Stretching

For other uses, see Stretching (disambiguation).

Stretching is a form of physical exercise in which a specific muscle or tendon (or muscle group) is deliberately expanded and flexed in order to improve the muscle's felt elasticity and achieve comfortable muscle tone.^[1] The result is a feeling of increased muscle control, flexibility, and range of motion. Stretching is also used therapeutically to alleviate cramps and to improve function in daily activities by increasing range of motion.^[2][3]

Samira Mustafaeva, Russian rhythmic gymnast

A stretching Siberian tiger

In its most basic form, stretching is a natural and instinctive activity; it is performed by humans and many other animals. It can be accompanied by yawning. Stretching often occurs instinctively after waking from sleep, after long periods of inactivity, or after exiting confined spaces and areas. In addition to vertebrates (i.e. mammals and birds), spiders have also been found to exhibit stretching.^[4][5]

Increasing flexibility through stretching is one of the basic tenets of physical fitness. It is common for athletes to stretch before (for warming up) and after exercise in an attempt to reduce risk of injury and increase performance.^[6]

Stretching can be dangerous when performed incorrectly. There are many techniques for stretching in general, but depending on which muscle group is being stretched, some techniques may be ineffective or detrimental, even to the point of causing hypermobility, instability, or permanent damage to the tendons, ligaments, and muscle fiber.^[7] The physiological nature of stretching and theories about the effect of various techniques are therefore subject to heavy inquiry.

Although static stretching is part of some warm-up routines, pre-exercise static stretching usually reduces an individual's overall muscular strength and maximal performance, regardless of an individual's age, sex, or training status.^[8] For this reason, an active dynamic warm-up is recommended before exercise in place of static stretching.^[9][10][11]

Physiology

Studies have shed light on the function, in stretching, of a large protein within the myofibrils of skeletal muscles named titin.^[12] A study performed by Magid and Law demonstrated that the origin of passive muscle tension (which occurs during stretching) is actually within the myofibrils, not extracellularly as had previously been supposed.^[13] Due to neurological safeguards against injury such as the Golgi tendon reflex, it is normally impossible for adults to stretch most muscle groups to their fullest length without training due to the activation of muscle antagonists as the muscle reaches the limit of its normal range of motion.^[7]

Psychology

Stretching has been recognized for its potential to positively influence both cognitive function and mood. Research indicates that engaging in stretching exercises may lead to a reduction in feelings of anxiety, depression, hostility, fatigue, and confusion, particularly among individuals with sedentary lifestyles. These improvements in mood have been observed to correlate with enhancements in cognitive function. For individuals who often spend prolonged periods engaged in sedentary activities, integrating stretching into their daily routines may prove beneficial. Doing so not only addresses physical tension but also promotes mental well-being. Regular stretching has been associated with decreased levels of anxiety and depression, alongside increased vigor, which could activate brain regions associated with improved cognitive abilities.^[14]

Types of stretches

Stretches can be either static or dynamic. Static stretches are performed while stationary and dynamic stretches involve movement of the muscle. Stretches can also be active or passive, where active stretches use internal forces generated by the body to perform a stretch and passive stretches involve forces from external objects or people to perform the stretch.^[15] They can involve both passive and active components.^[16]

•  
  Football player Luis Suárez stretching prior to a match.
•  
  Martin Brodeur stretching during warmups.
•  
  Assisted stretching may be performed when the athlete is unable to stretch optimally independently. For example, during cramping of the hamstrings, assistance in stretching out the muscles may help.
•  
  Yoga Asana stretching
•  
  Hockey player stretching groin

Dynamic stretching

Dynamic stretching is a movement-based stretch aimed at increasing blood flow throughout the body while also loosening up the muscle fibers. Standard dynamic stretches typically involve slow and controlled active contraction of muscles. An example of such a dynamic stretch is lunges. Another form of dynamic stretching is ballistic stretching, which is an active stretch that involves bouncing or swinging back and forth at a high speed in order to take a muscle beyond its typical range of motion using momentum. Ballistic stretching can also be performed with tools such as resistance bands to increase the intention between sets in order to quickly warm-up the body.^[17] Ballistic stretching may cause damage to the joints.^[16]

Static stretching

The simplest static stretches are static–passive stretches, according to research findings. This brings the joint to its end range of motion and hold it there using external forces. There are more advanced forms of static stretching, such as proprioceptive neuromuscular facilitation (PNF), which involves both active muscle contractions and passive external forces.^[6]: 42 PNF stretching utilizes an aspect of neuromuscular reeducation, which may yield better results than regular static stretching in terms of induced strength.^[18] PNF stretching may involve contracting either the antagonist muscles, agonist muscles, or both (CRAC).^[19] The efficacy of PNF stretching and its recommendation of use may be dependent on stretching-to-performance duration.^[18]

Effectiveness

 

A roller derby athlete stretching

Stretching has been found both effective and ineffective based on its application for treatment.

