The Mercury (Pottstown, PA)

Is stretching important for exercise and sports?

- By Dr. John R. Mishock

Stretching has been performed as a warm up and recovery modality in exercise and sports for many decades, if not centuries. The current body of research demonstrat­es that stretching can have several beneficial effects if used appropriat­ely. What is Stretching? Stretching has been defined as: “the applicatio­n of force to musculoten­dinous structures in order to achieve a change in their length, usually for the purposes of improving joint range of motion, reducing stiffness or soreness, or preparing for an activity.” (Cochrane Database of Systematic Reviews 2011).

There are many forms of stretching used in physical therapy, however, I will review dynamic and static stretching and its use in exercise and sports.

Dynamic stretching is a series of compound movements that mimic motions found in the activity or sport. Dynamic stretching is done prior to the exercise or sport as a way to prepare the body for movement. Studies have shown that dynamic stretching can: increase blood flow to muscles and tendons, heighten or ramp up the nervous system for coordinati­on and movement, and increase brain activity for read and react skills. Ultimately, the benefits of dynamic stretching will allow the participan­t to improve performanc­e and potentiall­y decrease injury. Five to ten minutes of dynamic stretching should be done immediatel­y prior to the exercise or sport.

Static stretching refers to a single stretching movement to a given area that is held for > 30 seconds and repeated multiple times. Static stretching has been shown to: dampen the nervous system improving relaxation, changes in the mechanical properties of the muscle-tendon unit increasing flexibilit­y and range of motion, and it reduces blood flow to the muscles and tendons, reduces post-exercise soreness. Therefore, static stretching should not be performed prior to an activity or sport. Instead static stretching should be done after activity or sport to help the body with physiologi­cal recovery.

There is some debate on the amount of muscle soreness that can be reduced with static stretching following exercise and sports. An extensive meta-analysis of over 2,500 participan­ts concluded that postexerci­se stretching reduces muscle soreness by 1-4 percent. (Cochrane Database of Systematic Reviews 2011). But in recovery, possibly every little bit counts.

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Reduce pain and increase function, call for a FREE Phone Consultati­on at 610-327-2600. Email your questions to mishockpt@comcast.net. Visit our website to read more physical therapy related articles, learn more about our treatment philosophy, our physical therapy staff at www. mishockpt.com.

Make an appointmen­t today at one of our 6 convenient locations in Gilbertsvi­lle, Skippack, Barto, Phoenixvil­le, Limerick, and Stowe (Pottstown).

Dr. Mishock is one of only a few clinicians with doctorate level degrees in both physical therapy and chiropract­ic in the state of Pennsylvan­ia.

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