The document provides a comprehensive overview of various stretching techniques and their indications, including active and passive stretching, and highlights the importance of stretching for improving range of motion, reducing pain, and enhancing muscle performance. It discusses the determinants of effective stretching, contraindications, and the impact of stretching on different age groups. Additionally, it outlines the effects and structural considerations related to stretching, as well as injury prevention strategies.

1. STRETCHING

2. STRETCHING
Introduction
Terms related to stretching
Active stretching- Muscle Stretching
Passive Stretching- Passive structure Stretching
Intermittent Stretching
Mechanical Stretching
Dynamic Stretching
Positional Stretching
2

3. STRETCHING INDICATIONS
• Reduced ROM
• Pain due to spasm
• Muscle injury healed patients
• Poor muscle strength
• Poor muscle coordination
• Poor nutrition to muscle
• Joint Deformity
3

4. EFFECTIVE DELIVERY
TECHNIQUES
4
Indications
! Limited ROM
! Deformity
! Muscle Weakness
! Improve Fitness
! Reduce fatigue
! Promote wellness
! Prevent Injury
! Pre Endurance Training
Contra Indications
! Bony Block
! Recent #
! Acute Inflammation
! Sharp Acute Pain
! Hematoma
! Hypermobility
! Shortened Structure protect JT
! Shortened MSL protect perform
function/ skill
! Acute Ligament Sprains

5. 5
CHANGES IN STRETCHING
Elasticity
Visco Elasticity
Plasticity

6. 6
DETERMINANTS OF STRETCHING
! Alignment
! ROM
! Stabilization
! Intensity
! Duration
! Frequency
! Mode
+ Posture
+ Arthro/Osteo Kinematics
+ Injury Free
+ Magnitude of force
+ Length of time each cycle
+ # of Sessions per
day/week
+ Static, Ballistic, Cyclic
+ Passive, Assisted, Active
+ Manual, Mechanical, self

7. 7
SELECTION OF STRETCHING
! Tissue and impairment
! Evidence of
Pain/Inflammation
! Duration of Hypomobility
! Stage of Healing
! Previous history and
response of stretching
! Underlying health
conditions
! Ability of the patient
! Patient’s acceptance

8. 8
EFFECTS & USES
Effects
! Sarcomere give- HR
! Energy absorption & Wash
away metabolites
! Muscle tension reduction
! Retention of muscle energy
! Prepare for other
Physio/Alt/ Medicine
Therapy
Uses
+ Flexibility
+ New Sarcomere unit
development- CR
+ Relaxation of local JT/
Body
+ Improved muscle performance
+ Improvement in health

9. 9
STRUCTURES
! Muscles
! Joint
structures
! Capsule
! Tendons
! Nerve
! Muscle fascia

10. 10
AGE GROUPS
Children
Adults
Geriatric population
Play Therapy
All Stretching exercises
Mostly Passive/Assisted and
Active

11. 11
TRICEPS

12. 12
TRICEPS

13. 13
TRICEPS

14. 14
BICEPS

15. 15
BICEPS

16. 16
LONG FLEXORS/EXTENSORS
STRETCHING

17. 17
HIP FLEXORS STERETCHING

18. 18
HIP STERETCHING

19. 19
STRETCHING

20. 20
HIP ABDUCTORS

21. 21
HIP ABD STRETCHING

22. 22
HIP ADDUCTORS

23. 23
HIP ADD STRETCHING

24. 24
HIP ADD

25. 25
KNEE FLEXORS

26. 26
KNEE FLEXORS

27. 27
GENERAL PROTOCOL

28. 28
INJURY PREVENTION
Stress – strain curve
Point of failure
Eccentric training injury
Re-injury consideration
Chronic and chronic reinjury
consideration
Instability or joint block
consideration
Increased pain

29. THANK
YOU
Notes will be available in BPT Second
year student group WhatsApp Group
On next 2-3 days after the class.