Static stretching

Question 1

What is the rationale behind static stretching?

Answer 1

Increase ROM
Cool down
Maintenance of muscle flexibility

Question 2

Physiological effects of static stretching

Answer 2

A regular force over a long time period:
Increases the ability to tolerate discomfort
Increase tissue’s ability to tolerate load

Stretching using regular low-level force results in stronger:
Fibre orientation
Increased thickness
Improved cross-bridging

Question 3

What structures are affected by static stretching?

Answer 3

Soft tissue - muscle, ligaments & tendons

Question 4

Parameters of static stretching with the goal of increasing ROM

Answer 4

Inc. ROM: 20 - 30 secs x 3 - 5 reps
1 - 3 per day
5 days /week, for 6 weeks

Question 5

Parameters of static stretching as a cool down

Answer 5

20 - 30 secs x 3 – 5 reps
Post activity

Question 6

Parameters of static stretching with the goal of maintenance

Answer 6

15-30 secs x 4 - 5 reps
At least x 3 a week

Question 7

How would you teach a patient a stretch?

Answer 7

1) explain what muscle is being stretched, point out where they should be feeling the stretch
2) demonstrate the stretch & get them to replicate
3) observe their stretch & give technique pointers

Question 8

Contraindications & precautions

Answer 8

Bony limit to movement
Recent fracture
Acute inflammation/tissue trauma
Acute pain with movement
Non-compliant patient or unable to give consent
Shortened tissues are compensatory

Question 9

How would you document this treatment?

Answer 9

Date, Time, Patient name
Explanation of procedure & gaining informed consent
Muscle being stretched
Stretch prescribed
Patient response to stretch
Recommended duration and frequency
Sign