Flexibility ©Pete Charrette (Cap’n Pete), 2013 Definition • Flexibility refers to the range of motion possible of a joint or the ability to move the joint through a range of motion (ROM). Importance of Flexibility • Flexibility is an important, but often neglected part of an exercise program. • The importance of flexibility for health and well-being becomes more important with age. 3 Benefits of Having Good Flexibility 1. Maintain normal joint motion 2. Greater resistance to lower back and spinal column problems. 3. Good posture 4. Improved personal self image 5. Maintain active throughout life 6. Reduced muscle tension and stress 7. Improved spinal mobility in older adults 8. Reduces muscle spasms & soreness Factors Effecting Flexibility • Tendons and joint capsule tissue are non-elastic but can undergo plastic elongation (permanent lengthening of soft tissue). Genetics & Age Joint Structure • Muscles, tendons and the joint capsule are the components to target with stretching for improved flexibility. Recent Physical Activity Ligaments & Tendons Muscle Bulk & Fat Bulk Muscle Temperature Previous Injury Two Types of Flexibility 1. Static – Slow-sustained stretching 2. Dynamic – Resistance to motion that affects how easily a joint can move through it’s ROM. Most people must consciously work to maintain flexibility especially as we age. Although there is no definitive research to it, most experts believe that lack of ROM (Range of Movement) leads to injury. Why is Flexibility Important? 1. Maintain balance relationship in the muscles crossing the hips/pelvis. 2. Helps maintain proper posture and low-back stability. 3. Keeps older adults able to be active without interference or pain 4. Activities of daily living are positively affected – Quality of life Flexibility Terminology Plastic Elongation Permanent lengthening of soft tissue. qAcquired through slow sustained stretching Elastic Elongation Temporary lengthening of soft tissue. 4 Methods of Stretching 1 - Ballistic (dynamic) Stretching Exercises done with jerky, rapid, bouncy movements, or slow, short, and sustained movements. Can be used in specific sport training. Problem – often cause muscle damage and soreness. Plyometric, box jumps, bounding drills, and platform shoes. 2 - Static (slow-sustained) Stretching Exercises in which the muscles are lengthened gradually through a joint’s complete range of motion. The most recommended mode of flexibility development. stretch to tightness but not pain. Optimum time to hold is unknown but generally accepted that 15-30 seconds is necessary. Repeat 2-4 times 3 times a week. 4 Methods of Stretching (Cont.) 3 - Active Isolated Stretching (AIS) Stretch one isolated muscle or muscle group. Actively contract the opposite muscle. Stretch the targeted area gently and hold for no more than 2 seconds. Release the stretch before the muscle reacts to being stretched. Repeat 2-3 times. Often done with a partner, rope, towel, or flexible tubing. 4 - Proprioceptive Neuromuscular Facilitation (PNF) Done with a partner. Obtain a moderate stretch of the targeted muscle and then the partner helps to brace the limb to prevent further movement. The muscle is contracted for 4-5 seconds. Upon the release of the contraction, the partner helps to increase the stretch. Repeat 4-5 times with the final stretch being held for several seconds. When to Stretch • Start working out slowly by walking, slow jogging, slow cycling followed by gentle stretching. • Higher body temperature will increase range of motion of the joints. • Changes in muscle temperature can increase or decrease flexibility by as much as 20%. Intensity üWarm-up prior to stretching • Walking, cycling or light jogging üPost-exercise is also a good time to exercise because muscles are more pliable. üOnly stretch to the point of mild tension. üRelax when you reach the point of mild tension to maximize the results of the stretch. Repetitions • Definition – The number of times each stretch is performed. • Goal – 4 to 5 repetitions for each exercise. – Subject each muscle to at least 1 exercise. – Hold each stretch for 10-30 seconds. – Aim to hold the stretch for 60 seconds as flexibility improves. Frequency of Training • Initial Frequency Recommendations – 5 to 6 times per week – 15-30 minutes per session • After 6 to 8 weeks of Training – 2 to 3 times a week for flexibility maintenance – 15-30 minutes per session. Alternative Methods of Stretching Pilates: combines pieces of yoga, martial arts and calisthenics. Yoga: Yoga’s main premise is to unite the mind and body by using various body positions to improve body alignment and breathing techniques to optimize blood flow and energy to body tissues. Tai Chi: movements. is a form of martial art involving slow flowing Pilates • Developed by Joseph Pilates, a German-born innovator. He combined muscle control, coordination and stretching thereby improving efficiency of motion. • Pilates improves balance, posture, flexibility, strengthens the core and teaches proper breathing. Yoga • Yoga (Mind & Body) – Originated in India over 6000 years ago. • Helps reduce stress, improve self-control over poor habits and overall enhances well-being. • Various positions improve body alignment and breathing techniques help blood flow to muscles and energy to body tissues. Tai-Chi • A Chinese form of martial arts involving slowflowing movements. • Shown to increase strength, improve balance and restore ROM using it’s basis postures. Evaluating Body Posture § Rationale: § To detect deviations from normal body alignment. § To prescribe corrective exercises or procedures. Cause of Lower Back Pain Weak abdominal and gluteal muscles, and tight hamstring and hip flexor muscles The lower back muscles are somewhat stronger and shorter The pelvis tilts forward placing pressure on the spinal vertebrae The Result LOWER BACK PAIN Preventing Back Pain See a physician to rule-out disease Perform regular exercise (flexibility and strengthening exercises) Use positive postural techniques for everyday activities Wear comfortable, low-heeled shoes Place work surfaces at comfortable heights Use a chair with good back support Lift objects close to the body Rest feet on a low stool when sitting a long time Placing a pillow behind the small of the back when driving long distances Consider physical therapy or chiropractor care Assessment for Flexibility Modified Sit-and-Reach Test Total Body Rotation Test Shoulder Flexibility Test