Flexibility and Low-Back Health

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Transcript Flexibility and Low-Back Health

Flexibility and Low Back Health

Chapter 5 Fahey/Insel/Roth,

Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness,

Chapter 5 © 2005 McGraw-Hill Higher Education

Physical Activity Pyramid

See Figure 2.4 Physical Activity Pyramid, page 30

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Lecture Objectives

Define flexibility.

Explain benefits of flexibility.

Discuss factors that influence one’s level of flexibility.

Describe the stretch reflex.

State F.I.T.T. principle for flexibility and compare to F.I.T.T. principles for other components of fitness.

Explain the three types of stretching and which are recommended for which reasons.

Explain what can cause poor posture and low back pain and how to improve poor posture and low back pain.

Facts About Flexibility

 Flexibility is the component of fitness most often neglected  Flexibility is joint specific  Flexibility is enhanced if the body is warm  Engaging solely in a flexibility program will not help shed body fat

Definitions Stretch

Moving the joint beyond the accustom range of motion (ROM).

Flexibility

The ability of a joint to move through its full ROM.

Benefits of Flexibility and Stretching Exercises

  Joint health Increase ROM  Prevention of low-back pain and injuries  Can be performed at anytime and anywhere  Lifetime wellness benefits  Other potential benefits?

What Influences Flexibility?

 Genetics  Joint structure / muscle elasticity and length  Lack of use     Injury Disease Gender Age

Effect of Stretch on Connective Tissue

Stretch Reflex Maintaining stretch for 15-30 seconds will allow the stretch reflex to subside and permit gains.

Assessment of Flexibility

 Sit & Reach Test  Trunk Rotation  Back Extension  Use of a Goniometer/Flexometer (Kroeger & Kroeger, ACSM)

Creating a Successful Program to Develop Flexibility

 Applying the FITT principle  Frequency: 2 – 3 days per week  Intensity: 10% beyond ROM (Mild discomfort. Stretching should not be painful.)  Time: 15 – 30 seconds and performed 2 – 4 times  Type: stretches should focus on major joints (and muscles)

Frequency

 A minimum of 2 – 3 days per week (5 – 7 days/week is ideal)  Stretch when muscles are warm  Do not stretch before a high performance activity

Intensity

 10% beyond ROM (point of slight tension or mild discomfort)

Time

 Hold each stretch for 15 – 30 seconds  Do 2 – 4 repetitions of each exercise  Rest for 30 – 60 seconds between stretches

Type

 Static  PNF  Ballistic

Static Stretching

 Widely recommended  Stretch slowly until tension  Active / passive assistance  Hold stretch for 10-30 sec.

 Relax the muscle  Increase stretch a bit more (developmental stretch)

Proprioceptive Neuromuscular Facilitation (PNF)

 Most effective  Combines methods (active and passive)  Promotes increase in strength

Ballistic Stretching

 Dynamic movement  Uses momentum  May be important for athletes  Specificity of movement

What are the advantages and disadvantages of the different types of stretches?

Recommendations for Stretching

 Relax  Breathing  Move slowly into the stretch and simultaneously exhale  Be aware of posture  Concentrate  Do not overstretch muscles (Andes, McMillian, ACSM, Fahey)

Modified Stretching Programs

 Variations and the use of equipment/tools can be effective in the improvement of flexibility:  Physioball  Jump rope, dynaband, exercise pole  Foam Roller  Yoga/Pilates  Movement Prep (Verstegen, Curtis, ACE)

Flexibility in Relation to Posture

 When poor flexibility happens to good people: • Increases likelihood of injury • Restricts body movement • Reduces overall balance and muscular stabilization • Contributes to body asymmetry and bad posture • Increases risk of low-back pain (Fahey, INOVA)

What is Good Posture?

Minimal stress on the vertebral joints and supporting ligaments.

Body segments balanced around the center of gravity

Flexibility, Posture, & Back Pain

 Short and tight muscles cause poor posture which leads to back pain

Flexibility, Posture, & Back Pain

 Long and strong muscles keep the body in good alignment and reduce risk of back pain

Causes of Poor Posture

 Heredity  Poor fitness (muscle strength & endurance)  Environmental Influences (work environment)  Bad Habits/ Body Mechanics

Function of the Spine

 Structural support  Surrounds and protects spinal cord  Supports body weight  Attachment site for muscles, tendons, ligaments  Allows movement of neck and back in all directions

Vertebrae and Intervertebral Disk

Impact from “bad exercises”

 Certain exercises or movements put the back at risk and should be avoided

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Common Errors of Body Mechanics

Lifting Carrying Pushing/Pulling Reaching Sitting Posture Sleeping Posture Entering/Exiting Vehicles Picking up objects from low heights

Protecting Your Back

What can you do to prevent and manage low-back pain?

Managing Acute Back Pain

 Sudden back pain usually involves tissue injury  Symptoms  Treatment

Managing Chronic Back Pain

 Considered chronic if lasts longer than 3 months  Symptoms  Treatment

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Lecture Summary

Define flexibility.

Explain benefits of flexibility.

Discuss factors that influence one’s level of flexibility.

Describe the stretch reflex.

State F.I.T.T. principle for flexibility and compare to F.I.T.T. principles for other components of fitness.

Explain the three types of stretching and which are recommended for which reasons.

Explain what can cause poor posture and low back pain and how to improve poor posture and low back pain.