Flexibility Flashcards

1
Q

flexibility

A

The normal extensibility (ability to stretch) of all soft tissues (e.g., muscles and connective tissue) that allow the complete range of motion (ROM) of a joint.

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2
Q

Mobility

A

The combination of soft tissue extensibility and optimal bodily control maintained throughout the entire joint range of motion.

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3
Q

after age 30, individuals begin to lose ___ to ___% of their muscle mass per decade

A

3 to 5%

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4
Q

Relative flexibility

A

When the human movement system (HMS) seeks the path of least resistance during functional movements.

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5
Q

a good example of relative flexibility is seen in…

A

people who squat with their feet excessively externally rotated because these individuals may have limited ankle ROM that prevents adequate ankle dorsiflexion to perform a squat with proper mechanic
By widening the stance and externally rotating the feet, the amount of dorsiflexion required at the ankle to perform a squatting pattern is decreased.

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6
Q

Janda upper crossed syndrome

A

Common postural distortion that includes a forward head, rounded shoulders, and increased thoracic kyphosis.

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7
Q

Janda lower crossed syndrome

A

Common postural distortion that includes an anterior tilted pelvic and an excessive lumbar lordosis.

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8
Q

3 main factors that could lead to flexibility deficits and possibly tissue injury.

A

-postural distortion patterns,
-pattern overload,
- cumulative injury

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9
Q

Postural distortion patterns

A

-defined as predictable patterns of muscle imbalance.
-may include static and dynamic postures.

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10
Q

The most common static posture distortions are:

A

Janda upper crossed syndrome
Janda lower crossed syndrome

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11
Q

________ postural distortions are common among older adults

A

static

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12
Q

pattern overload

A

Consistently repeating the same pattern of motion.

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13
Q

Muscle imbalance

A

Altered length-tension relationships of muscles surrounding a joint.

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14
Q

older adults spend ~ ______% of their day being sedentary

A

60%

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15
Q

cumulative injury cycle

A

A series of bodily responses to tissue injury from postural distortion and pattern overload.

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16
Q

self-myofascial rolling (SMR)

A

A flexibility technique that uses a rolling device to provide a mechanical compressive massage to the myofascia.

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17
Q

Autogenic inhibition

A

Muscle spindle excitation is decreased, which results in less tension of the underlying musculature.

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18
Q

NASM recommended flexibility techniques include:

A

-self-myofascial rolling,
-static stretching
-active stretching
-dynamic stretching.

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19
Q

Popular SMR devices include:

A

-the foam roller
-hand-held roller
-massage ball

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20
Q

Myofascial Rolling focuses on the ________ system and ___________ system in the body

A

-the neural system
-the myofascial system

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21
Q

By applying a gentle mechanical force to an adhesion (e.g., a knot), the local blood flow is ________, and the elastic muscle fibers are altered from a _________ position (which causes the adhesion) into a straighter alignment with the direction of the muscle or fascia.

A

-increased
-bundled

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22
Q

how does myofascial rolling cause autogenic inhibition?

A

-the gentle pressure stimulates the golgi tendon organ (GTO) and the pain and mechanoreptors, which creates autogenic inhibition

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23
Q

How does autogenic inhibition help with muscle tension?

A

it decreases muscle spindle excitation and releases the tension of the underlying musculature.

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24
Q

gentle pressure similar to a massage helps to release unwanted muscular tension via a ___________ and ______________effect

A

-mechanical
-neurophysiological

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25
Q

Foam rollers are typically available in two sizes:

A

standard (6-inch x 36-inch) and half size (6-inch x 18-inch)

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26
Q

technique for self myofascial rolling for Calves

A

Technique 1:
-Crossing one leg on top of the other is an option and is used to increase pressure to the calf.
-Roll along the length of the calf muscle and hold the tender spot for approximately 30 seconds

Technique 2:
-While sitting, apply a downward rolling pressure to the target muscle groups.
-Move the hand-held roller along the length of the muscle.
-Avoid rolling over the ankle and knee joint..

