIMAL MUSCLE… … THAT YOU'VE NEVER TRAINED
It may be the most harmless activity known to man, but can lead to a wide variety of issues.
Even if you're the most active of athletes, you may still suffer from a tight psoas due to the amount of time you spend each day planted to a chair.
Weakness, shortening and tightness develops in the muscle from sitting for extended periods of time, contributing to poor sleep, posture and even stress and tension.
HERE ARE 3 WAYS THAT SITTING CAN HURT PHYSICAL AND EMOTIONAL HEALTH:
BULGING BELLY SYNDROME
My clients sometimes wonder why their stomachs stick out, even though they're hammering the core exercises every day. It's a common myth that bulging belly is due to weak abdominal muscles. The real cause is likely to be tight psoas muscles, which cause the lower back to curve, pushing out the stomach. When the psoas works properly, it pulls the abdomen back, tucking the tummy in, adding to the appearance of a strong, flat stomach.
FAT LOSS INHIBITOR
As the body's "fight or flight" muscle, your psoas is deeply connected to our natural survival instinct. It instantly tightens in moments of danger to either protect you (in a fetal position) or help you run, fueled by the release of adrenaline. However, with your psoas constantly tight, it's as though you are in constant danger. When your body is stressed, it often switches into fat storing mode in anticipation of danger. [34-36] So, if fat loss is an issue for you, tight hips might be to blame.
Sitting all day causes your hips to become stuck in a forward thrust position. This leads to pulling on the lower back and decreased blood flow and circulation through the hips. This tightness results in physical discomfort, making it more difficult to fall asleep and more likely to wake up throughout the night. 
References for Unlock Your Hip Flexors:
- The Vital Psoas Muscle: Connecting Physical, Emotional, and Spiritual Well-Being, Jo Ann Staugaard-Jones, North Atlantic Books 2012
- Psoas Strength and Flexibility: Core Workouts to Increase Mobility, Reduce Injuries and End Back Pain, Pamela Ellgen Ulysses Press, (2015)
- Body Encyclopaedia: A Guide to the Psychological Functions of the Muscular System, Lisbeth Marcher and Sonja Fich, North Atlantic Books (2010)
- Iliopsoas - The Flee/Fight Muscle for Survival, Liz Koch,PositiveHealthOnline.com (2005)
- The Psoas Is - Liz Koch, YogaJournal.com (2007)
- The Psoas Book, Liz Koch, Guinea Pig Publications (2012)
- 6 Muscles You Can’t Ignore, Ted Spiker, Men’s Health (2015)
- The Psoas Muscles, Psoas Stretches and Abdominal Exercises for Back Pain, Lawrence Gold (2010) Somatics on the Web, somatics.com
- Passive Versus Active Stretching of Hip Flexor Muscles in Subjects With Limited Hip Extension, Michael V Winters et al, Journal of the American Physical Therapy Association (2004)
- Tight Psoas Muscles? Sit too much?, Lawrence Gold, Lawrence Gold Somatics
- Effects of hip flexor training on sprint, shuttle run, and vertical jump performance, RS Deane et al, Journal of Strength Conditioning Research(2005)
- Gluteal Muscles, Brian Mac, BrianMac.com
- Weight Loss and Adrenal Stress, Marcelle Pick, WomenToWomen.com
- Psoas Muscle In Tai Chi, EarthBalance-TaiChi.com (2012)
- Attention, Yogis: What Is The Psoas and Why Should We Care?, Hope Zvara,MindBodyGreen.com (2012)
- The ‘Muscle of the Soul’ may be Triggering your Fear and Anxiety, Brett Wilbanks, Waking Times (2015)
- Need Speed? Don’t Forget The Psoas!, Dr Evan Osar,AthletesAcceleration.com
- Runner’s Guide To The Psoas, Jill Hudgins, Runners World (2011)
- Bachrach RM. Team physician #3. The relationship of low back/pelvic somatic dysfunctions to dance injuries. Orthop Rev. 1988;17(10):1037-43.
- Ingber RS. Iliopsoas myofascial dysfunction: a treatable cause of "failed" low back syndrome. Arch Phys Med Rehabil. 1989;70(5):382-6.
- Nadler SF, Malanga GA, Bartoli LA, Feinberg JH, Prybicien M, Deprince M. Hip muscle imbalance and low back pain in athletes: influence of core strengthening. Med Sci Sports Exerc. 2002;34(1):9-16.
- Leinonen V, Kankaanpää M, Airaksinen O, Hänninen O. Back and hip extensor activities during trunk flexion/extension: effects of low back pain and rehabilitation. Arch Phys Med Rehabil. 2000;81(1):32-7.
- Jull GJV. Muscle and motor control in low back pain: Assessment and management. In: Twomey LT, Taylor JR, editors. Physical Therapy for the Low Back Clinics in Physical Therapy. Churchill Livingston; New York: 1987.
- Winters MV, Blake CG, Trost JS, Marcello-Brinker TB, Lowe L, Garber MB, Wainner RS. Passive versus active stretching of hip flexor muscles in subjects with limited hip extension: A randomized clinical trial. Phys Ther. 2004;84(9):800–807.
- Levine D, Colston MA, Whittle MW, Pharo EC, Marcellin-Little DJ. Sagittal Lumbar Spine Position During Standing, Walking, and Running at Various Gradients. Journal of Athletic Training. 2007;42(1):29-34.
- Enseki K, Harris-Hayes M, White DM, et al. Non-arthritic Hip Joint Pain: Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association. The Journal of orthopaedic and sports physical therapy. 2014;44(6):A1-32. doi:10.2519/jospt.2014.0302.
