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CHAPTER 6
FLEXIBILITY AND LOW-BACK FITNESS

Questions and Answers:
A Guide to Fitness and Wellness 3rd Edition

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COMING UP IN THIS CHAPTER

  • Identify factors that affect your flexibility
  • List the benefits of flexibility
  • Assess your flexibility
  • Develop a flexibility training program
  • Identify ways to protect and care for your back

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Q

Factors Affecting Flexibility

  • Flexibility is the ability of a joint to move through its full range of motion
  • Varies from person to person
  • Both too little and too much can be detrimental
  • The goal of flexibility training is to move a joint through its normal range of motion (ROM) without pain or limitation

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Why are some people more flexible than others?

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Q

Joint Structure

  • Some of your joints (where two bones meet) are designed to have a greater ROM than others
  • Flexibility also varies from joint to joint due to other factors

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Why are some of my joints more flexible than others?

More…

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Joint Structure

  • Synovial joints move more freely
  • Cartilage cushions the ends of bones that meet in
    the joint
  • A joint capsule surrounds the joint; the inner layer secretes synovial fluid
  • Ligaments connect bones and joints and provide stability
  • Muscles connected to tendons around the joint contract and move the bones

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FIGURE 6-1 BASIC STRUCTURE OF A JOINT

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Q


Connective Tissues and Nervous System Action

  • You become more flexible by increasing the range of motion in a joint
  • Flexibility is affected by:
  • Length of tissues
  • Connective tissue changes
  • Collagen
  • Tolerance of stretching
  • After holding a stretch, then repeating, you begin to feel less pain when you apply the same force

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How can I be more flexible?

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Injury and Disease

  • Recovery from acute injuries is likely
  • Flexibility and strength exercises will help
  • Osteoarthritis
  • Strengthening and stretching exercises will help stabilize joints and increase ROM

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I recently recovered from a knee injury and don’t have the same movement.
Will I get it back?

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Q

Genetics

  • Some people are more flexible than others
  • Some genetic basis
  • Hypermobility
  • Hypermobile joints are less stable and can be more prone to injury and arthritis

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Do double-jointed people have a higher flexibility level than others?

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Sex

  • In general, women are more flexible
  • Due to anatomical and hormonal differences

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Are women more flexible than men?

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Use and Age

  • “Use it or lose it”
  • It is hard to differentiate between the effects of aging
    and disuse
  • Without regular ROM activities, tissues may shorten and tighten
  • People of any age can benefit from a flexibility-exercise routine

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Why are people less flexible as they get older?

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Benefits of Flexibility

  • Improved performance
  • Reduced risk of injury
  • Other benefits of flexibility and stretching exercises

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Q

Improved Performance

  • For activities in which joints move through the full range of motion, stretching may improve performance
  • Flexibility affords greater efficiency of movement

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Will flexibility help me play basketball better?

More…

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Improved Performance

  • Different sports require different amounts of flexibility for optimal performance
  • Hypermobility can increase the risk of injury and reduce the speed, strength, and power needed for
    a sport
  • Flexibility enables you to perform daily activities
  • Such as lifting a back pack, backing the car up, hanging a picture

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Q

Reduced Risk of Injury

  • It depends
  • There is no evidence to support stretching (as part of a warm-up) before an exercise session reduces muscle soreness and the risk of injury
  • It may help reduce certain injuries in non-athletes
  • It can be key to rehabilitation after an injury
  • It is important for good posture, which reduces joint strain
  • Flexibility in joints is critical as you age

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Does stretching prevent injuries?

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Q

Other Benefits of Flexibility and Stretching Exercises

  • Stretching enhances the relaxed physical state
  • Reduced muscle tension, blood pressure, and breathing rate
  • Improved mood, reduced stress, relaxed state
  • Stretching can be used to treat
    exercise-associated muscle
    cramps

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I feel better when I stretch after a workout. Does stretching help me relax?

