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FW190 Flexibility
- 1. Chapter
5
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1
- 2. Ahead:
Types of Flexibility
What Determines Flexibility?
Benefits of Flexibility
Assessing Flexibility
Creating a Successful Program to
Develop Flexibility
Preventing and Managing Low-Back Pain
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- 3. Flexibility, the ability of a joint to move through
its normal, full range of motion, is important for
general fitness and wellness
Range of motion: the full motion possible in
a joint
Static flexibility: ability to hold an extended position
at one end or point in a joint’s range of motion
Dynamic flexibility: ability to move a joint through its
range of motion with little resistance
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- 4. Flexibility of a joint depends
partly on the
nature and structure of the
joint
Hinge joints
Ball-and-socket joints
Joint capsules: semi-elastic
structures composed primarily
of connective tissues;
surround major joints
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- 5. Copyright © 2017 McGraw-Hill Education. All rights reserved.
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5
- 6. Soft tissues: tissues of the human body that
include skin, fat, linings of internal organs and
blood vessels, connective tissues, tendons,
ligaments, muscles, and nerves
Collagen: white fibers that provide structure
and support in connective tissue
Elastin: yellow fibers that make connective
tissue flexible
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6
- 7. Elastic elongation: temporary change
in the length of muscles, tendons, and
supporting connective tissues
Plastic elongation: long-term change in the
length of muscles, tendons, and supporting
connective tissues
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- 8. Proprioceptor: nerve that sends information
about the muscular and skeletal systems to the
nervous system
When proprioceptors detect changes in position
or force of muscles and joints, they send
signals to the spine and brain
The brain sends signals back to coordinate muscle
action to protect muscles and tendons from injury
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8
- 9. Proprioceptors control speed, strength, and
coordination of muscle contractions
Small movements that only slightly stimulate
these receptors cause small reflex actions
Rapid, powerful, and sudden changes in muscle
length stimulate receptors and can cause powerful
reflex muscle contractions
▪ Proprioceptive neuromuscular facilitation (PNF) stretching
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9
- 10. When muscles and other
tissues supporting
a joint are tight, the joint is
subject to stresses that can
cause deterioration
Poor joint flexibility can
cause abnormalities in joint
lubrication, leading to
deterioration of the cartilage
cells lining the joint
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- 11. Poor spinal stability puts pressure on the
nerves leading out from the spinal column and
can lead to low-back pain
Good hip and knee flexibility protects the spine
People with either high or low flexibility seem to have
an increased risk of injury
Stretching programs are important for older adults,
people who play high-power sports, workers involved
in brief bouts of intense exertion, and those and who
sit for long periods
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11
- 12. Relief of aches and pains
Relief of muscle cramps
Improved body position and
strength for sports and life
Maintenance of good
posture and balance
Relaxation
Improving impaired mobility
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- 13. There are no tests of general flexibility
The sit-and-reach test rates the flexibility of
muscles in the lower back and hamstrings
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13
- 14. Should include safe exercises and most
effective techniques
Goal of attaining normal flexibility in major joints
Balanced flexibility provides for joint stability
and smooth movement
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- 15. Frequency
ACSM recommends stretching exercises be
performed a minimum of two or three days a week
Intensity and time (duration)
Slowly apply the stretch to your muscles to the point
of slight tension or mild discomfort
▪ Hold the stretch for 10 to 30 seconds
▪ As tension subsides, stretch a bit farther
▪ Rest 30 to 60 seconds; do 2 to 4 repetitions for a total of
60 seconds per exercise
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- 16. Perform the following stretching exercises as a warm-up for 5-10 minutes or following an endurance or strength
training workout:
Head turns and tilts: Stretches neck
Towel stretch: Stretches triceps, shoulders, chest
Across-the-body and overhead: Stretches shoulders, upper back, back of arm
Upper-back stretch: Stretches upper back
Lateral stretch: Stretches trunk muscles
Step Stretch: Stretches hip, front of thigh
Side lunge: Stretches inner thigh, hip, calf
Inner-thigh stretch: Stretches inner thigh, hip
Hip and trunk stretch: Stretches trunk, outer thigh, hip, buttocks, lower back
Modified hurdler stretch: Stretches back of thigh, lower back
Alternate leg stretcher: Stretches back of thigh, hip, knee, ankle, buttocks
Lower-leg stretch: Stretches calf, soleus, Achilles tendon
Frequency: 2-3 days per week (minimum); 5-7 days per week (ideal)
Intensity/Resistance: Stretch to the point of mild discomfort, not pain
Time: All stretches should be held for 10-30 seconds and performed 2-4 times, for a total of 60 seconds per exercise.
