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TUESDAY DEEP DIVE: THE STRETCH

Sunday’s issue introduced the Active Hip Internal Rotation Floor Drill. Today we expand the hip rotation picture with two additional active mobility drills — one targeting external rotation, one working both directions together — and explain why hip rotation is the most undertrained range of motion in the active adult population.

The hip is a ball-and-socket joint designed to move in six planes: flexion, extension, abduction, adduction, internal rotation, and external rotation. Most training and most stretching addresses the first four. Internal and external rotation are almost universally neglected, which is why so many people over 60 have hips that flex and extend adequately but feel “stuck” during rotational daily movements — getting in and out of cars, turning on stairs, pivoting during sports.

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DRILL 1: ACTIVE HIP INTERNAL ROTATION (SEATED)

This is Sunday’s featured drill. Key points for maximizing effectiveness:

  • The foot swings outward as the femur rotates inward — this is internal rotation, which often feels counterintuitive at first

  • Keep the knee pointing at the ceiling throughout; if the knee rotates with the foot, you’re moving the tibia, not the hip

  • The 3-second hold at end range is the active component that teaches the nervous system to own the position

  • If one side is dramatically more restricted, spend an extra round on it before moving to Drill 2

DRILL 2: ACTIVE HIP EXTERNAL ROTATION (SEATED FIGURE-4)

Best for:  Addressing the external rotation restriction that limits squat depth, the ability to cross one leg over the other while seated, and the mechanics of stepping sideways or pivoting.

How to do it:

  • Sit tall in a firm chair, feet flat on the floor

  • Cross your right ankle over your left knee, forming a figure-4 shape

  • Sit as tall as possible — this position alone creates a passive external rotation stretch

  • Now actively try to push the right knee further toward the floor using the hip muscles — not your hand

  • Hold the active position for 3 seconds, release slightly, repeat

  • 8–10 active reps per side, 2 rounds

The active component is the key: you are training the deep external rotators (piriformis, obturators, gemelli) to produce force at their end range. This is what builds usable mobility rather than simply measuring it.

DRILL 3: HIP ROTATION QUADRANT DRILL (BOTH DIRECTIONS, SUPINE)

Best for:  People who want to address both rotation directions in a single drill, or who find seated drills less effective due to postural limitations. This is the most comprehensive hip rotation mobility drill available.

How to do it:

  • Lie on your back, knees bent, feet flat on the floor hip-width apart

  • Slowly let both knees fall to the right together — windshield wiper style — until you feel resistance

  • From that end position, actively use your hip muscles to draw the knees back to center — do not use momentum

  • Let both knees fall to the left, then actively return

  • Then: drop only the right knee outward (external rotation at the right hip) while the left foot stays flat

  • Then: rotate the right lower leg outward while the knee stays centered (internal rotation at the right hip)

  • Complete the full sequence on both sides: 5 reps each direction, 2 rounds

Why this drill is the most complete option:  The supine position unloads the spine entirely and allows you to isolate hip rotation without the compensations that occur when the spine is loaded. The four-direction sequence addresses both rotational directions and both sides systematically, making it easy to identify and track asymmetries.

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COMING UP

Thursday we go deeper on the Rear-Foot-Elevated Split Squat: three progressions including a floor-level modification for limited ankle and hip mobility, and the single ankle dorsiflexion cue that unlocks depth without compensating at the lower back.

Still moving forward,

— The SIM60 Team

simsixty.com  ·  Educational content only. Not medical advice.

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