Perfect Your Bridge

The Bridge is a versatile exercise that can be used for developing great Gluteal muscle function. Individuals with back and hip pathologies are often taught to perform bridges in the hook-lying position, elevating the pelvis off the floor. This exercise is particularly useful for facilitating pelvic motions and strengthening the low back and hip extensors. In addition, O’Sullivan et al. have demonstrated the bridges ability to enhance motor control of the lumbo-pelvic region. This article will help you Perfect Your Bridge!

How to Perform your Bridge + Progressions

To Perfect your bridge, the 🔑to is to focus on improving control of recruiting the glutes!

1. Begin to elevate your pelvis initiating from your hips extending, as opposed to getting the extension from your lumbar spine! That will only work your erector spinae, which is Not the intention of a bridge.

To prevent lumbo-pelvic instability and low back pain (LBP), healthy individuals should perform bridging exercises, especially females, as they are typically “quad-dominant”; i.e., the quadriceps femoris is the first muscle to activate in response to injury perturbations. A dominant quadriceps femoris causes poor endurance and delayed firing of the gluteus maximus muscle in subjects with lower extremity instability and low back pain. (Beckman and Deviata)

To increase the abdominal and hip extensor muscle activities, many clinicians have emphasized using unstable devices, such as a Swiss ball, ball cushion, or BOSU ball, and applying unilateral conditions. However, studies have reported inconsistent results regarding the activation patterns of the abdominal and hip extensor muscles during these types of bridging exercises.

If you feel like you are overusing your Hamstrings and Low back, try this exercise below.

Step #1 to Perfect Your Bridge

If your hamstrings or low back extensors are overpowering this exercise, here is a great way to focus on improving Control (Mind-Muscle Connection) of  your Gluteals.

A great way to improve control here is by performing this exercise for 3 X 30 second holds.

After you feel like you have improved your Glute activation progress into a double leg bridge focusing on driving the pelvis motion with the Glutes!

Bridge Progressions

Far too often progressions of the double leg bridge are neglected, and simply a new exercise is chosen once someone “gets down” the double leg bridge. Once a patient develops a level of comfort and confidence with an exercise, don’t be so gung-ho to change it up for a harder exercise.

Instead, I encourage you to think of microprogressions (changes to the same exercise) instead of macroprogressions (choosing a completely new exercise) when it comes to a rehab program – especially when someone is fearful of new movements/exercises.

Progressions and one (of many) rationales:
2⃣Bridge taps for introduction of single limb loading and introduction of transverse plane loading through the hip as well as the core
3⃣Single leg bridge with leg supported. While not encouraged, the patient can still derive some stability from the top leg pushing into the bottom leg
4⃣Single leg bridge unsupported with short lever. Shorter lever is easier.
5⃣Single leg bridge unsupported with long lever. Longer lever is harder.

Advanced Bridge!

Here is an extremely difficult version of a bridge that requires much more hip stabilization compared to a traditional bridge.

To perform this Exercise:
1. Bridge Up, ideally with lifting the pelvis higher than I demonstrate & with more knee flexion than shown in this video.
2. Slightly Abduct the Hips to their respective side.
3. Slightly Externally Rotate both Hips as you abduct.

📝This is very difficult as is! To Progress this you can perform this movement unilaterally

When you perform a bridge unilaterally you are now working the Glutes in more than one plane of motion

READ: Strength the Glute’s in all three planes of motion!

Did you know a Single Leg Bridge Stretch’s the Hip Flexors?

Why is that so important you might ask?

When the hip flexors are limited, it Inhibits the glutes 🍑 from working to their full capacity.

It’s all about the muscle length relationship and active/passive insufficiency. Tight hip flexors will pull the pelvis into an anterior pelvic tilt, affecting the glutes (and hamstrings) on the opposite side of the pelvis, making it more difficult to recruit.
If you’ve been following us, you’ll know that this anterior pelvic tilt also influences lumbar spine position, moving the spine into extension at end range ❌, which under many circumstances we’d ideally like to avoid. . So…the best way to stretch the hip flexors? By ACTIVELY using the Glutes  in the single leg bridge!  This will lead the phenomenon called Reciprocal inhibition.

The infamous glute guy, Bret Contreras,  also found that glute max exhibits maximal activation at end range hip extension! So make sure to give the 🍑 a good squeeze at the top!

Once you Perfect your bridge, it is time to load up this movement. Hips thrusts are a great way to additionally strengthen the Glute’s as shown below!

Load It Up!

READ: How to Hip Thurst

Citation:
“Effects of a bridging exercise with hip adduction on the EMG activities of the abdominal and hip extensor muscles in Females” by Jang et al. 2013.
“Ankle inversion injury and hypermobility: effect on hip and ankle muscle electromyography onset latency.” Beckman et al. 1995.
“Effects of a functional knee brace on the biomechanics of running.” Deviata et al. 1992.

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