Type of activity: Stretching exercises that focus on major joints
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16
- 17. Types of stretching techniques
Static stretching: technique in which a muscle is
slowly and gently stretched and then held in the
stretched position
Ballistic stretching: technique in which muscles are
stretched by the force generated as a body part is
repeatedly bounced, swung, or jerked
Dynamic stretching: technique in which muscles are
stretched by moving joints slowly and fluidly through
their range of motion in a controlled manner; also
called functional stretching
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- 18. Types of stretching techniques
Proprioceptive neuromuscular facilitation (PNF):
uses reflexes initiated by both muscle and joint
nerves to achieve greater training effects
Passive stretching: technique in which muscles are
stretched by force applied by an outside source
Active stretching: technique in which muscles are
stretched by the contraction of the opposing muscles
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18
- 19. Judge progress by noting body position while
stretching
Should see some improvement after two to three
weeks of stretching
May take two months to attain significant
improvements
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19
- 20. Flexibility program should include exercises to
work major joints of the body by stretching
associated muscle groups
Hold each position 10 to 30 seconds for 2 to 4
repetitions
Use proper technique
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20
- 21. Head turns and tilts
Towel stretch
Across-the-body and
overhead stretches
Upper-back stretch
Lateral stretch
Step stretch
Side lunge
Inner-thigh stretch
Hip and trunk stretch
Modified hurdler
stretch (seated
single-leg hamstring)
Leg stretcher
Lower-leg stretch
Single-leg deadlift
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21
- 22. Low-back pain afflicts more than 85% of
Americans by age 50
Second-most common ailment in the U.S.
Often the result of weak and inflexible muscles,
poor posture, or poor body mechanics when lifting
or carrying
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22
- 23. Spine provides structural support for the body
Surrounds and protects the spinal cord
Supports much of the body’s weight
Serves as attachment site for muscles, tendons,
and ligaments
Allows movement of the neck and back in all
directions
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23
- 24. Spinal column has 7 cervical, 12 thoracic,
5 lumbar vertebrae
Vertebrae: bony segments of the spinal column that
provide structural support for the body and protect
the spinal cord
The 9 vertebrae at the bottom are fused into
sections that form the sacrum and coccyx
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- 25. Intervertebral disk: elastic disk located
between adjoining vertebrae, consisting of a
gel- and water-filled nucleus surrounded by
fibrous rings; serves as a shock absorber for
the spinal column
Nerve roots: bases of the 31 pairs of spinal
nerves that branch off the spinal cord through
spaces between vertebrae
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- 28. Jump to long image description
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- 29. Jump to long image description
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29
- 30. Core muscles: trunk muscles extending from
the hips to the upper back
Attach to ribs, hips, spine and other bones in the
trunk of the body
Core muscles stabilize the spine and help transfer
force between the upper body and lower body
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- 31. During any dynamic movement, core muscles
work together
Some shorten to cause movement; others contract
and hold to provide stability, lengthen to brake
movement, or send signals to the brain about the
movements and positions of the muscles and bones
▪ Best exercises for low-back health care are whole-body
exercises that force core muscles to stabilize the spine in
many different directions
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- 32. Lumbar area is the most common area of pain
Poor muscle endurance and strength in the core
muscles
Excess body weight
Poor posture or body position
Poor body mechanics
Physical stress can cause disks to break down and
lose some of their ability to absorb shock
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- 33. Maintain a healthy weight
Stop smoking and reduce stress
Avoid sitting, standing, or working in the same
position for too long
Use a supportive seat and a medium-firm
mattress
Use lumbar support when driving
Warm up thoroughly before exercising
Progress gradually when attempting to improve
strength or fitness
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33
- 34. Sudden back pain usually involves tissue injury
Applying cold and then heat may reduce pain and
inflammation
Bed rest immediately following the onset of pain
may help
▪ See physician if acute back pain doesn’t resolve within
a short time
Back pain that lasts more than 3 months is
considered chronic
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34
- 35. Different people benefit from different
treatment strategies
Medications
Exercise
Physical therapy, massage, yoga, chiropractic care
Acupuncture
PENS
Education and advice
Surgery
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35
- 36. Perform low-back exercises (3 days per week)
Emphasize muscular endurance
Don’t do full-range-of-motion spine exercises
early
in the morning
Engage in regular endurance exercise
Be patient and stick with your program
Forget the adage “no pain, no gain”
Emphasize stabilization exercises
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36
- 37. Cat stretch
Step stretch
Leg stretcher
Trunk twist
Curl-up
Isometric side bridge
Spine extensions
(bird dogs)
Wall squat
(phantom chair)
Pelvic tilt
Back bridge
Stir the pot
Kettlebell or
dumbbell carry
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- 39. Deep Muscles include the following:
• Abdominal muscles: internal obliques and transversus
abdominis
• Hip muscles: adductor brevis, adductor magnus, gemellus
superior, gemellus inferior, obturator internus, and
periformis
Superficial Muscles include the following:
• Abdominal muscles: rectus abdominis and external
obliques
• Hip muscles: rectus femoris, Iliopsoas, tensor fascia lata,
sartorius, pectineus, adductor longus, and gracilis
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- 40. Deep Muscles include the following:
• Spinal muscles: quadratus lumborum, paraspinals, and rotatores
• Hip muscles: quadratus femoris, obturator externus, gluteus
medius, and gluteus minimus
Superficial Muscles include the following:
• Spinal muscles: erector spinae, iliocostalis thoracis, iliocostalis
lumborum, latissimus dorsi, trapezius, and serratus anterior
• Hip muscles: gluteus maximus and hamstrings (biceps femoris,
semimembranosus, semitendinosus)
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