- Kerrigan DC, Xenopoulos-oddsson A, Sullivan MJ, Lelas JJ, Riley PO. Effect of a hip flexor-stretching program on gait in the elderly. Arch Phys Med Rehabil. 2003;84(1):1-6.
- Ammendolia C. Degenerative lumbar spinal stenosis and its imposters: three case studies. The Journal of the Canadian Chiropractic Association. 2014;58(3):312-319.
- Winters MV, Blake CG, Trost JS, et al. Passive versus active stretching of hip flexor muscles in subjects with limited hip extension: a randomized clinical trial. Phys Ther. 2004;84(9):800-7.
- Panarello SR. Symphysis pubis subluxation: pre and post partum chiropractic care. J Clinical Chiropr Ped. 2005;6(3):432–435.
- Eng JJ, Tang PF. Gait training strategies to optimize walking ability in people with stroke: A synthesis of the evidence. Expert review of neurotherapeutics. 2007;7(10):1417-1436. doi:10.1586/14737126.96.36.1997.
- King W, Kissel JT. Multidisciplinary Approach to the Management of Myopathies. Continuum : Lifelong Learning in Neurology. 2013;19(6 Muscle Disease):1650-1673. doi:10.1212/01.CON.0000440664.34051.4d.
- Muir B. Exercise related transient abdominal pain: a case report and review of the literature. The Journal of the Canadian Chiropractic Association. 2009;53(4):251-260.
- Rebuffé-scrive M, Walsh UA, Mcewen B, Rodin J. Effect of chronic stress and exogenous glucocorticoids on regional fat distribution and metabolism. Physiol Behav. 1992;52(3):583-90.
- Rosmond R. Role of stress in the pathogenesis of the metabolic syndrome. Psychoneuroendocrinology. 2005;30(1):1-10.
- Karatsoreos IN, Bhagat SM, Bowles NP, Weil ZM, Pfaff DW, Mcewen BS. Endocrine and physiological changes in response to chronic corticosterone: a potential model of the metabolic syndrome in mouse. Endocrinology. 2010;151 (5):2117-27.
- Pillet J, Chevalier JM, Rasomanana D, et al. The principal artery of the psoas major muscle. Surg Radiol Anat. 1989;11(1):33-6. 20.
- Edelstein J. Rehabilitating Psoas Tendonitis: A Case Report. HSS Journal. 2009;5(1):78-82. doi:10.1007/s11420-008-9097-0.
- Page P. Current Concepts In Muscle Stretching For Exercise And Rehabilitation. International Journal of Sports Physical Therapy. 2012;7 (1):109-119.
- Law RY, Harvey LA, Nicholas MK, Tonkin L, De sousa M, Finniss DG.Stretch exercises increase tolerance to stretch in patients with chronic musculoskeletal pain: a randomized controlled trial. Phys Ther. 2009;89 (10):1016-26.
- Lewit K, Simons DG. Myofascial pain: relief by post-isometric relaxation. Arch Phys Med Rehabil. 1984;65(8):452-6.
- Tyler TF, Fukunaga T, Gellert J. Rehabilitation Of Soft Tissue Injuries Of The Hip And Pelvis. International Journal of Sports Physical Therapy. 2014;9(6):785-797.
- Nelson RT, Bandy WD. Eccentric Training and Static Stretching Improve Hamstring Flexibility of High School Males. J Athl Train. 2004;39(3):254-
- Souza AC, Bentes CM, de Salles BF, et al. Influence of Inter-Set Stretching on Strength, Flexibility and Hormonal Adaptations. Journal of Human Kinetics. 2013;36:127-135. doi:10.2478/hukin-2013-0013.
- Thorborg K, Bandholm T, Zebis M, Andersen LL, Jensen J, Hölmich P. Large strengthening effect of a hip-flexor training programme: a randomized controlled trial. Knee Surg Sports Traumatol Arthrosc. 2016;24(7):2346-52.
- Apostolopoulos N, Metsios GS, Flouris AD, Koutedakis Y, Wyon MA. The relevance of stretch intensity and position—a systematic review. Frontiers in Psychology. 2015;6:1128. doi:10.3389/fpsyg.2015.01128.
- Voight ML, Robinson K, Gill L, Griffin K. Postoperative rehabilitation guidelines for hip arthroscopy in an active population. Sports Health. 2010;2(3):222-30.
- Mills M, Frank B, Goto S, et al. Effect Of Restricted Hip Flexor Muscle Length On Hip Extensor Muscle Activity And Lower Extremity Biomechanics in College-Ages Female Soccer Players. Int J Sports Phys Ther. 2015;10(7):946-54.
- Deane RS, Chow JW, Tillman MD, Fournier KA. Effects of hip flexor training on sprint, shuttle run, and vertical jump performance. J Strength Cond Res. 2005;19(3):615-21.
- Wakefield CB, Cottrell GT. Changes in hip flexor passive compliance do not account for improvement in vertical jump performance after hip flexor static stretching. J Strength Cond Res. 2015;29(6):1601-8.
- Young WB, Rath DA. Enhancing foot velocity in football kicking: the role of strength training. J Strength Cond Res. 2011;25(2):561-6.
- Sandell J, Palmgren PJ, Björndahl L. Effect of chiropractic treatment on hip extension ability and running velocity among young male running athletes. J Chiropr Med. 2008;7(2):39-47.
- Waryasz GR, Mcdermott AY. Patellofemoral pain syndrome (PFPS): a systematic review of anatomy and potential risk factors. Dyn Med. 2008;7:9.