Stretching Safely THE DIABETES CENTER Stretching is a key part of your exercise program. Stretching before your workout will prepare your body to exercise. Stretching after your workout promotes better range of motion of your joints. Stretching also improves your flexibility, balance and coordination. Gentle stretching is best and breathe freely as you hold each stretch. Try not to hold your breath. Don’t bounce or hold a painful stretch. Expect to feel tension while you’re stretching. If you feel pain, you’ve gone too far. Neck and Shoulder Stretches Neck Stretch To stretch the left side of your neck, bend your head forward and slightly to the right. With your right hand, gently pull your head downward. You’ll feel a nice, easy stretch along the back left side of your neck. Don’t tug too hard. Remember, you want to hold a comfortable stretch. Hold the stretch for 30 to 60 seconds. Repeat on the opposite side. Head Forward Stretch To stretch the back portion of your neck and spinal column, bend your head slightly forward. Try to touch your chin to your chest. Hold the stretch for 30-60 seconds. Shoulder Stretch If the back of your shoulder is tight, you may be more likely to develop rotator cuff problems — especially if you golf or participate in overhead racket or throwing sports, such as tennis or baseball. To keep your shoulder flexible, bring your left arm across your body and hold it with your right arm, either above or below the elbow. Hold the stretch for 30 to 60 seconds. Switch arms and repeat. Anterior Deltoid Stretch The anterior deltoid stretch is a great way to stretch the front part of your shoulders. Bring left arm behind your back, making sure to keep arm straight. Hold left arm with your right arm, either above or below the wrist. Hold the stretch for 30 to 60 seconds. Switch arms and repeat. Chest and Arm Stretches Triceps Stretch or Arm Pullover Keep shoulders even as you complete this stretch. Bend right arm at elbow joint, lift arm next to your head. Position right fingers so they touch the shoulder blade area. Place left arm across top of head, and place left hand on the right elbow to gently support the arm during this stretch. Feel the stretch in your right tricep. Hold the stretch for 30 to 60 seconds. Switch arms and repeat. Chest Stretch Upper back exercises can promote good posture. Stand in a relaxed position with your arms extended in front of you, parallel to the floor. Pull your shoulder blades together behind bending your arms slightly at the elbows. you, You’ll notice that your arms spread a little wider as you do this. Hold the position for a count of five seconds and then relax as you return to your starting position. Repeat five to 10 times. The Diabetes Center Specialty Services Pavilion, Level 1 43rd and Emile St. Phone: 402.559.8700 Fax: 402.559.5080 Notice: The information above is considered for general use only. It should not be used instead of medical advice and care. If you have a specific health concern or care need, you should talk with your doctor. Rev. 3/13. Back Stretches Upper Back Stretch Take the hands straight out in front of you and rotate the arms so that the palms face away from each other. If this rotation hurts your shoulders, just press the palms together without the rotation. Cross the arms so that the palms are pressed together and round the back, reaching the arms away from you as you relax the head. Contract the abs and imagine that you are stretching up and over an imaginary ball rather than collapsing in the middle. Hold the stretch for 30 to 60 seconds. Lower Back Stretch Lie down on your back and pull both knees up to your chest. Hold your arms under the knees. Slowly pull the knees toward your shoulders. This also stretches your buttocks muscles. Hold the stretch for 30 to 60 seconds. Hyperextension of Back In a prone position, place the hands next to the chest and squeeze the lower back to push the chest off the floor. Keep the shoulder blades pulled down. Hold the stretch for 30 to 60 seconds. Spine Rotation Lay on back, bend both knees, and bring one arm into the tray position. While keeping that shoulder blade in contact with the floor, cross a leg over the other knee and allow the legs to rotate away from the elevated arm toward the floor. Hold the stretch for 30 to 60 seconds. Leg, Hip Flexor, Gluteal, Calf, Inner/Outer Thigh Stretches Hip Flexor Stretch Your hip flexor — which allows you to lift your knees and bend at the waist — is located on your upper thigh, just below your hipbone. To stretch your hip flexor, place your left foot in front of you, bending your knee and placing your left hand on your left leg for stability. Place your right hand on your right hip to avoid