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Comparison of Controlled Articular Rotations and Static Stretching on Hip Internal Rotation Range of Motion
Penny L Head1, Sarah Pfeil Adkins1, Robert Brantley1
1Department of Physical Therapy, Western Kentucky University, Bowling Green, KY, USA.
International Journal of Exercise Science
|July 28, 2026
Summary
Both Controlled Articular Rotations (CARs) and static stretching effectively improve hip internal rotation range of motion (ROM) in young adults. Both methods showed significant ROM gains immediately and 15 minutes post-intervention.
Area of Science:
- Orthopedics
- Sports Medicine
- Physical Therapy
Background:
- Limited hip internal rotation (IR) range of motion (ROM) is linked to various musculoskeletal issues, including increased injury risk and pain.
- Controlled Articular Rotations (CARs) and static stretching (SS) are popular methods for enhancing joint ROM.
Purpose of the Study:
- To compare the acute effects of CARs and SS on hip IR ROM in young adults with restricted hip mobility.
- To determine the immediate and short-term effectiveness of these stretching techniques.
Main Methods:
- Twenty-eight young adults (21-26 years) with limited hip IR ROM were randomized into a CARs or SS group.
- Hip IR ROM was measured before, immediately after, and 15 minutes after the stretching intervention.
- A 2x3 repeated measures ANOVA was used to analyze the data.
Main Results:
- A significant main effect of time was observed, indicating overall ROM improvement (p<0.001).
- Both CARs and SS groups demonstrated significant increases in hip IR ROM from pre-intervention to post-intervention.
- No significant difference in ROM was found between immediate post-intervention and 15-minutes post-intervention measurements.
Conclusions:
- Both static stretching and Controlled Articular Rotations are effective interventions for acutely improving hip internal rotation ROM.
- These findings support the use of both stretching modalities for individuals experiencing hip mobility deficits.

