2. Objectives
Objectives
Explain the importance of muscular flexibility to adequate
fitness.
Identify the factors that affect muscular flexibility.
Explain the health-fitness benefits of stretching.
Become familiar with a battery of tests to assess overall body
flexibility.
Be able to interpret flexibility test results according to health-
fitness and physical-fitness standards.
Learn the principles that govern development of muscular
flexibility.
List some exercises that may cause injury.
Become familiar with a program for preventing and
rehabilitating low-back pain.
Create your own personal flexibility profile.
3. Introduction
Introduction
Flexibility
The achievable range of motion at a joint or
group of joints without causing injury
Lack of flexibility or improper stretching
leads to muscular/skeletal problems and
injuries
Usually occur when a tight muscle is
abruptly forced beyond its achievable range
of motion
80% of all low back problems in the U.S.
are a result of improper spinal alignment
due to muscle weakness and inflexibility
4. Benefits of Good Flexibility
Benefits of Good Flexibility
Promotes healthy muscles and joints
Improves elasticity of muscles and
connective tissue around joints, enhancing
freedom of movement
Makes activities of daily living (turning,
lifting, and bending) easier to perform
Regular stretching increases circulation to
the muscles
Helps prevent low-back and other spinal
column problems
5. Benefits of Good Flexibility
Benefits of Good Flexibility
Improves and maintains good postural
alignment
Promotes proper and graceful body
movement
Improves personal appearance and self-
image
Helps develop and maintain motor skills
throughout life
6. Benefits of Good Flexibility
Benefits of Good Flexibility
Flexibility exercises have been prescribed
successfully to treat
Dysmenorrhea
General neuromuscular tension
Knots in muscles and fascia
Aches and pains caused by psychological
stress
7. Flexibility in Older Adults
Flexibility in Older Adults
Good range of motion is critical in older life
Lack of good range of motion can severely
hamper mobility
Lack of flexibility may cause falls and other
injury
A simple stretching program can alleviate
or prevent this problem and help people
return to an exercise program and normal
ADLs
8. Factors Affecting Flexibility
Factors Affecting Flexibility
Genetic factors
Physical activity
Joint structure (shape of
the bones)
Joint cartilage
Ligaments
Body temperature
Tendons
Muscles
Skin
Tissue injury
Adipose tissue (fat)
Age
Gender
All influence range of motion about a joint
9. Factors Affecting Flexibility
Factors Affecting Flexibility
Range of motion about a joint depends
primarily on the structure of that joint
Greater range of motion can be attained
through plastic and elastic elongation
Plastic elongation
Permanent lengthening of soft tissue
Elastic elongation
Temporary lengthening of soft tissue
10. Assessment of Flexibility
Assessment of Flexibility
The Sit-and-Reach Test is used by most
health and fitness centers because of the
lack of practical flexibility tests
Flexibility is joint-specific, which means that
a lot of flexibility in one joint does not always
indicate the other joints are as flexible
The Total Body Rotation Test and the
Shoulder Rotation Test are used to
determine the ability to perform everyday
tasks--bending, reaching, turning
11. Procedure for the Modified Sit-
Procedure for the Modified Sit-
and-Reach Test
and-Reach Test
13. Procedure for the Shoulder
Procedure for the Shoulder
Rotation Test
Rotation Test
14. Interpreting Flexibility Test Results
Interpreting Flexibility Test Results
Determine the fitness category for each flexibility test
using guidelines in Table 8.4
Look up the number of points assigned for each fitness
category in this table
The overall flexible fitness category is obtained by
totaling the number of points from all three tests and
using the ratings in Table 8.5
15. Evaluating Body Posture
Evaluating Body Posture
Good posture enhances
Personal appearance
Self-image
Confidence
Improves balance and endurance
Protects against misalignment-related
aches and pains
Prevents falls
Enhances overall sense of well-being
16. Evaluating Body Posture
Evaluating Body Posture
Viewing faulty posture in a photograph can
motivate change
As posture improves from recommended exercise,
you may become motivated to improve muscular
strength, flexibility, and decrease body fat
Posture tests are used to detect deviations from
normal body alignment and prescribe corrective
exercises (Lab 8B)
Analyses are best conducted early in life because
some postural deviations are difficult to correct in
older people
18. Principles of Muscular
Principles of Muscular
Flexibility Prescription
Flexibility Prescription
Range of joint mobility can be increased
and maintained through a regular
comprehensive stretching program
Overload and specificity of training
principles also apply to muscular flexibility
FITT also can be used to design stretching
programs
19. Principles of Muscular
Principles of Muscular
Flexibility Prescription – Modes
Flexibility Prescription – Modes
of Training
of Training
Static stretching
Lengthen the muscle tissue
gradually through a joint's complete
range of motion and hold the final
position for a few seconds.
