Stretching Flashcards
Stretching
Term used to describe any therapeutic maneuver designed to increase the extensibility of soft tissues.
Flexibility
Ability to move a joint or series of joints through unrestricted pain free ROM
Contractures
Adaptive shortening of muscle tendon unit and other soft tissues that cross or surround a joint that results in resistance to ROM. May limit function
Mystatic contracture
- No specific patho present.
- mm/tendon has shortened.
- you can fix these ones pretty easily
Pseudomyostatic
- mm appears to be in constant state of of contraction, leading to excessive resistance to passive stretch.
- may be caused by CNS patho
- may result from hypertonicity
Arthrogenic contraction
Intra articular patho such as adhesion, joint effusion (swelling), osteophyte formation
Peri articular contracture
Tissues that cross or attach to a joint or joint capsule lose mobility, thus restricting normal arthrokinematic motion.
Fibrotic contracture
Fibrous changes in mm and surrounding structures cause adherence of these tissues and development of fibrotic contractures.
Irreversible contractures
Permanent loss of extensibility of soft tissue due to non-extensible fibrotic adhesions and scar tissue.
Interventions 2 increase mobility of soft tissues
Manual/mechanical Neuromuscular techniques Muscle energy techniques Joint mobilization Soft tissue mobilization Neural tissue mobilization Selective stretching
Active mobility is aka
Active ROM
Selective stretching
Stretching some joints and muscles but allowing limited motion in others such as tenodesis
Overstretching
Causes collagen to break down and have to reform, while releasing heat around the mm. Creep is good because its still in the plastic range. Necking is bad because mm is a lot more fragile and easy to break at this point.
