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The study aims to determine if tight hip flexors contribute to the development of low back pain in ice hockey players.

The Association Between Hip Flexibility and Low Back Pain in Ice Hockey Players

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The study aims to determine if tight hip flexors contribute to the development of low back pain in ice hockey players.
Cohort study design conducted over four preseason seasons.
Measured hip flexor tightness using the Thomas test in high school and college teams.
Collected data on injuries and missed games/practices due to low back pain.
Compared LBP rates between players with tight and normal hip flexor flexibility.
33 cases of low back pain led to 97 missed games and 377 missed practices.
Players with tight hip flexors had a higher incidence of low back pain (15.7%) compared to those with normal flexibility (5.1%).
Relative risk of developing low back pain was 3.17 times higher for players with tight hip flexors.
Players with tight hip flexors missed significantly more games and practices due to low back pain.

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Cohort study reveals that hip flexor tightness increases low back pain risk in ice hockey players, indicating need for preventive measures.

McHugh et al. (2026) studied this question.

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Cohort study reveals that hip flexor tightness increases low back pain risk in ice hockey players, indicating need for preventive measures.