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injury rehab

Why Tight Hip Flexors Stop Your Glutes From Activating.

Quick answer

Dr. Aaron Horschig of Squat University explains how tight hip flexors can inhibit glute activation, using a real patient case where left-sided hip tightness kept her glute from firing on deadlifts. He shows the Thomas test to assess hip flexor length and a simple stretch that restored her glute activation after just 5 reps.

Key takeaways

  • According to Dr. Aaron Horschig, tight hip flexors can inhibit the activation of your glutes during exercises like deadlifts.
  • The Thomas test assesses hip flexor length by checking whether the leg drops fully down toward the bed on each side.
  • Dr. Horschig's patient April had back pain and a left glute that wouldn't activate on deadlifts because of a tight left hip flexor.
  • The hip flexor stretch involves a posterior pelvic tilt, a forward shift, and leaning the torso to the opposite side to target the psoas muscle.
  • After performing 5 reps of a 5-second hold stretch, April could feel her glute working hard again during deadlifts.
  • Research cited by Dr. Horschig links tight hip flexors to limited glute activation, a common issue he sees in patients.

Can Tight Hip Flexors Really Inhibit Glute Activation?

Watch at 0:12

Yes — according to Dr. Aaron Horschig, tight hip flexors can directly inhibit the activation of your glutes during movements like deadlifts. He explains that this is a common problem for many people, and points to research showing tight hip flexors are associated with limited glute activation. This isn't just a stretching preference; it's a mechanical relationship between the front and back of the hip that can quietly sabotage your lower-body strength work.

His patient April is a clear example: she came in with back pain and noticed her left glute just wouldn't fire on deadlifts, even though her right side worked fine. That asymmetry pointed straight to a hip flexor length issue rather than a glute strength issue.

How Do You Test for Tight Hip Flexors? (The Thomas Test)

Watch at 0:24

You test hip flexor length using the Thomas test, an assessment Dr. Horschig used to evaluate April's hips. The test checks whether each leg can drop fully down toward the bed when the opposite hip is flexed toward the chest.

In April's case, when she moved to her left side, her leg did not drop all the way down to the bed the way her right leg could. That limited range on the left side was the tell-tale sign of a tight hip flexor restricting motion — and it lined up exactly with the side where her glute wasn't activating on deadlifts.

How Do You Stretch Tight Hip Flexors to Restore Glute Activation?

Watch at 0:30

You stretch tight hip flexors with a targeted movement that combines a pelvic tilt, a forward shift, and a side lean, which Dr. Horschig used to fix April's glute activation issue. Here's the exact sequence he had her follow:

  1. Perform a posterior pelvic tilt.
  2. Shift forward into a lunge-like position.
  3. Take your hand and lean to the opposite side.

This brings out a stretch to the front of the hip and continues up into the lower abdomen, targeting the psoas muscle. April held the stretch for 5 reps of a 5-second hold, and afterward she could feel her glute working hard again during her deadlifts — direct evidence that the hip flexor tightness had been limiting her glute the whole time.

Notable quotes

Did you know if your hip flexors are tight, it can actually inhibit the activation of your glutes?

Squat University 0:12

Notice how when she goes to her left side, her leg does not drop all the way down to the bed like her right could.

Squat University 0:24

After 5 reps for a 5-second hold, she can now feel her glute working really hard on these deadlifts.

Squat University 0:48

Frequently asked questions

Why do tight hip flexors inhibit glute activation?

According to Dr. Aaron Horschig, tight hip flexors can mechanically limit how well your glutes fire during exercises like deadlifts. He notes this is a common problem, and research he cites links tight hip flexors directly to limited glute activation, meaning the front of the hip being restricted can quietly weaken output from the back of the hip.

What is the Thomas test used for?

The Thomas test is an assessment Dr. Horschig uses to check the length of your hip flexors. The patient lies on a bed, and the tester checks whether each leg drops fully down toward the bed; if one leg doesn't drop as far as the other, it signals tightness in that hip flexor, as seen on the left side of his patient April.

How do you stretch tight hip flexors to fix glute activation?

Dr. Horschig's method starts with a posterior pelvic tilt, then a forward shift, then leaning your hand to the opposite side. This stretches the front of the hip and up into the psoas muscle in the lower abdomen. His patient April did 5 reps with a 5-second hold and immediately felt her glute working harder on deadlifts afterward.

Can a tight hip flexor cause back pain?

In the case discussed, Dr. Horschig's patient April had back pain alongside a left glute that wouldn't activate on deadlifts, and the underlying issue traced back to a tight left hip flexor found via the Thomas test. This suggests hip flexor tightness and back pain can occur together, though the video frames it through this one patient case rather than a general rule.

Is glute activation the same as glute strength?

No, the video's example distinguishes the two: April's glute wasn't weak, it simply wasn't activating properly on her left side during deadlifts because of a tight left hip flexor. Once Dr. Horschig addressed the hip flexor tightness with a targeted stretch, her glute activation returned without any direct glute-strengthening work.

Full transcript

0:00Intro: Tight Hip Flexors and Glute Activation

You need a woman holding you down whenever, wherever, however, whatever. I'll be right by your side. See, I just want to love you, boy, if you don't mind. Just sticking this little game of mine.

0:12April's Case: Back Pain and Glute Not Firing on Deadlifts

And he said— Did you know if your hip flexors are tight, it can actually inhibit the activation of your glutes? My patient April had back pain and felt like her left glute just wouldn't activate on these deadlifts. One assessment I used is called the Thomas test, and it looks at the length of your hip flexors. Notice how when she goes to her left side, her leg does not drop all the way down to the bed like her right could.

This is a common problem for many, and research shows tight hip flexors are associated with limited glute activation. Here's how I had her stretch the hip flexors. A little bit of a posterior pelvic tilt, shift forward, and then she took her hand and leaned to the opposite side. This brings out a good stretch to the front of the hip and all the way up into the lower abdomen, the psoas muscle.

After 5 reps for a 5-second hold, she can now feel her glute working really hard on these deadlifts.

0:24The Thomas Test for Hip Flexor Tightness

0:30Hip Flexor Stretch Technique and Results

Mentioned in this video

People
  • Dr. Aaron Horschig
  • April (patient)
  • @kadie_lifts
Organizations
  • Squat University
  • @muscleandmotion
Concepts
  • Thomas test
  • Psoas muscle
  • Deadlift
  • Hip flexor stretch