Stretching - for how long?
Misunderstanding
exists about the
ability of stretching to reduce injuries and relieve discomfort and
stiffness. We often read about different recommendations for
stretching. Recommendations prescribed will cater to the requirements
and condition of the individual.
Long term results of stretching in human subjects have shown after six
weeks, those people that stretch 30 seconds/muscle every day increased
their range of motion more than the people stretching 15
seconds/muscle/day. Small increases in range of motion within the group
that stretched 15 seconds/day turned out to be statistically
insignificant. No further increases were seen in people stretching 60
seconds when compared to those stretching 30 seconds.
This study supports use of 30 sec. stretches when
designing a
generalized program and would be appropriate for group
classes in
which you are catering to mostly healthy individuals; however,
physiotherapists will treat individuals as opposed to groups. In other
studies involving human subjects, some increased their range of motion
using only 15 sec. stretches while some others would gain very little
even with 45 sec. stretches.
All current studies have been done using healthy humans.
Muscle fatigue
will decrease viscoelasticity and therefore we can predict that when we
are dealing with torn muscles and tendons, muscle atrophy, weakness,
and scar tissue that viscoelasticity will also be different than that
found in healthy humans. Rather than giving everybody the
same
stretch routine, physiotherapists will individualize their
prescription to allow for differences within individuals and amongst
healthy and injured soft tissues. We will also advise patients who are
stretching to avoid pain in most cases depending on the goal of the
stretch. When holding a stretch, the muscle will relax reflexively and
therefore the forces on muscle decreases. When less tension is felt due
to reduced viscoelasticity and the analgesic effect, patients then
simply stretch further, increasing the muscle length until they again
feel tension.
Passively warming a muscle prior to a stretch, or icing while
stretching can increase the range of a stretch but is not effective in
the prevention of injury. People who participate in active warm up
prior to performing a stretch seem to obtain the most benefit in terms
of gaining range of motion. Contrary to what people believe, performing
a warm up without actively stretching will not improve range of motion.
Stretching with the application of heat is shown to increase range of
motion more than stretching without the heat. The application
of
cold in the initial stages of performing a stretch is helpful to
improve range of motion while stretching. This mechanism is believed to
be due to an analgesic effect.
It is thought that light active warm up will raise tissue temperatures,
reduce muscle stiffness, and thereby improve range of motion.
Studies involving human muscles have shown that effectiveness of a warm
up in decreasing stiffness is related to the type of exercise used for
the warm up and the particular muscle tested. For instance, running as
a warm up will reduce stiffness in calf muscles but not
hamstrings, and in some studies running did not have any effect on
range of motion of the hamstrings
Activity by itself will not have a significant effect on
mobility.
Research consistently shows that there are greater increases in range
of motion after stretching that follows an active warm up as opposed to
stretching alone. That research is the basis for recommendations to
warm up prior to stretching. This should not be interpreted as
stretching prior to exercise will prevent injuries.
This information is not intended as a substitute for medical
advice. If
you are looking for information related to a particular condition, see
your family physician.

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