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27
Q

SMR: technique for Hamstrings

A

Technique:
-While sitting, the target leg is straight with the roller underneath the posterior thigh and the opposite knee is flexed.
-Roll along the length of the muscle and hold the tender spot for approximately 30 seconds. -Avoid rolling over the knee joint.
-Using a massage ball instead of a foam roller is a progression for this exercise and can help pinpoint tender areas.

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28
Q

SMR: Quadriceps Techniques

A

Technique:
-The client is in the plank position with their knees straight and the roller under the quadriceps.
- Roll along the length of the muscle and hold the tender spot for approximately 30 seconds. -This exercise can be performed bilaterally (both legs) and unilaterally (one leg at a time).
-Avoid rolling over the knee joint.

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29
Q

SMR: Adductors Techniques

A

Technique:
-To perform this technique correctly, the foam roller should be placed perpendicular to the inner thigh.
-Roll the length of the muscle and hold the tender spot for approximately 30 seconds. -Avoid rolling over the knee joint.

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30
Q

SMR: Tensor Fascia Latae (TFL) Technique

A

Technique:
-The TFL is a small muscle, so this technique does not require lots of movement. –To target the TFL, roll along the front and slightly lateral part of the upper thigh (just below the pelvis) and hold the tender spot for approximately 30 seconds.
- Avoid rolling over the hip bone.

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31
Q

SMR: Latissimus Dorsi Technique

A

Technique:
-To target the latissimus dorsi, lie on the floor on one side with the arm closest to the floor outstretched and thumb facing upward.
-Place the foam roller under the armpit area (axillary region) and slowly roll until a tender spot is identified.
-Hold the tender spot for approximately 30 seconds. -A pad placed under the thighs can improve the client’s comfort level.

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32
Q

If a client is unable to use a foam roller, the fitness professional can use a ____________.

A

hand-held roller

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33
Q

If a tender spot is identified, the client can also apply _______ pressure to the regions (with the hand-held device) for ____ seconds to help further relax the tissues.

A

static pressure
30 seconds

34
Q

Hand-Held SMR: TFL (tensor fasciae latae) Technique

A

Technique:
-While standing, applying a downward rolling pressure to the TFL with both arms. -Move the hand-held roller along the length of the muscle, which is a small motion.
-Avoid rolling over the hip bone.

35
Q

Hand-Held SMR: Thoracic Spine technique

A

Technique:
-While standing, apply a 30-second static, downward pressure to a tender spot in the desired muscle.
-Avoid applying pressure directly over a bone.

36
Q

Hand-Held SMR: Upper Trapezius technique

A

Technique:
-While standing, apply a 30 second static, downward pressure to a tender spot to the upper trapezius.
-Avoid applying pressure directly over a bone.

37
Q

Numeric Pain Rating Scale

A

The NPRS is a pain scale with a ranking from 0 = no pain to 10 = maximum pain.

38
Q

Static Stretching

A

A flexibility technique where the muscle is passively taken to the point of tension for 30 seconds or more.

39
Q

Stretch tolerance

A

The ability to experience the physical sensations of stretching to reduce the discomfort felt at the end range of motion.

40
Q

Reciprocal inhibition

A

Simultaneous contractions of the agonist (prime mover) and relaxation of its antagonist.

41
Q

static stretching may impact many sensory mechanisms within the nervous system to facilitate a greater ________________

A

stretch tolerance

42
Q

Static stretching should be used to ____________the activity of an overactive muscle before and after activity

A

decrease

43
Q

_______________ the antagonist musculature while holding the stretch can reciprocally inhibit the muscle being stretched, allowing it to relax and enhance the effectiveness of the stretch.

A

-contracting

44
Q

example of reciprocal inhibition during static stretching

A

when performing a hamstring stretch, the client can consciously contract the quadriceps to elicit reciprocal inhibition to the hamstrings.

45
Q

Static stretching for the older adult client requires holding the stretch at the ___________________ or resistance barrier for a minimum of 30 for one to three sets

A

first point of tension

46
Q

Static Calf Stretch

A

Technique:
-Stand with one foot in front of the other.
- Shift the weight forward until a stretch is felt in the back leg.
-Hold for a desired amount of time.
-A sturdy object, chair, or wall can be used.

