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Be Fit Challenge Flexibility and Stretching By Christopher F. Geiser MS, PT, LAT, ATC Program Director Athletic Training/Clinical Assistant Professor, Marquette University No area of a fitness routine is as misunderstood as the topic of flexibility and stretching. Perhaps this stems from the inaccurate portrayal of stretching in popular movies or television, or perhaps misconceptions dating to 1950’s physical education classes or athletic participation persist. Whatever the origins of our thoughts on stretching, many people fail to perform these exercises at the correct time or with the correct technique or intensity, putting themselves at risk for decreases in performance or worse, injury. Why is flexibility important? Flexibility exercises maintain or improve our joint and muscular range-of-motion (ROM). When we perform strengthening or cardiovascular exercise, our muscles and joints work in a very specific part of their ROM. Muscles and joints will respond to these repeated movements by shortening to that specific range. Slowly the ability to move into the ranges beyond the specific movements of your activity are lost, resulting in a loss of function or, when we start new activities with new range requirements, injury. A properly performed flexibility program helps maintain the physiologic ROM that your joints and muscles are capable of. When should flexibility exercises be performed? Very often, static stretching exercises – those stretches held in place for longer periods of time – are confused with a pre-activity “warm-up”. Warm-up activities are done with a goal of increasing blood flow to the muscles and readying the muscles for activity. By their very nature “warm-up” activities need to involve movement, work, and have a cardiovascular component to them. Therefore, flexibility exercises do not accomplish that needed warm-up, and can actually decrease muscle performance if done just prior to maximally strenuous activities. Think of trying to stretch a piece of plastic wrap when it is cold versus when has been warmed over a bowl in the microwave. The same is true of your muscles – they will elongate much more effectively when warm versus cold. Flexibility exercises are most effective when performed after your cardiovascular or strengthening activities – when the muscles are done working and have lots of warmth and good blood flow for stretching. The time that your body is cooling from activity is the most effective time to statically elongate your muscles and joints. If you maintain the length of a muscle while it is cooling, it will retain that length to a much greater degree throughout the rest of the day. One of the worst habits we get into with our busy lives is finishing a workout, and hopping directly in the car to ride home. In the seated “car” position, most of our key muscle groups are in a shortened position, and will maintain that short length after we cool. How should flexibility exercises be performed? To maintain flexibility, static stretches should be held for a minimum of 30 seconds. There is some evidence that longer than 30 seconds will help improve motion a bit more, but the returns diminish after the 30 second mark – less “bang for your buck” if, like most of us, your time is at a premium. A stretch should never be aggressive or painful, and should barely feel like a “stretch” per se. Stretching any harder than this results in microscopic fiber tears, which will contract shorter as they heal and result in motion loss, defeating the purpose of stretching in the first place. The stretch must place tension on the tissues to convince them to lengthen without surpassing their damage point. You should move into the stretch until you feel “tension” in the targeted muscle group, then commence your long hold of 30 seconds or more. When finished, the return movement should also be gentle and slow. Stretches should continue during the entire cool down period, switching to different muscle groups throughout. One stretch of each muscle group has been shown effective in maintaining muscle and joint ROM, although if your goal is to increase your flexibility, you will have to come back to the stretches numerous (4-8) times per day. Which stretches are most important? All muscles benefit from gentle elongation after activity. When time is at a premium, emphasize the key muscle groups as you cool down. The key muscle groups are listed and illustrated for you. Pictured are two ways to stretch the given muscle group – in most pictures, one way is for when standing or upright, the other for when sitting. Brief descriptions of the key points of each stretch are included. Quadriceps Hold the foot behind you keeping knees together – pull knee backward or foot to your rear end until stretch is felt in front of thigh. Hamstrings Keeping your back straight, lean your chest straight forward until stretch is felt in your hamstrings. Keep your opposite hip facing forward while doing this. Hip Flexors Keep your rear end tucked under you and your belly “in”. Don’t arch your back as you move the hip forward. Gluteals Hold the knee with one hand and with the other pull the ankle gently towards you. If sitting, cross one leg over, then gently lean forward. Groin Sitting: pull feet together toward you and keep back straight up. If needed lean forward slightly. Standing: bend one knee to shift stretch to the opposite groin. Calf Muscles Keep toes pointed straight toward the bench. Keep arch from dropping on the inside (raise arch up). Bring knee forward to create stretch in calf. Technique is important in every stretch to ensure that the desired muscle group is elongated without undue stress to surrounding ligamentous and cartilaginous structures. If you have questions about the accuracy of your technique, please consult with an athletic trainer or physical therapist.