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BTEC Level 3 Sport, Development and Fitness Sports Injuries Methods to improve lost range of motion and strength Flexibility and ROM Static stretching Stretching methods. The three types of stretching routine are called basic hold, hold relax, hold contract. Basic hold. • Take the stretch to the point of tightness and hold for between 20 – 30 seconds. Hold – relax. • Take to the comfortable point of tightness and hold. • Continue holding until the muscles relax (20 – 60 seconds) • Now take a deep breath in and out and move the stretch onto the next point of tightness. • Repeat as necessary. Hold – contract. • Take to the comfortable point of tightness. • Now contract the muscle being stretched as hard as possible for 5 – 10 seconds. • Relax, wait 3 seconds and take to the next comfortable point of tightness. • Repeat by contracting the muscle once again for 5 -10 seconds. • Do up to 5 contractions then change the stretch before repeating as necessary. Passive Stretching Passive stretching is also referred to as relaxed stretching, and as static-passive stretching. A passive stretch is one where you assume a position and hold it with some other part of your body, or with the assistance of a partner or some other apparatus. For example, bringing your leg up high and then holding it there with your hand. PNF Stretching Proprioceptive Neuromuscular Facilitation (PNF) is a more advanced form of flexibility training that involves both the stretching and contraction of the muscle group being targeted. PNF stretching was originally developed as a form of rehabilitation. It is also excellent for targeting specific muscle groups, and as well as increasing flexibility, (and rom) it also improves muscular strength. Before undertaking any form of stretching it is vitally important that a thorough warm up be completed How to perform a PNF stretch? The process of performing a PNF stretch involves the following. The muscle group to be stretched is positioned so that the muscles are stretched and under tension. The individual then contracts the stretched muscle group for 5 - 6 seconds while a partner, or immovable object, applies sufficient resistance to inhibit movement. Please note; the effort of contraction should be relevant to the level of conditioning. The contracted muscle group is then relaxed and a controlled stretch is applied for about 20 to 30 seconds. The muscle group is then allowed 30 seconds to recover and the process is repeated 2 - 4 times. Refer to the diagrams below for a visual example. BTEC Level 3 Sport, Development and Fitness Sports Injuries The athlete and partner assume the position for the stretch, and then the partner extends the body limb until the muscle is stretched and tension is felt. The athlete then contracts the stretched muscle for 5 - 6 seconds and the partner must inhibit all movement. (The force of the contraction should be relevant to the condition of the muscle. For example, if the muscle has been injured, do not apply a maximum contraction). The muscle group is relaxed, then immediately and cautiously pushed past its normal range of movement for about 20 to 30 seconds. Allow 30 seconds recovery before repeating the procedure 2 - 4 times. BTEC Level 3 Sport, Development and Fitness Sports Injuries Muscle strengthening exercises These exercises should use progressivley increasing resistance. At the start of re-hab these exercises should be isometric only or against gravity. Resistance can be increased by using proprioceptive exercise and resistance bands or weights. Proprioceptive Exercices Early proprioception exercise. This allows proprioceptive ability to be trained, whilst only putting partial weight through the affected limb. Advanced weight bearing proprioceptive exercise, balancing against a gym ball. Full weight bearing proprioception exercise. Balance on a wobble board. BTEC Level 3 Sport, Development and Fitness List and diagram of other exercises Flexibility ROM PASSIVE PNF PROPRIOCEPTIVE PROPRIOCEPTIVE RESISTANCE RESISTANCE Sports Injuries