Although many people engage in stretching before or after exercise, the medical evidence has shown this has no meaningful benefit in preventing specifically muscle soreness. It may reduce the lactic acid build up in the muscles, making the next workout more bearable.^[20]

Stretching does not appear to reduce the risk of injury during exercises, except perhaps a dynamic warm-up for runners. While running places extreme stress loads on the joints, static stretching can help to improve joint flexibility. However, this has not been proven to reduce risk of injury in the runners. A dynamic (stretching) warm up has been shown to help overall running performance.^[21]

Delayed onset muscle soreness, also known as DOMS, typically arises 48 hours after an exercise bout. Stretching before or after the exercise did not show any significant benefits in the onset of DOMS.^[22]

Effectiveness of Dynamic Stretching

Ballistic stretching, a form of dynamic stretching, is likely to increase flexibility through a neurological mechanism. The stretched muscle is moved passively to the end range by an external force or agonist muscle: holding a muscle in this position might reduce muscle spindle sensitivity, with repeated stretch applied at the end range inhibiting the Golgi tendon organ.^[23]

Dynamic stretching, because it is movement-based, may not isolate the muscle group as well or have as intense of a stretch, but it is better at increasing the circulation of blood flow throughout the body, which in turn increases the amount of oxygen able to be used for athletic performance. This type of stretching has shown better results on athletic performances of power and speed when compared to static stretching.^[24]

Effectiveness of Static Stretching

Static stretching is better at creating a more intense stretch because it is able to isolate a muscle group better.^[25] But this intensity of stretching may hinder one's athletic performance because the muscle is being overstretched while held in this position and, once the tension is released, the muscle will tend to tighten up and may actually become weaker than it was previously.^[26] It has been shown in high level athletes, such as gymnasts, after performing a static stretching routine that it has a negative effect. The gymnasts lost the ability to jump vertically as high as prior as well as no improvement in their straddle jump or flexibility.^[27] Also, the longer the duration of static stretching, the more exhausted the muscle becomes. This type of stretching has been shown to have negative results on athletic performance within the categories of power and speed.^{[28][29][30][31]} However, to be able to do usual daily activities, a certain amount of range of motion is needed from each muscle. For example, the calf muscles are one of the muscle groups that have the most need for adequate flexibility since they are deeply related to normal lower limb function. When the goal is to increase flexibility, the most commonly used technique is stretching. Chronic static stretching was shown to increase range of motion of Dorsiflexion or bringing one's foot closer to their shin by an average of 5.17 degrees in healthy individuals versus 3.77 degrees when solely using ballistic stretching.^[3] While static stretching is shown to decrease power and speed in higher level athletes, when it comes to the older population who live more sedentary lifestyles static stretching has been shown to increase muscles strength and power.^[32]

Dynamic versus Static: Flexibility and Performance

Both dynamic and static stretching have been shown to have a positive impact on flexibility over time by increasing muscle and joint elasticity, thus increasing the depth and range of motion an athlete is able to reach.^[33] This is evident in the experiment "Acute effects of duration on sprint performance of adolescent football players".^[33] In this experiment, football players were put through different stretching durations of static and dynamic stretching to test their effects. They were tested on maximum sprinting ability and overall change in flexibility. Both static and dynamic stretching had a positive impact on flexibility but, whereas dynamic stretching had no impact on sprint times, static stretching had a negative result, worsening the time the participants were able to sprint the distance in.^[34]

