Stretching involves lengthening muscles and connective tissues to improve flexibility and range of motion. There are several types of stretching including static, dynamic, and PNF stretching. Static stretching is a slow, controlled stretch held for 15-30 seconds. Dynamic stretching uses repetitive motions to increase range of motion. PNF stretching combines contraction and relaxation of muscles. The document provides details on the physiological effects and mechanisms of different stretching techniques.
Mobility and Flexibility of soft tissues (muscles, tendons, fascia, joint capsule, and skins) surrounding the joint along with adequate joint mobility, are necessary for normal ROM.
Mobility: is the ability of segments of the body to move through range of motion for functional activities.
Flexibility: is the ability to move a single joint or series of joints smoothly and easily through an unrestricted, pain –free ROM.
Mobility and Flexibility of soft tissues (muscles, tendons, fascia, joint capsule, and skins) surrounding the joint along with adequate joint mobility, are necessary for normal ROM.
Mobility: is the ability of segments of the body to move through range of motion for functional activities.
Flexibility: is the ability to move a single joint or series of joints smoothly and easily through an unrestricted, pain –free ROM.
A basic stretching to perform also needs perfect guidance because of presence of various types of stretching techniques. It is very important treatment or preventive measure also performed as warm up or cool down before any game.
Stretching for impaired mobility by Sayed MurtazaFakhryDon
The students should be able to know Impaired mobility stretching, and they also understand contractures, types of contractures, defining the mobility, flexibility, and hypo-mobility. THANK YOU
NASM Integrated Flexibility Continuum
Corrective Flexibility: This phase is designed to correct common postural dysfunctions, muscle imbalances, and joint dysfunction. It includes: SMR and static stretching (and neuromuscular stretching if trained in technique). ... This includes SMR and dynamic stretching.
Stretching ;
Time spent on warming up and cooling down may help improve an athlete's level of performance and accelerate the recovery process needed before and after training or competition.
The coaches may wish to encourage the athletes to regard the warm-up and cool down as an essential part of both the training session and competition itself.
Remember *** According to periodization and athlete performance coaches have to do the programming. ***
Summer 2020
HamidReza Ebrahmi
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
A basic stretching to perform also needs perfect guidance because of presence of various types of stretching techniques. It is very important treatment or preventive measure also performed as warm up or cool down before any game.
Stretching for impaired mobility by Sayed MurtazaFakhryDon
The students should be able to know Impaired mobility stretching, and they also understand contractures, types of contractures, defining the mobility, flexibility, and hypo-mobility. THANK YOU
NASM Integrated Flexibility Continuum
Corrective Flexibility: This phase is designed to correct common postural dysfunctions, muscle imbalances, and joint dysfunction. It includes: SMR and static stretching (and neuromuscular stretching if trained in technique). ... This includes SMR and dynamic stretching.
Stretching ;
Time spent on warming up and cooling down may help improve an athlete's level of performance and accelerate the recovery process needed before and after training or competition.
The coaches may wish to encourage the athletes to regard the warm-up and cool down as an essential part of both the training session and competition itself.
Remember *** According to periodization and athlete performance coaches have to do the programming. ***
Summer 2020
HamidReza Ebrahmi
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stockrebeccabio
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Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
2. • Stretching is a physical exercise that requires putting a body part in a
certain position that'll serve in the lengthening and elongation of the
muscle or muscle group and thus enhance its flexibility and elasticity.
• Stretching is a general term used to describe any therapeutic
maneuver designed to increase the extensibility of soft tissue and
improving flexibility by elongating shortened structures
Effects of Stretching
• Improves flexibility delaying impaired mobility associated with aging
• Improves performance in physical activities as a result of improved
flexibility
• Reduce the risk of injury and damage
• Improves blood circulation reducing muscle soreness and time for
recovery
• Increasing the range of motion
3. Mechanisms of Stretching
• The stretching of a muscle fiber begins with the sarcomere, the basic unit of
contraction in the muscle fiber. As the sarcomere contracts, the area of overlap
between the thick and thin myofilaments increases. As it stretches, this area of
overlap decreases, allowing the muscle fiber to elongate. Once the muscle fiber is
at its maximum resting length (all the sarcomeres are fully stretched), additional
stretching places force on the surrounding connective tissue. As the tension
increases, the collagen fibers in the connective tissue align themselves along the
same line of force as the tension. Therefore when you stretch, the muscle fiber is
pulled out to its full length sarcomere by sarcomere, and then the connective
tissue takes up the remaining slack. When this occurs, it helps to realign any
disorganized fibers in the direction of the tension. This realignment is what helps
in the rehabilitation of scarred tissue.
