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Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessme nt of Flexibil ity Principles of Muscular Flexibility Prescriptio n Flexibil ity Exercise s Preventing and Rehabilitat ing Low Back Pain

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Page 1: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Chapter 8Muscular Flexibility

ChapterOutline

FactorsAffectingFlexibility

Assessment of Flexibility

Principles of Muscular Flexibility

Prescription

FlexibilityExercises

Preventing and Rehabilitating Low

Back Pain

Page 2: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Key termsFlexibility: The ability of a joint to move freely through its full range of motion

Stretching: Moving the joints beyond the accustomed range of motion

Plastic elongation: Permanent lengthening of soft tissue

Elastic elongation: Temporary lengthening of soft tissue

FactorsAffectingFlexibility

Assessment of Flexibility

Principles of Muscular Flexibility

Prescription

FlexibilityExercises

Preventing and Rehabilitating Low

Back Pain

Page 3: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Benefits of adequate flexibilityPromotes 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) much easier to perform

Helps prevent low back and other spinal column problems

FactorsAffectingFlexibility

Assessment of Flexibility

Principles of Muscular Flexibility

Prescription

FlexibilityExercises

Preventing and Rehabilitating Low

Back Pain

Page 4: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Benefits of adequate flexibilityImproves 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

FactorsAffectingFlexibility

Assessment of Flexibility

Principles of Muscular Flexibility

Prescription

FlexibilityExercises

Preventing and Rehabilitating Low

Back Pain

Page 5: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Benefits of adequate flexibilityFlexibility exercises have been prescribed successfully to treat

Dysmenorrhea (painful menstruation)

General neuromuscular tension (stress)

Muscular/skeletal problems and injuries related to lack of flexibility

FactorsAffectingFlexibility

Assessment of Flexibility

Principles of Muscular Flexibility

Prescription

FlexibilityExercises

Preventing and Rehabilitating Low

Back Pain

Page 6: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Factors affecting flexibilityGenetics

Physical activity

Joint structure

Ligaments

Tendons

Muscles

Skin

Tissue injury

Adipose tissue (fat)

Body temperature

Age

Gender

FactorsAffectingFlexibility

Assessment of Flexibility

Principles of Muscular Flexibility

Prescription

FlexibilityExercises

Preventing and Rehabilitating Low

Back Pain

Page 7: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Muscle flexibilityFlexibility is joint specific

Women are more flexible than men

Decrements are primarily related to physical inactivity

Aging decreases joint range of motion

FactorsAffectingFlexibility

Assessment of Flexibility

Principles of Muscular Flexibility

Prescription

FlexibilityExercises

Preventing and Rehabilitating Low

Back Pain

Page 8: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Flexibility fitness tests

Modified sit-and-reach test

Total body rotation test

Shoulder rotation test

FactorsAffectingFlexibility

Assessment of Flexibility

Principles of Muscular Flexibility

Prescription

FlexibilityExercises

Preventing and Rehabilitating Low

Back Pain

Page 9: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Modified sit-and-reach testMeasures hip and trunk flexibility

Accounts for arm/leg length discrepancies

Starting position for the modified sit-and-reach test

FactorsAffectingFlexibility

Assessment of Flexibility

Principles of Muscular Flexibility

Prescription

FlexibilityExercises

Preventing and Rehabilitating Low

Back Pain

Page 10: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Modified sit-and-reach testMeasures hip and trunk flexibility

Accounts for arm/leg length discrepancies

Modified sit-and-reach test

FactorsAffectingFlexibility

Assessment of Flexibility

Principles of Muscular Flexibility

Prescription

FlexibilityExercises

Preventing and Rehabilitating Low

Back Pain

Page 11: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Table 8.1Percentile ranks for the modified sit-and-reach test

Page 12: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Total body rotation testMeasures body rotation

Test is performed on either right or left side

FactorsAffectingFlexibility

Assessment of Flexibility

Principles of Muscular Flexibility

Prescription

FlexibilityExercises

Preventing and Rehabilitating Low

Back Pain

Page 13: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Table 8.2Percentile ranks for the total body rotation test for men

Page 14: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Table 8.2Percentile ranks for the total body rotation test for women

Page 15: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Shoulder rotation test