See also

• BOSU
• Foam roller

References

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2. Dagenais, Marc (December 2011) Softball Training Tips – Do you know how to stretch? August 31, 2016, at the Wayback Machine softballperformance.com
3. Medeiros DM, Martini TF (March 2018). "Chronic effect of different types of stretching on ankle dorsiflexion range of motion: Systematic review and meta-analysis". The Foot. 34: 28–35. doi:10.1016/j.foot.2017.09.006. PMID 29223884.
4. Takasuka K (August 2021). "Pandiculation documented in a spider". Frontiers in Ecology and the Environment. 19 (6): 363. Bibcode:2021FrEE...19..363T. doi:10.1002/fee.2387. S2CID 238818374.
5. Nagayama S, Takasuka K (2021). "New reports of confirmed pandiculation by spiders". Acta Arachnologica. 70 (2): 131–132. doi:10.2476/asjaa.70.131. S2CID 245579876.
6. Zaffagnini S, Raggi F, Silvério J, Espregueira-Mendes J, di Sarsina TR, Grassi A (2016). "Chapter 4: General Prevention Principles of Injuries". In Mayr HO, Zaffagnini S (eds.). Prevention of injuries and overuse in sports : directory for physicians, physiotherapists, sport scientists and coaches. Springer. ISBN 978-3-662-47706-9.
7. Tsatsouline, Pavel (2001). Relax into stretch: instant flexibility through mastering muscle tension. Dragon Door Publications. ISBN 978-0-938045-28-1.
8. Nunes JP, Schoenfeld BJ, Nakamura M, Ribeiro AS, Cunha PM, Cyrino ES (May 2020). "Does stretch training induce muscle hypertrophy in humans? A review of the literature". Clinical Physiology and Functional Imaging. 40 (3): 148–156. doi:10.1111/cpf.12622. PMID 31984621. S2CID 210923925.
9. Reynolds G (April 3, 2013). "Reasons Not to Stretch". Well. The New York Times. Retrieved February 24, 2023.
10. Herman SL, Smith DT (July 2008). "Four-Week Dynamic Stretching Warm-up Intervention Elicits Longer-Term Performance Benefits". Journal of Strength and Conditioning Research. 22 (4): 1286–1297. doi:10.1519/jsc.0b013e318173da50. PMID 18545176. S2CID 9490861.
11. Simic L, Sarabon N, Markovic G (March 2013). "Does pre-exercise static stretching inhibit maximal muscular performance? A meta-analytical review". Scandinavian Journal of Medicine & Science in Sports. 23 (2): 131–48. doi:10.1111/j.1600-0838.2012.01444.x. PMID 22316148. S2CID 20104237.
12. Hsin J, Strümpfer J, Lee EH, Schulten K (June 9, 2011). "Molecular Origin of the Hierarchical Elasticity of Titin: Simulation, Experiment, and Theory". Annual Review of Biophysics. 40 (1): 187–203. doi:10.1146/annurev-biophys-072110-125325. PMID 21332356.
13. University of California Regents > Muscle Physiology – Types of Contractions April 21, 2012, at the Wayback Machine. muscle.ucsd.edu
14. Sudo M, Ando S (November 19, 2019). "Effects of Acute Stretching on Cognitive Function and Mood States of Physically Inactive Young Adults". Perceptual and Motor Skills. 127 (1): 142–153. doi:10.1177/0031512519888304. ISSN 0031-5125.
15. Boguszewski D (December 28, 2015). "Application of physiotherapeutic methods to support training and post-exercise recovery of combat sports and martial arts contestants". Journal of Combat Sports and Martial Arts. 6 (2): 85–90. doi:10.5604/20815735.1195358 (inactive February 17, 2024).{{cite journal}}: CS1 maint: DOI inactive as of February 2024 (link)^{[unreliable medical source?]}
16. Appleton B. "STRETCHING AND FLEXIBILITY: Everything you never wanted to know". MIT. web.mit.edu. Retrieved June 13, 2019.
17. Alter MJ (1998). Sport Stretch. Human Kinetics. ISBN 978-0-88011-823-1.
18. Behm DG, Blazevich AJ, Kay AD, McHugh M (January 2016). "Acute effects of muscle stretching on physical performance, range of motion, and injury incidence in healthy active individuals: a systematic review". Applied Physiology, Nutrition, and Metabolism. 41 (1): 1–11. doi:10.1139/apnm-2015-0235. PMID 26642915.
19. Hindle K, Whitcomb T, Briggs W, Hong J (March 2012). "Proprioceptive Neuromuscular Facilitation (PNF): Its Mechanisms and Effects on Range of Motion and Muscular Function". Journal of Human Kinetics. 31 (2012): 105–113. doi:10.2478/v10078-012-0011-y. PMC 3588663. PMID 23487249.
20. Herbert RD, de Noronha M, Kamper SJ (2011). "Stretching to prevent or reduce muscle soreness after exercise". Cochrane Database Syst Rev (Systematic review) (7): CD004577. doi:10.1002/14651858.CD004577.pub3. PMID 21735398.
21. Alexander JL, Barton CJ, Willy RW (September 2020). "Infographic running myth: static stretching reduces injury risk in runners". British Journal of Sports Medicine. 54 (17): 1058–1059. doi:10.1136/bjsports-2019-101169. PMID 31694812. S2CID 207965032.
22. Herbert RD, de Noronha M, Kamper SJ (July 6, 2011). "Stretching to prevent or reduce muscle soreness after exercise". Cochrane Database of Systematic Reviews (7): CD004577. doi:10.1002/14651858.CD004577.pub3. PMID 21735398.
23. Weerapong P, Hume PA, Kolt GS (December 2004). "Stretching: Mechanisms and Benefits for Sport Performance and Injury Prevention". Physical Therapy Reviews. 9 (4): 189–206. doi:10.1179/108331904225007078. hdl:10292/15115. S2CID 71435119.
24. Opplert J, Babault N (February 2018). "Acute Effects of Dynamic Stretching on Muscle Flexibility and Performance: An Analysis of the Current Literature". Sports Medicine. 48 (2): 299–325. doi:10.1007/s40279-017-0797-9. PMID 29063454. S2CID 207494523.
25. . www.mit.edu. Archived from the original on January 21, 2021. Retrieved January 27, 2021.
26. Page P (February 2012). "Current concepts in muscle stretching for exercise and rehabilitation". International Journal of Sports Physical Therapy. 7 (1): 109–119. PMC 3273886. PMID 22319684.
27. Ercan Köse D, Akşit T, Açıkgöz O, Ceyhan G (February 24, 2023). "Time Course of Changes in Straddle Jump and Vertical Jump Performance After Acute Static Stretching in Artistic Gymnasts". Science of Gymnastics Journal. 15 (1): 75–85. doi:10.52165/sgj.15.1.75-85.
28. Shrier I, McHugh M (September 2012). "Does Static Stretching Reduce Maximal Muscle Performance? A Review". Clinical Journal of Sport Medicine. 22 (5): 450–451. doi:10.1097/JSM.0b013e31826a08ee. PMID 22929045.
29. Arntz F, Markov A, Behm DG, Behrens M, Negra Y, Nakamura M, Moran J, Chaabene H (March 2023). "Chronic Effects of Static Stretching Exercises on Muscle Strength and Power in Healthy Individuals Across the Lifespan: A Systematic Review with Multi-level Meta-analysis". Sports Medicine. 53 (3): 723–745. doi:10.1007/s40279-022-01806-9. PMC 9935669. PMID 36719536.
30. Kay AD, Blazevich AJ (January 2012). "Effect of acute static stretch on maximal muscle performance: a systematic review" (PDF). Med Sci Sports Exerc. 44 (1): 154–64. doi:10.1249/MSS.0b013e318225cb27. PMID 21659901.
31. Chaabene H, Behm DG, Negra Y, Granacher U (February 6, 2019). "Acute Effects of Static Stretching on Muscle Strength and Power: An Attempt to Clarify Previous Caveats". Frontiers in Physiology. 10: 1468. doi:10.3389/fphys.2019.01468. PMC 6895680. PMID 31849713.
32. Arntz F, Markov A, Behm DG, Behrens M, Negra Y, Nakamura M, Moran J, Chaabene H (March 2023). "Chronic Effects of Static Stretching Exercises on Muscle Strength and Power in Healthy Individuals Across the Lifespan: A Systematic Review with Multi-level Meta-analysis". Sports Medicine. 53 (3): 723–745. doi:10.1007/s40279-022-01806-9. PMC 9935669. PMID 36719536.
33. Iatridou G (2018). "Acute effects of duration on sprint performance of adolescent football players" (PDF).
34. Paradisis GP, Pappas PT, Theodorou AS, Zacharogiannis EG, Skordilis EK, Smirniotou AS (January 2014). "Effects of Static and Dynamic Stretching on Sprint and Jump Performance in Boys and Girls". Journal of Strength and Conditioning Research. 28 (1): 154–160. doi:10.1519/JSC.0b013e318295d2fb. PMID 23591944. S2CID 21879729.

