SOS PT, Inc. Spine-Orthopaedic-Sport PHYSICAL THERAPY Basic Leg Stretches General Stretching Principles (1) Warm-up first for 5 mins with active movement or cardio type activity. (2) Do 3 reps of each stretch: a. Rep 1 - hold 10 secs b. Rep 2 - hold 20 secs c. Rep 3 - hold 30 secs (3) Take stretches to the first stretch sensation (first barrier), hold and relax. Gradually move further into the stretch as the stretch sensation eases. (4) Stretching prior to activity should be part of a warm-up to lengthen tissue to functional length. (5) Stretching to improve tissue length (when necessary) should be done after an exercise session to avoid stretchweakness during sporting activity. 1. Hamstring Stretching (a) Supine hamstring stretch. Flex hip first and hold back of thigh with hands. Then actively straighten knee and pull foot toward you. Feel stretch in hamstring/back of leg. (b) Long Sitting Hamstring Stretch - try to limit lumbar flexion by keeping chest up and forward. Feel stretch in hamstring. Do (a) or (b) Please adhere to specific instructions from your Physical Therapist. These illustrations are a guide to technique. SOSPT, Inc. 781-263-9977 Copyright © 2009 by Timothy L. Fagerson 2. Buttock Stretching (a) Piriformis stretch. Place foot on opposite knee. Pull knee toward chest and hold back of thigh with hands. Feel stretch in buttock of crossed over leg. Do (a) and (b). Okay to do 2 reps of each. (b) Gluteus Medius stretch. Hold knee over belly-button and hold with one hand. Use other hand to pull heel toward shoulder to engage a stretch in buttock. Please adhere to specific instructions from your Physical Therapist. These illustrations are a guide to technique. SOSPT, Inc. 781-263-9977 Copyright © 2009 by Timothy L. Fagerson 3. Hip Flexor (Quadriceps and Iliopsoas) Stretching (a) Standing Hip Flexor/Quad Stretch. Hold foot with same side hand. Tilt pelvis to flatten back (tuck tail-bone underneath) and hold. Then take up slack in stretch by pulling knee further back without allowing back to arch. Feel stretch in front of thigh (quad). (b) Kneeling Hip Flexor Stretch. Kneeling on a cushioned surface is recommended to protect the knee. Tilt the pelvis to flatten the back and hold. Then take up the slack on the stretch by pushing forward with the hip. Feel stretch in front of thigh or hip. Do (a) or (b) Please adhere to specific instructions from your Physical Therapist. These illustrations are a guide to technique. SOSPT, Inc. 781-263-9977 Copyright © 2009 by Timothy L. Fagerson 4. Iliotibial Band (ITB) Stretching (a) Standing IT-Band stretch. Stand sideways to a wall with leg to be stretched closest to wall. Place feet approx 12" from wall. Lean forearm of arm closest to wall on the wall. Cross outside foot over front of inside foot. Tilt pelvis to flatten and stabilize the back, this also will enhance the stretch by ensuring the ITBand engages over the lateral hip bone. Then shift hip in toward wall to feel a stretch sensation on outside of hip/thigh. (b) Kneeling IT-Band stretch. Same as for kneeling hip flexor stretch except after feeling a hip flexor stretch, shift the hip laterally to engage a stretch in the IT-Band. A latral shift 45 degrees forward will engage a stretch of the TFL-ITB. Do (a) or (b) Please adhere to specific instructions from your Physical Therapist. These illustrations are a guide to technique. SOSPT, Inc. 781-263-9977 Copyright © 2009 by Timothy L. Fagerson 5. Calf Stretching (a) Gastrocnemius stretch. Have back knee straight (but not hyperextended) and foot pointing straight ahead. Keep heel on ground as you lean forward into the stretch. Do (a) and (b). Okay to do 2 reps of each. (b) Soleus stretch. Have back knee bent 30 degrees and foot pointing straight ahead. Keep heel on ground as you lean forward into the stretch. Please adhere to specific instructions from your Physical Therapist. These illustrations are a guide to technique. SOSPT, Inc. 781-263-9977 Copyright © 2009 by Timothy L. Fagerson Dr. Timothy L. Fagerson, PT, DPT, MS SOS PT, Inc. Spine-Orthopaedic-Sport PHYSICAL THERAPY 148 Linden Street, Suite B-8 Wellesley, MA 02482 Tel: 781-263-9977 Fax: 781-943-4228 E-mail: [email protected] Please contact me if you have any questions about the exercise program or if you would like to schedule an Evaluation to have the program tailored more specifically for you.
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