47
Q

Static Calf Stretch modifications

A

Modification:
-Seated in a chair, the client straightens their knee with a towel or strap around their foot.
-The client pulls their ankle into dorsiflexion until a stretch is felt in the back of the leg.
-Hold for a desired amount of time.

48
Q

Static Hamstrings Stretch

A

Technique:
-Sit on a stability ball (or chair) with the legs straight and the feet dorsiflexed.
-Lean the trunk forward until a stretch is felt in the back of the leg.
-Hold for a desired amount of time.
-The client can also choose to stretch one hamstring at a time.

49
Q

Static Adductors Stretch

A

Technique:
-Sit on a stability ball or chair with the legs shoulder-width apart and the feet pointing forward.
-Posteriorly rotate the pelvis and shift the weight lateral until a stretch is felt in the inner thigh.
-Hold for a desired amount of time.

50
Q

Static Hip Flexor Stretch

A

Technique:
-Stand with one foot in front of the other, similar to a lunge position.
-Shift the weight forward until a stretch is felt in the anterior hip and thigh.
-Hold for a desired amount of time.
-Holding onto a chair or wall can be used for added support.

51
Q

Static Hip Flexor Stretch Modification

A

Modification:
-Perform a kneeling hip flexor stretch by kneeling with the front and back legs flexed at 90 degrees.
-Posteriorly rotate the pelvis and shift the weight forward until a stretch is felt in the anterior hip and thigh.
-Hold for a desired amount of time.
- Holding onto a chair or wall can be used for added support.

52
Q

Static Piriformis Stretch

A

Technique:
-Lie supine and cross one leg over the opposite leg that is straight.
-Keep the low back in a neutral position while bringing the knee toward the opposite shoulder.
-Hold for a desired amount of time.

53
Q

Static Piriformis Stretch Modification

A

Modification:
-Sit with one leg crossed over the other.
-Pull the knee toward the opposite shoulder.
-Hold for a desired amount of time.

54
Q

Static Pectorals Stretch

A

Technique:
-Standing with one arm in a 90/90 position, lean forward until a stretch is felt in the anterior shoulder and chest area.
-Do not allow the shoulders to elevate (shrug) during this stretch.
-Hold for a desired amount of time.

55
Q

Static Upper Trapezius Stretch

A

Technique:
-Grasp the top of the head with one hand and laterally flex toward the same shoulder.
-Do not allow the chin to jut forward or the shoulders to shrug during this stretch.
-This stretch can be performed seated or standing.
-Hold the stretch for a desired amount of time.

56
Q

Static Side Bend (Thoracic) Stretch

A

Technique:

-Stand next to a chair with one arm raised above the head.
-Side bend to one side until a stretch is felt in the lateral trunk.
-Hold the stretch for a desired amount of time.

57
Q

Static Side Bend (Thoracic) Stretch Modification

A

Modification:
-Sit in chair with an arm raised above the head.
-Side bend to one side until a stretch is felt in the lateral trunk.
-Hold the stretch for a desired amount of time.

58
Q

Static Upper Back (Flexion) Stretch

A

Technique:
-Stand with the arms straight in front of the body and the hands clasped together.
- Round back and push the arms forward until a stretch is felt in the upper back.
-Hold the stretch for the desired amount of time.

59
Q

Static Upper Back (Flexion) Stretch Modification

A

Modification:
-Sit in a chair with the arms straight in front of the body and the hands clasped together.
-Round the back and push the arms forward until a stretch is felt in the upper back.
- Hold the stretch for the desired amount of time.

60
Q

Static Upper Back (Extension) Stretch

A

Technique:
-Stand facing a wall and slide both hands up overhead to a desired height until a stretch is felt in the upper back.
-Hold the stretch for a desired amount of time.

61
Q

Static Upper Back (Extension) Stretch Modification

A

Modification:
-While sitting in chair, the client puts their hands behind their head and leans back until a stretch is felt in the upper back.
-Hold the stretch for a desired amount of time.

62
Q

Static Trunk Rotation Stretch

A

Technique:
-Stand with the arms straight and the hands clasped together.
-Rotate the trunk to one side until a stretch is felt across the middle and upper back.
-Hold the stretch for a desired amount of time.

