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Thoracic Extension with Hip Hinge on Wall
Positions & Range of Motion
- Start
- standing at arm's length from a wall, hands on the wall at shoulder height, spine long, feet hip-width
- End
- hips hinged back with hands sliding down the wall and chest sinking between the arms into upper thoracic extension
- Range of Motion
- upper thoracic extension through the hip hinge to comfortable end range of shoulder flexion/chest drop
How to Perform
Wall-based thoracic extension stretch. Patient stands at arm's length from a wall, hinges at the hips, and places hands on the wall while sinking the chest through the arms. Targets upper thoracic extension and reduces kyphosis angle. Often called the wall prayer stretch.
Opens a YouTube search for “Thoracic Extension with Hip Hinge on Wall”
Coaching Cues
- 1
Long, lifted spine — chest leads, hips follow
(verbal) - 2
Drop the chest between your arms toward the floor
(verbal) - 3
Slide hands down the wall as the chest sinks
(verbal) - 4
Breastbone bows through the doorway of your shoulders
(visual)
Evidence-Based Dosing & EMG Data
3×30-60s holds, 2-3x/week
Low-level erector spinae and thoracic extensor activation. Primarily a passive stretch with gravity-assisted positioning.
Muscles Involved (5)
Secondary Movers
Stabilizers
Easier Variations ↓
Hands Higher on Wall
Keep hands at shoulder height or above. Reduces the degree of thoracic extension required.
Harder Variations ↑
Prayer Stretch on Floor
Perform the same stretch in quadruped (child's pose variant) with arms extended. Greater ROM available.
Foam Roller Thoracic Extension
Lie supine over a foam roller at the thoracic spine. Arms overhead. Passive extension with support.
Progress to thoracic-foam-rolling
AUDIT: Tolerates standing wall extension without symptoms; progress to supine roller for greater segmental extension ROM
Target Movements (2)
Why This Exercise Matters
Everyday activities this exercise helps you do — essential means it directly trains the capacity the task needs:
Goals This Helps With
Rehab, performance, prevention, and mobility goals this exercise supports — essential means it's a cornerstone:
Research Notes
Reduces kyphosis angle and improves upper thoracic extension ROM [Calik 2025]. Combines hip hinge pattern with gravity-assisted thoracic extension. Useful for desk workers and those with postural kyphosis.
Evidence Sources (2)
- 📄Therapeutic Exercise: Foundations and Techniques— Kisner C, Colby LA, Borstad J
Therapeutic exercise foundations for Thoracic Extension with Hip Hinge on Wall
- 📄ACSM's Guidelines for Exercise Testing and Prescription— American College of Sports Medicine
ACSM exercise prescription guidelines for Thoracic Extension with Hip Hinge on Wall