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Q

Assessing Your Flexibility

  • There is no single test to assess flexibility
  • Flexibility is specific to each joint
  • The most common test is the sit-and-reach test
  • ROM of hamstrings, primarily
  • No measures are associated with peak performance
  • You should aim to achieve and maintain a normal range of motion in all major joints

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How is flexibility rated? How flexible should I be?

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TABLE 6-1 FACTORS THAT AFFECT FLEXIBILITY TESTS

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Q

Putting Together a Flexibility Program

  • To put together a safe and effective program, consider the types of training, and then apply the FITT formula
  • Training techniques:
  • Static stretching
  • Ballistic stretching
  • Dynamic stretching
  • Proprioceptive neuromuscular facilitation (PNF)

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What is the best way to stretch? What are the different kinds of stretches, and what are the benefits of each?

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Putting Together a Flexibility Program

  • STATIC STRETCHING
  • A slow and steady stretch with a hold at the end of the range of motion
  • Active stretching
  • Take an active role by contracting the muscles opposite to those being stretched
  • Passive stretching
  • Outside force assists in the stretching

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FIGURE 6-2 ACTIVE VERSUS PASSIVE STRETCHING

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Putting Together a Flexibility Program

  • BALLISTIC STRETCHING
  • Uses quick, jerky or bouncing movements to move joints to the end of their range of motion
  • Uses the momentum of the body
  • Not recommended for most people
  • Greater potential for injury
  • Benefits athletes involved in ballistic movements
  • Lunging, throwing, batting, or kicking

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Putting Together a Flexibility Program

  • DYNAMIC STRETCHING
  • Controlled movement through the active range of motion of a joint
  • Useful as a prelude to other activities
  • Elevates body and muscle temperatures
  • Prepares the body for optimum performance

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Putting Together a Flexibility Program

  • PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION (PNF)
  • Originally developed for rehabilitation
  • Affects both connective tissues and nerves in order to increase flexibility
  • Combines muscle contraction and stretching
  • Some PNF stretches require a partner or another source of resistance
  • Two basic PNF techniques:
  • Contract-relax
  • Contract-relax-opposite contract

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FIGURE 6-3 CONTRACT-RELAX PNF STRETCH OF THE
HAMSTRING

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TABLE 6-2 COMPARISON OF STRETCHING TECHNIQUES

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Q

Applying the FITT Formula

  • Stretching can hurt muscles if done incorrectly
  • Apply the FITT formula
  • Frequency:
  • At least 2–3 times a week
  • May increase frequency with experience

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Can stretching hurt my muscles?
How often should I stretch?

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Q

Applying the FITT Formula

  • Intensity:
  • Stretch to the point of slight tension or mild tightness but not discomfort or pain
  • Once you reach your threshold, move slightly beyond it
  • Time:
  • Total time of the session:10–15 minutes
  • Each static stretch should be done four times, and held for 15–60 seconds each

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How do I determine the right amount of stretch? And how long should I stretch?

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Q

Applying the FITT Formula

  • Stretching is physical activity
  • However, it does not count toward daily
    or weekly aerobic or muscle-fitness goals

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Is stretching considered physical activity?

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Applying the FITT Formula

  • Type:
  • Perform a stretch for each major muscle/tendon group or joint: neck, shoulders, upper and lower back, pelvis, hips, and legs
  • Apply the principle of specificity
  • Avoid stretches involving full bends of the knee, significant arching or rounding of the lower back, or pressure on the neck

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What are the best stretches? Are there any stretches that are unsafe?

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TABLE 6-3 FLEXIBILITY AND TRAINING PRINCIPLES

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FIGURE 6-4 TYPES OF STRETCHES TO AVOID—
AND SAFER ALTERNATIVES

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Q

Low-Back Fitness

  • Poor posture not only gives the appearance of low self-esteem and apathy, but it can also have negative effects on your health

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Why did my mother always nag me to sit up straight? Other than making me look a little better, what difference does it make?

