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Medically reviewed by Gregory Minnis, DPT, Physical Therapy — Written by Dana Sullivan Kilroy — Updated on September 17, 2018
If there’s one universal truth about stretching, it’s that we all should do it. Yet few of us actually do. Fitness experts say it’s the part of a workout that most people tend to skip. It can make a difference in how your muscles respond to exercise. Stretching warms your muscles, and warm muscles are more pliant. Here’s a look at some of the truths and falsehoods about stretching. True and false: It’s safer to stretch a warm muscle, and warm muscles are more relaxed and have greater range of motion. However, walking briskly or jogging for five minutes, until you break a light sweat, is a sufficient warm-up for stretching. In a perfect world, you’ll stretch a few minutes into and after your workout. 2. There’s only one “right” way to stretch.False: There are actually a half-dozen or more ways to stretch. Some of the most common are listed below. Static stretchingStretch a specific muscle until you feel tension and then hold the position for 15 to 60 seconds. This is considered the safest way to stretch — done gently, it allows muscles and connective tissue time to “reset” the stretch reflex. Active isolated (AI) stretchingStretch a specific muscle until you feel tension, and then hold the position for just one or two seconds. Often you must use a rope or your hands to get a muscle to its stretching point. Because you don’t force the muscle to stay contracted, the muscle that’s being worked actually stays relaxed. However, critics warn of the risk of overstretching, especially if using a rope. Proprioceptive neuromuscular facilitation (PNF) stretchingContract a muscle, release it, and then stretch, usually with the assistance of a partner who “pushes” the stretch. While PNF can be very effective, it can also be dangerous if done improperly. Pursue it only under the supervision of a physical therapist or trainer. Ballistic or dynamic stretchingMove slowly into a stretched position, and then bounce once you get there. This is what many people learned in gym class, but now most experts agree this method is dangerous because it puts too much pressure on the muscle and connective tissue. 3. Stretching should be uncomfortable.False: Actually, if stretching is painful, you’re going too far. Instead, move into a stretch, and stop when you feel tension. Breathe deeply while you hold the stretch for 15 to 30 seconds. Then relax, and repeat the stretch, trying to move a little bit further into it during the second stretch. 4. You should hold a stretch for at least 15 seconds.True: Most experts now agree that holding a stretch for 15 to 30 seconds is sufficient. Stand with your feet shoulder-width apart, knees and hips relaxed. Interlace your fingers and extend your arms above your head, palms up. Take 10 slow, deep breaths, elongating the stretch on each exhale. Relax, and repeat once more. Torso stretch (for lower back)Stand with your feet shoulder-width apart, knees bent. With your hands at the small of your back, angle your pelvis forward while pointing your tailbone backward slightly; feel the stretch in your lower back. Pull your shoulders back. Hold for 10 deep breaths; repeat once more. Cat and cow stretchGet down on your hands and knees with your hands directly under your shoulders, your back flat, and your toes pointed behind you. Tighten your abdominal muscles, arch your back, and drop your head down so you’re looking at your stomach. Hold for 10 seconds, breathing deeply. Now lower your back until it’s swayed, simultaneously raising your head. Hold for 10 seconds, and then return to the starting position. Repeat four times. Last medically reviewed on January 11, 2018
There are a number of different types of stretching exercises that can be done to improve flexibility. Here we explain static stretching, dynamic stretching, PNF, and ballistic stretching. It is important to know when a particular type of stretching exercise is most appropriate. What is static stretching?Static, or isometric stretching is a type of stretching where the muscle is stretched until your feel a gentle ‘pull’, or stretch on the muscle. The stretch is then held for a period of time, usually upwards of 10 seconds before relaxing the muscle.
Dynamic stretchingThis type of stretching is very much in fashion these days, particularly in sports for warming up. it involves stretching your muscles whilst moving, either by leg swings or by performing sports-specific drills.
PNF StretchingPNF stands for Proprioceptive Neuromuscular Facilitation and can take on several forms including hold-relax; contract-relax; and rhythmic initiation.
So for example, to use the hold-relax PNF technique on the hamstrings, the athlete would lay on the back and raise the straight leg up off the bed (contracting the hip flexors Rectus Femoris and Iliopsoas) to the starting position. From here, the therapist or partner provides resistance as the athlete isometrically contracts the hamstrings (as if trying to push the foot back down to the floor) for a minimum of 6 seconds. Following this, the athlete contracts the hip flexors again to raise the leg higher and further stretch the hamstrings. This works on the theories of reciprocal inhibition (or innervation) and post-isometric relaxation. Reciprocal inhibition is based on a reflex loop, controlled by the muscle spindles. When an agonist muscle contracts (for example the quads, causing knee extension), the antagonist’s muscle is inhibited, causing it to relax (in this example the hamstrings), allowing the full movement of the antagonist muscle (knee extension). Post-isometric relaxation is thought to be controlled by the Golgi tendon organs, sensors within the muscle that are sensitive to muscle tension. When a muscle is contracted isometrically for a period of time, this results in an inhibition of the muscle, resulting in relaxation. PNF can also be used for treatments other than stretching, for example, muscle strengthening in a rehabilitation setting. PNF in this sense involves spiral-diagonal movements, as are used in most daily and sporting activities. Very few activities use only one plane of movement, there is usually a combination of two or all three planes (flexion/extension; adduction/abduction; and rotation). For this reason, PNF incorporates these spiral-diagonal movements to help train the body in the way in which it is most often used. This is related to the sliding filament theory of muscle contraction. Ballistic-type stretching exercisesThis type of stretching is where you stretch the muscle as far as it is comfortable to do so. Then, at the end range of movement, you bounce or force the joint that little bit further.
An example of ballistic stretching is reaching over to touch your toes and bouncing to increase the range. This type of stretching is rarely recommended due to the injury possibilities and no beneficial effect over other, safer, forms of stretching such as PNF and dynamic stretches. Muscle Energy TechniquesMuscle Energy techniques (or METs) are types of stretching exercises similar to PNF, and developed around the same time, in the world of Osteopathy. Like PNF, METs use an isometric contraction of the agonist prior to stretching. The difference is in the force of the isometric contraction, which in METs is a lot lower. A MET stretch is performed in the following way, using the hamstrings as an example: The therapist moves the hip into flexion, with the athlete on their back, until they encounter the point of resistance – where the movement stiffens, due to tightness in the hamstrings. They hold this position for 15-20 seconds. They then ease off slightly from the stretch and ask the athlete to try to push the leg back down to the couch, which causes an isometric contraction of the hamstrings. In METs, this contraction should be a maximum of 20% of the athlete’s total strength. This contraction is held for around 10 seconds, before the therapist asks them to relax and pushes the limb further, increasing the stretch, until resistance is felt once more. The process is usually repeated 3-5 times for each muscle. Neural StretchingNeural stretching refers to stretching the structures of the nervous system. This is necessary for injuries where there is excess neural tension, for example, muscle-related sciatic pain.
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