Further reading

• Andersen JC (2005). "Stretching Before and After Exercise: Effect on Muscle Soreness and Injury Risk". Journal of Athletic Training. 40 (3): 218–220. PMC 1250267. PMID 16284645.
• Anderson, Bob (2010). Stretching: 30th Anniversary Edition. Shelter Publications.
• Cheung Karoline, Hume Patria A., Maxwell Linda (2003). "Delayed Onset Muscle Soreness: Treatment Strategies and Performance Factors". Sports Medicine. 33 (2): 145–164. doi:10.2165/00007256-200333020-00005. PMID 12617692. S2CID 26525519.{{cite journal}}: CS1 maint: multiple names: authors list (link)
• Iatridou G, Dionyssiotis Y, Papathanasiou J, Kapetanakis S, Galitsanos S (2018). "Acute effects of stretching duration on sprint performance of adolescent football players" (PDF). Muscles, Ligaments and Tendons Journal. 8 (1): 37–42. doi:10.32098/mltj.01.2018.06.
• LaRoche D, Connolly DA (2006). "Effects of Stretching on Passive Muscle Tension and Response to Eccentric Exercise". American Journal of Sports Medicine. 34 (6): 1000–1007. doi:10.1177/0363546505284238. PMID 16476913. S2CID 41324143.
• Shrier I (March 2005). "When and Whom to Stretch?: Gauging the Benefits and Drawbacks for Individual Patients". The Physician and Sportsmedicine. 33 (3): 22–26. doi:10.3810/psm.2005.03.61. PMID 20086352. S2CID 9911503.

External links

•   Media related to Stretching at Wikimedia Commons