bending at the waist. Keep your back straight and abdominal muscles tight. Lean forward, shifting more body weight onto your front leg. You’ll feel a stretch in your right thigh. Hold the stretch for 30 to 60 seconds. Switch legs and repeat. Knee-to-chest stretch The knee-to-chest stretch emphasizes the muscles of your lower back. Lie on your back on a firm surface with your knees and hips bent and the backs of your heels flat on the pull one knee up to your chest until you feel a floor. Gently stretch in your lower back. Keep the opposite leg relaxed in a comfortable position, with your knee bent or with your leg extended as shown. Bring the knee as close to your chest as comfortably possible. Hold the stretch for 30 to 60 seconds. Repeat with the opposite leg. Avoid the knee-tochest stretch if you have osteoporosis. You may increase the risk of compression fractures in your vertebrae. Supine Hamstring Stretch Your hamstring muscle runs along the back of your upper leg. To isolate your hamstring muscle without placing stress on your back on the floor near the outer corner of a wall or and neck, lie a door frame. Rest your left heel against the wall, with your left knee slightly bent. Gently straighten your left leg until you feel a stretch along the back of your left thigh. As your flexibility increases, gradually scoot yourself closer to the wall or door frame to maximize the stretch. Hold the stretch for 30 to 60 seconds. Switch legs and repeat. Standing Hamstring Stretch Place heel of leg being stretched on the floor. Make sure hips are kept square. Avoid twisting to the side. Keep stretched leg as straight as possible and lean forwards from the hip with buttocks out and back straight. Do not hunch your back or slouch forward. Place hands on thigh of bent leg. Hold the stretch 30 to 60 seconds. The Diabetes Center Specialty Services Pavilion, Level 1 43rd and Emile St. Phone: 402.559.8700 Fax: 402.559.5080 Notice: The information above is considered for general use only. It should not be used instead of medical advice and care. If you have a specific health concern or care need, you should talk with your doctor. Rev. 3/13. Standing Quadriceps Stretch Standing near a wall or a piece of sturdy exercise equipment for support, grasp your ankle and gently pull your heel up and back until you feel a stretch in the front of your thigh. This will stretch your quadriceps muscle, which runs along the front of your thigh. Tighten your stomach muscles to prevent your stomach from sagging outward, and keep your knees close together. Hold the stretch for 30 to 60 seconds. Switch legs and repeat. Abduction (abductor muscles) or Outer Thigh Stretch In a seated, upright position, place your left foot against the outside of your right knee, keeping the right leg flat on the floor. Place your left hand behind you and, using your right hand, exhale slowly and gently pull your left knee toward your right shoulder. Try to look over your left shoulder and feel a comfortable stretch in the outer left hip area. Repeat to the opposite side. Hold the stretch for 30 to 60 seconds. Prone Quadriceps Stretch Lie on the floor flat on the stomach. Bend the left knee and grip the left foot with the left hand. Gently push the hips towards the floor by tucking the tailbone under. Now bend the right knee and grip the right foot with the right hand. Squeeze the heels towards the buttocks and continue to press the hips towards the floor. Rest the head to one side. Be sure that the knees, ankles and hips are all in one line. Hold stretch for 30 to 60 seconds. Calf Stretch Your calf muscle runs along the back of your lower leg. To stretch your calf muscle, stand at arm’s length from a wall or a piece of sturdy exercise equipment. Place your right foot behind your left foot. Keep your right knee straight and your right heel on the floor as you slowly bend your left leg forward. Your back should be straight and your hips forward. Don’t rotate your feet inward or outward. Hold the stretch for 30 to 60 seconds. To deepen the stretch, slightly bend your right knee as you bend your left leg forward. Switch legs and repeat. Adduction (adductor muscles) or Inner Thigh Stretch Sit with your feet together and knees bent. Grasp your feet with your hands. Stretch your knees down towards the ground. Feel the stretch along your inner thigh. Hold the stretch for 30 to 60 seconds. The Diabetes Center Specialty Services Pavilion, Level 1 43rd and Emile St. Phone: 402.559.8700 Fax: 402.559.5080 Notice: The information above is considered for general use only. It should not be used instead of medical advice and care. If you have a specific health concern or care need, you should talk with your doctor. Rev. 3/13.