• The initial changes that are produced by stretch training involve mechanical
adaptations that are followed by neural adaptations, which contrasts with the
sequence observed during strength training.
• When a muscle is stretched, some of its fibers lengthen, but other fibers may
remain at rest. The more fibers that are stretched, the greater the length
developed by the stretched muscle.
4. • Proprioceptors: The proprioceptors related to stretching are located
in the tendons and in the muscle fibers.
• Muscle Spindles (intrafusal fibers) lie parallel to the extrafusal fibers.
Muscle spindles are the primary proprioceptors in the muscle.
• Another proprioceptor that comes into play during stretching is
located in the tendon near the end of the muscle fiber and is called
the golgi tendon organ.
• A third type of proprioceptor, called a pacinian corpuscle, is located
close to the golgi tendon organ and is responsible for detecting
changes in movement and pressure within the body
• What about autogenic inhibition and reciprocal inhibition
???
5. The Stretch Reflex
• When the muscle is stretched, so is the muscle spindle. The muscle
spindle records the change in length (and how fast) and sends signals
to the spine which convey this information. This triggers the stretch
reflex which attempts to resist the change in muscle length by causing
the stretched muscle to contract. The more sudden the change in
muscle length, the stronger the muscle contractions will be
(plyometric training is based on this fact). This basic function of the
muscle spindle helps to maintain muscle tone and to protect the body
from injury. One of the reasons for holding a stretch for a prolonged
period of time is that as you hold the muscle in a stretched position,
the muscle spindle habituates and reduces its signalling. Gradually,
you can train your stretch receptors to allow greater lengthening of
the muscles
6. Flexibility:
• Flexibility is the ability to move a single joint or series of joints
smoothly and easily through an unrestricted, pain-free ROM.
• Muscle length in conjunction with joint integrity and the extensibility
of periarticular soft tissues determine flexibility. Flexibility is related
to the extensibility of musculotendinous units that cross a joint, based
on their ability to relax or deform and yield to a stretch force. The
arthrokinematics of the moving joint (the ability of the joint surfaces
to roll and slide) as well as the ability of periarticular connective
tissues to deform also affect joint ROM and an individual's overall
flexibility. Dynamic and Passive Flexibility
7. Hypo-mobility:
• Hypo-mobility refers to decreased mobility or restricted motion. A
wide range of pathological processes can restrict movement and
impair mobility. There are many factors that may contribute to hypo-
mobility and stiffness of soft tissues, the potential loss of ROM, and
the development of contractures.
Indications
• Improves the joint range of motion
• Improves posture by strengthening the back muscles
• Returns normal neuromuscular balance between muscle groups
• Reduce injuries, strains and damage
• Before and after exercise to reduce muscle soreness
8. Contraindications to Stretching:
• A bony block limits joint motion.
• There was a recent fracture, and bony union is incomplete.
• There is evidence of an acute inflammatory or infectious process (heat and
swelling) or soft tissue healing could be disrupted in the tight tissues and
surrounding region.
• There is sharp, acute pain with joint movement or muscle elongation.
• A hematoma or other indication of tissue trauma is observed.
• Hypermobility already exists.
• Shortened soft tissues provide necessary joint stability structural stability or
neuromuscular control.
Shortened soft tissues enable a patient with paralysis or severe muscle
weakness to perform specific functional skills otherwise not possible.
9. Determinants of Stretching Interventions:
• Alignment: positioning a limb or the body such that the stretch force
is directed to the appropriate muscle group
10. • Stabilization: fixation of one site of attachment of the muscle as the
stretch force is applied to the other bony attachment. Usually
stabilize proximal and stretch distal. The opposite with self stretching.
11. • Intensity of stretch: magnitude of the stretch force applied- low intensity
long duration stretching is the most effective in improving ROM
• The lower the intensity of stretch the longer the time the patient can
tolerate stretching
• Inverse relationship between intensity and duration also between intensity
and frequency of stretching.
• Duration of stretch: length of time the stretch force is applied during a
stretch cycle. In general the shorter the duration of stretch cycle the greater
the number of repetitions during the session.
• Speed of stretch: speed of initial application of the stretch force •
Frequency of stretch: number of stretching sessions per day or per week
• Mode of stretch: form or manner in which the stretch force is applied
(static, ballistic, cyclic); degree of patient participation (passive, assisted,
active); or the source of the stretch force (manual, mechanical, self)
12. • Manual stretching and self-stretching in hypomobile but healthy
subjects and prolonged mechanical stretching in patients with chronic
contractures yield significant stretch-induced gains in ROM.