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Structure and Function of the Spine

  • The spinal cord is a long, thin bundle of nerves, fluid, and support cells that extends from the brain down the back
  • The spinal cord is enclosed in the spinal column:
  • Five sections of 33 individual vertebrae
  • Cervical (neck)
  • Thoracic (upper back)
  • Lumbar (lower back)
  • Sacrum
  • Coccyx (tailbone)

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More…

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Structure and Function of the Spine

  • The upper three vertebrae sections differ from
    the bottom two
  • Intervertebral disks: flat, elastic, gel-filled disks that act as shock absorbers
  • Processes: form synovial joints

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Structure and Function of the Spine

  • The spine has several functions
  • Provides structural support for the body
  • Allows the upper body to bend and twist
  • Protects the spinal cord and the roots of nerves
  • Serves as an attachment site for muscles, tendons, and ligaments
  • Supports and distributes much of the body’s weight
  • Absorbs impact and helps maintain balance

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FIGURE 6-5 THE SPINE

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FIGURE 6-6 VERTEBRAE AND INTERVERTEBRAL DISKS

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Q

Understanding Body Mechanics and Good Posture

  • Body mechanics: application of basic mechanical principles to the human body
  • Closely related to body mechanics is posture: the position of body parts in relation to one another

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What does body mechanics mean?

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Understanding Body Mechanics and Good Posture

  • Good posture is essential for optimal body function
  • Good posture means that the body is properly aligned
  • See Lab Activity 6-3

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I think I have pretty good posture.
Is there a way to tell?

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Understanding Body Mechanics and Good Posture

  • Poor posture can lead to headaches and other health problems
  • Poor posture has many causes:
  • Hereditary or congenital
  • Ill-fitting clothes, inappropriate furniture, excessive sitting and standing in place
  • Fatigue, excess weight, weak muscles, emotional issues

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I’ve been told my headaches are probably caused by bad posture. Could this be true?

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Understanding Body Mechanics and Good Posture

  • Think about your posture; awareness is key
  • Improve strength and flexibility in muscles surrounding the spine
  • Static posture: standing or sitting straight
  • Dynamic posture: alignment of the body when in motion
  • Use a stance and movements that are mechanically efficient and least stressful on your body

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How can I improve my posture?

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Prevention and Management of Low-Back Pain

  • Proper low-back function is critical for almost all activities of daily living
  • Pain may come from strains, spasms, soreness, or compression of nerves
  • Acute pain and chronic pain
  • Degeneration of intervertebral disks is a normal part of aging, and a contributor to back problems
  • Sciatica

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What causes back pain?

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Prevention and Management of Low-Back Pain

  • Many important risk factors for back pain are controllable
  • Poor physical fitness
  • Poor posture
  • Overweight, especially around the middle
  • A job that involves heavy lifting, twisting, or bending
  • Smoking—past or current
  • Stress and fatigue

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Prevention and Management of Low-Back Pain

  • Examine the list of risk factors and develop a plan
  • Be physically active
  • Build strength and flexibility in the back and core muscles
  • Maintain a healthy diet
  • Consume adequate calcium and vitamin D to keep bones strong, etc.
  • Don’t smoke
  • Manage stress effectively
  • Practice good posture and body mechanics

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What helps prevent back pain? Are there special exercises?

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FIGURE 6-7 RECOMMENDED SITTING POSTURE
AND COMPUTER PLACEMENT FOR DESKTOP AND LONG-TERM LAPTOP USE

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Management of Back Pain

  • Rest for a few days
  • Take a safe dose of acetaminophen or a nonsteroidal anti-inflammatory drug such as ibuprofen
  • Use hot or cold packs
  • Gradually get back to usual activities
  • See your physician if pain is severe or accompanied by other symptoms

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If you have back problems, what can you do to help them improve?

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