Causes little pain and has a low risk
for injury.
The most frequently used and
recommended.
Passive stretching
Muscles are relaxed.
External force is applied to increase
joint range of motion.
Associated with some decrease of
strength and power.
20. Principles of Muscular
Principles of Muscular
Flexibility Prescription – Modes
Flexibility Prescription – Modes
of Training
of Training
Dynamic stretching
Uses movement speed,
momentum, and
muscular effort to
increase joint range of
motion.
Not associated with loss
of strength and power.
Preferably completed
prior to competition
Walking lunges are an example
of Dynamic Stretching
21. Principles of Muscular
Principles of Muscular
Flexibility Prescription – Modes
Flexibility Prescription – Modes
of Training
of Training
Ballistic stretching
Jerky, rapid, and bouncy movements that force
the muscle to lengthen.
Effective, but at the cost of muscle damage
when performed too fast.
If excessive, plastic elongation and the
accompanying loss of joint stability may result.
Controlled ballistic stretching
Slow, gentle, and controlled-ballistic stretching is
effective and safer than standard ballistic
stretching.
22. Principles of Muscular
Principles of Muscular
Flexibility Prescription – Modes
Flexibility Prescription – Modes
of Training
of Training
Proprioceptive Neuromuscular Facilitation (PNF)
Stretching technique that uses reflexes and
neuromuscular principles to relax the muscles
being stretched
Based on a “contract-and-relax” method
Benefits of PNF
More effective than slow-sustained stretching.
An increase in strength of the muscle(s) being
stretched.
Disadvantages of PNF
More pain.
Need for a second person to assist.
Need for more time to conduct each session.
24. Principles of Muscular
Principles of Muscular
Flexibility Prescription –
Flexibility Prescription –
Intensity
Intensity
Intensity
The degree of stretch should be to only a
point of mild discomfort or tightness at the
end of the range of motion.
The muscle should be relaxed as much as
possible along with relatively slow
stretching movements.
25. Principles of Muscular
Principles of Muscular
Flexibility Prescription – Reps
Flexibility Prescription – Reps
Repetitions
Holding the final position of each rep for 15
to 60 seconds.
Each exercise should be done 4 or more
times.
As flexibility increases, a person can
gradually increase the time each repetition
is held to a maximum of 60 seconds.
Total stretching duration should be a
minimum of about 10 minutes.
26. Principles of Muscular
Principles of Muscular
Flexibility Prescription –
Flexibility Prescription –
Frequency
Frequency
Minimum of 2 to
3 days per week
Ideally 5 to 7
days per week
After 6–8 weeks
of training,
flexibility can be
maintained with
only 2–3
sessions each
week.
27. When to Stretch?
When to Stretch?
Warm up vs. stretching
Warm-up: The goal is to get the muscle warm, so it
resists less
Light aerobics first
3- to 5-minute warm-up for steady activities
Up to 10 minutes for stop-and-go activities and
athletic participation in general
Stretching: movement of joints through their full
range of motion and holding the final degree of
stretch according to recommended guidelines.
In general, after an aerobic workout is the best
time to stretch
28. Flexibility Exercises
Flexibility Exercises
Subject each muscle group to at least
one stretching exercise.