Measures shoulder flexibility

Measuring biacromial width

Starting position for the shoulder rotation test

Shoulder rotation test

FactorsAffectingFlexibility

Assessment of Flexibility

Principles of Muscular Flexibility

Prescription

FlexibilityExercises

Preventing and Rehabilitating Low

Back Pain

Page 16: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Table 8.3

Percentile ranks for the shoulder rotation test for men

Page 17: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Table 8.3

Percentile ranks for the shoulder rotation test for women

Page 18: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Table 8.4Flexibility fitness categories according to percentile ranks

Page 19: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Table 8.5

Overall flexibility fitness category: total the number of points for all three tests

Page 20: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Critical thinkingCarefully consider the relevance of stretching exercises to your personal fitness program throughout the years. How much importance do you place on these exercises?

Have some conditions improved through your stretching program, or have particular exercises contributed to your health and well-being?

FactorsAffectingFlexibility

Assessment of Flexibility

Principles of Muscular Flexibility

Prescription

FlexibilityExercises

Preventing and Rehabilitating Low

Back Pain

Page 21: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Key termsBallistic (dynamic) stretching: Exercises done with jerky, rapid, bouncy movements

Slow-sustained stretching: Exercises in which the muscles are lengthened gradually through a joint’s complete range of motion

Proprioceptive neuromuscular facilitation (PNF): Stretching technique in which muscles are stretched out sequentially with intermittent isometric contractions

FactorsAffectingFlexibility

Assessment of Flexibility

Principles of Muscular Flexibility

Prescription

FlexibilityExercises

Preventing and Rehabilitating Low

Back Pain

Page 22: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Guidelines fordeveloping flexibility

ModeStatic or dynamic to include every major joint

IntensityTo the point of mild discomfort

RepetitionsAt least 4 times

Hold the final stretched position for 10 to 30 seconds

Frequency 2–3 days per week

FactorsAffectingFlexibility

Assessment of Flexibility

Principles of Muscular Flexibility

Prescription

FlexibilityExercises

Preventing and Rehabilitating Low

Back Pain

Page 23: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Contraindicated exercisesMost strength and flexibility exercises are relatively safeto perform

Some exercises (contraindicated) can be hazardous if performed incorrectly

Contraindicated exercises may cause harm because of excessive strain on muscles and joints; in particular the spine, lower back, knees, neck, or shoulders

A list of contraindicated exercises are provided in the textbook

FactorsAffectingFlexibility

Assessment of Flexibility

Principles of Muscular Flexibility

Prescription

FlexibilityExercises

Preventing and Rehabilitating Low

Back Pain

Page 24: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Low-back painAbout 75 million Americans suffer from chronic low-back pain

Caused byPhysical inactivity

Poor posture habits and body mechanics

Excessive body weight

FactorsAffectingFlexibility

Assessment of Flexibility

Principles of Muscular Flexibility

Prescription

FlexibilityExercises

Preventing and Rehabilitating Low

Back Pain

Page 25: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Critical thinkingConsider your own low-back health. Have you ever experienced episodes of low-back pain?

If so, how long did it take you to recover, and what helped you recover from this condition?

FactorsAffectingFlexibility

Assessment of Flexibility

Principles of Muscular Flexibility

Prescription

FlexibilityExercises

Preventing and Rehabilitating Low

Back Pain

Page 26: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Figure 8.6

Incorrect and correct pelvic alignment

Page 27: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Figure 8.7

Change from one task to another before fatigue sets in

Use a footrest

Bend at the knees and the hips, not at the waist

Hold heavy objects close to your body

Never bend over without bending your knees

Caring for your back

Page 28: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Figure 8.7

Find the correct standing position by practicing against a wall

Low-back health

Page 29: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Figure 8.7

Exercise while lying in bed to teach yourself correct muscle position

Low-back health

Page 30: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Figure 8.7

A straight, hard chair is best

Learn to sit properly in whatever chair you use

Low-back health

Page 31: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Figure 8.7Faulty sleeping positions intensify swayback

Low-back health

Page 32: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

Figure 8.7

Relieve your back by taking all pressure off of

your back and legs

Low-back health

Page 33: Chapter 8 Muscular Flexibility Chapter Outline Factors Affecting Flexibility Assessment of Flexibility Principles of Muscular Flexibility Prescription

Hoeger & Hoeger. All slides © Wadsworth Publishing.

End of Chapter