63
Q

Static Trunk Rotation Stretch Modification

A

Modification:
-Sit comfortably in a chair with both feet pointing forward and flat on the ground.
-Rotate the trunk to one side until a stretch is felt across the middle and upper back.
-Hold the stretch for a desired amount of time.

64
Q

Active Stretching

A

A type of stretch that uses the agonists and synergists to dynamically move the joint into a range of motion.

65
Q

Active stretching uses the ________ and _________ to dynamically move the joint into a ROM.

A

-agonists and synergists

66
Q

Active Stretching increases _________________________, creating reciprocal inhibition of the muscle being stretched

A

-motor neuron excitability

67
Q

Active stretching for the older client requires stretching the antagonist (target muscle) by activating the agonist muscle for a short ___________ second hold and repeating 5 to 10 times

A

1 to 2 second

68
Q

With a supine active hamstring stretch, the ________________ (agonist) will extend the knee, providing a stretch to the hamstrings (antagonist or target muscle).

A

quadriceps

69
Q

Dynamic Stretching

A

A type of stretch that uses muscles’ force production and the body’s momentum to take a joint through the full available range of motion

70
Q

Dynamic stretching uses the concept of __________________ to improve soft tissue extensibility

A

reciprocal inhibition

71
Q

How does a client’s muscle imbalances affect their use of dynamic stretching?

A

self-myofascial techniques and static stretching should precede dynamic stretching for overactive muscles identified during the assessment process.

72
Q

Clients can perform one set of ______ repetitions using 3 to 10 dynamic stretches

A

10

73
Q

Leg Swings: Front to Back

A

Technique:
-In a standing position, swing one leg in a controlled pendulum fashion to the front and back, only lifting the leg as high as can safely be controlled.
-Keep a tall, upright posture with the abdominals drawn in during the duration of the exercise.
-Repeat for the desired number of repetitions.

74
Q

Leg Swings: Side to Side

A

Technique:
- In a standing position, swing one leg in a controlled pendulum fashion from side to side, only lifting the leg as high as can safely be controlled.
-Like with front to back hip swings, keep a tall, upright posture with the abdominals drawn in during the duration of the exercise.

75
Q

Side Stepping

A

Technique:
-With the arms in front at shoulder level and the knees slightly bent, sidestep one direction for a desired distance and
-then sidestep in the opposite direction back to the starting position.
-Repeat the desired number of repetitions.
-The exercise can be progressed by using a band around the legs.

76
Q

Side Stepping Modification

A

Modification:
-Hold onto the back of a chair or another sturdy object, sidestep in one direction
-and then return to the starting position.
-Repeat the desired number of repetitions in both directions.

77
Q

Lunge with Rotation

A

Technique:
-Perform a forward lunge with trunk rotation toward the outside portion of the forward leg.
-The depth of the lunge should be client-specific, especially if the client is unable to perform this exercise through a full range of motion (i.e., 90 degrees of knee flexion).
-This exercise can be performed with or without an external load, such as a medicine ball.
-Repeat for the desired number of repetitions for both sides.

78
Q

Arm Circles

A

Technique:
-From a standing position, perform arm circles in both directions using a slow to moderate speed.
-Repeat for the desired number of repetitions.
- This exercise can be regressed by performing the same movement from a seated position.

79
Q

Medicine Ball Rotations

A

Technique:
-Perform this exercise from a standing position, with the arms in front and holding a weighted ball.
-Rotate the trunk in one direction and repeat in the opposite direction.
-To decrease stress to the low back, make sure to pivot the back leg.
- Repeat the desired number of repetitions.
-The exercise can be progressed by using a heavier weighted ball or regressed by sitting in a chair.

80
Q

Medicine Ball Lift and Chop

A

Technique:
-Stand with the arms in front while holding a weighted ball.
-Lift the ball above the left shoulder and down to the opposite for the desired number of repetitions.
-Repeat the movement to the opposite shoulder and hip.
-The exercise can be progressed by using a heavier weighted ball or regressed by sitting in a chair.

81
Q
A