• In the well elderly, stretch cycles of 15, 30, and 60 seconds applied to
the hamstrings for four repetitions have all been shown to produce
significant gains in ROM with the greatest and longest- lasting
improvements occurring with the use of 60-second stretch cycles.
• In healthy young and/or middle-age adults
• Stretch durations of 15, 30, 45, or 60 seconds or 2 minutes to lower
extremity musculature produced significant gains in ROM.
• Two repetitions daily of a 30-second static stretch of the hamstrings
yield significant gains in hamstring flexibility similar to those seen
with six repetitions of 10-second static stretch daily.
13. • There seems to be no additional benefit to holding each stretch cycle
beyond 60 seconds.
• Three cycles of 30-second and 1-minute stretches are no more
effective for improving ROM than one cycle of each duration of
stretch.
• When the total duration of stretch is equal, cyclic stretching is equally
effective and possibly more comfortable than static stretching.
• For older adults, the duration of static stretching should be longer to
notice improvements. For example, a sixty-second hold stretch served
in an increase by 2 degrees per week in range of motion while a thirty
-second hold stretch served in an increase by 1 degree
14. Types of stretching
Static Stretching
• Static stretching (SS) is a slow-paced controlled physical activity which
involves putting the body part in a comfortable position that
elongates the muscle without causing pain with low force for a
prolonged duration of time (usually 30 seconds).
• There are two types of static stretching:
1- Active-static stretching(self) involves performing static stretches
without assistance (Added force is applied by the individual for greater
intensity).
2- Passive-static stretching involves performing the stretches passively
with assistance from an external force which can be a partner, an
accessory or the force of gravity.
15. A- manual passive stretching:
Both contractile and non contractile tissues can be elongated by
passive stretching.
- The therapist applies external force and controls the direction, speed
and duration of stretch to soft tissues. The tissues are elongated
beyond their resting length.
- This technique should not be confused with passive range of motion
exercises as passive stretching takes the structures beyond the free
range of motion. passive ROM is applied only within the unrestricted
range.
- The stretching force is usually applied for at least 15 to 30 seconds
and repeated several times.
16.
17.
18.
19.
20.
21.
22.
23. Dynamic Stretching
• Dynamic Stretching (DS) is a controlled movement, unlike ballistic stretches that
involve bouncing movements which increase the risk of injury, involving the
performance of a movement progressively increasing the range of motion through
successive repetitive motions till the end of the range is achieved. It can be done
standing or while moving.
• For individuals who perform specific sports such as swimming, dynamic stretching
exercises involve mimicking the movement of the activity such as circling arms
before getting in the water and is often done after static stretching.
• Effects of dynamic stretching:
• Restore physical functioning and flexibility
• Improve neuromuscular control through repetitive movement which: enhance the
nervous message conduction speed, motor control and muscle compliance
• Elevates core body temperature
• Accelerates energy production
• Improves performance measures such as speed and strength
24. • Maintained static versus ballistic stretch:
When manual passive stretching is applied the stretch is slow and
gentle. It is maintained 15-30 sec. ballistic stretching very short
duration (bouncing) stretch. It is an inappropriate way to stretch
muscle. It quickly lengthens the muscle spindle and facilitate stretch
reflex causing an increase in tension of the muscle being elongated.
Muscles are more susceptible to micro trauma with ballistic stretching
as the tension produced in the muscles is twice that created with low
intensity maintained stretch.
25. Pre-Contraction Stretching: Proprioceptive
Neuromuscular Facilitation Stretching (PNFS)
• Pre-contraction stretching is a type of stretching that involves both the
contraction and stretching of the muscle. It has been originally developed for the
sole reason of relaxing muscles and increasing muscle tone.
• The most common type is PNF, proprioceptive neuromuscular facilitation, which is
a technique which can be performed in different ways. One of which is the
contract-relax method during which the muscle is held in a stretching position by
a partner and the person contracts the muscle for a minimum of 4 seconds
followed by a short relaxation period of two to three seconds. The stretch should
progressively be pushed further than the initial stretch and held for a longer
period of time(held for a minimum of 10 seconds and relaxed for 20 seconds).
Another would be hold-relax method which involves putting the muscle in a
stretched position first by a partner and then the partner contracts the muscle
while asking the person to prevent this contraction and afterwards passive stretch
of the muscle is applied by the partner. A different method would be the contract-
relax agonist contract during which the muscle is also elongated by the partner for
a minimum of 4 seconds and the person is asked to contract the agonist of the
muscle then activate the antagonist of the muscle followed by a relaxation period
of 20 seconds