A complete set of exercises for developing
muscular flexibility is presented on pages
299–306.
Perform each exercise through the joint's
full range of motion.
A complete workout lasts 15–30 minutes.
29. Use safety when
performing
stretching exercises
Preexisting muscle
or joint conditions
can increase risk for
injury.
30. Preventing & Rehabilitating
Preventing & Rehabilitating
Low-Back Pain
Low-Back Pain
Low-back pain is prevalent in 60–80% of
the population.
Greater than 95% relates to muscle/tendon
injury.
About 1–5 percent relates to intervertebral
disk damage.
It is considered chronic if it persists longer
than three months.
31. Preventing & Rehabilitating
Preventing & Rehabilitating
Low-Back Pain
Low-Back Pain
Backache syndrome is preventable
About 80% of low-back pain is due to
preventable problems.
Lack of physical activity
Excessive sitting weakens abs and shortens hip flexors
Faulty posture
Figure 8.7 provides proper body mechanics that promote
back health
Excessive body weight and/or psychological
stress
Common among smokers
32. Incorrect and Correct Pelvic
Incorrect and Correct Pelvic
Alignment
Alignment
Deterioration or weakening
of the abdominal and gluteal
muscles along with
tightening of the lower back
muscles due to excessive
sitting; brings about an
unnatural forward tilt of the
pelvis
This tilt puts extra pressure
on the spinal vertebrae,
causing pain in the lower
back.
Accumulation of fat around
the midsection of the body
contributes to the forward tilt
of the pelvis.
33. Behavior Modification Planning: Tips to
Behavior Modification Planning: Tips to
Prevent Low-Back Pain
Prevent Low-Back Pain
Be physically active
Stretch often
Regularly strengthen
your core
Lift objects properly
Avoid sitting/standing in
one position too long
Maintain correct
posture
Sleep in a proper
position
Select a mattress
carefully
Warm up before
exercise
Practice stress
management
Journal Question #2
List how many of these actions you do regularly.
What would be necessary for you to incorporate
them all in your lifestyle?
34. Preventing & Rehabilitating
Preventing & Rehabilitating
Low-Back Pain
Low-Back Pain
If the pain is severe and persists even at rest, see a
physician:
Rule out any disc problems
May prescribe proper bed rest, using several pillows
under the knees for leg support (Figure 8.7).
May prescribe a muscle relaxant or anti-inflammatory
medication (or both) and some type of physical therapy.
Take over-the-counter pain medication.
Stay active to avoid further weakening of the back
muscles.
Low-impact activities such as walking, swimming, water
aerobics, and cycling are recommended.
35. Preventing & Rehabilitating
Preventing & Rehabilitating
Low-Back Pain
Low-Back Pain
Chiropractic (spinal manipulation) if there is no
indication of disease or injury (such as leg
numbness or pain), a herniated disc, or fractures.
Aerobic exercise, muscular flexibility, and muscular
strength-endurance training that include specific
exercises that strengthen the spine-stabilizing
muscles.
Several exercises for preventing and rehabilitating
the backache syndrome are given on pages 299–
306.
Yoga (Iyegar) has been found to enhance flexibility
and relieve chronic low-back pain.
38. Effects of Stress
Effects of Stress
Excessive stress causes muscles to contract
Frequent tightening of the muscles can throw the back
out of alignment and constrict blood vessels that supply
oxygen and nutrients to the back
Chronic stress releases hormones linked to muscle and
tendon injuries
People under stress forget about proper body mechanics,
increasing risk for injury
Proper stress management should be in your back care
program
40. Real Life Stories Critical
Real Life Stories Critical
Thinking Questions
Thinking Questions
1. Can you list some of the possible factors that led to Maria’s back
pain? What steps did she take to correct the situation?
2. Do you experience back pain? If so, what made it worse and what
has helped alleviate the pain?
3. What are your feelings about yoga? Have you ever tried a yoga
session? If so, how was the experience? How did you feel afterward?