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Flexibility: What the Research is Finding, and Missing ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Let’s see! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
No stretching!!Releasing hamstrings. (Egsocue/Carey) Foam roll for posture. ,[object Object]
Hip Flexors – (Gray/Wolf/Parracino) ,[object Object]
Overhead squat (Cook, Carey et. al.)
[object Object]
Rotation lunges with opposite transverse reaches (Gray/Wolf/Parracino) ,[object Object]
What is optimal range of motion?
Range of motion is life ,[object Object]
[object Object],[object Object],[object Object]
Going through these ROMs without ground force.
What functional ROM’s here?
You never know when you need the extra ROM. (Active or Passive)
Even regular guys work extreme ROMs
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
AAAAAAAAAGH!!! ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Research on research ,[object Object],[object Object],[object Object],[object Object],[object Object]
Conflicting Research? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Neuromuscular variable may produce some answers as measuring tools improve. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Posture and alignment variable The effects of pelvic position and stretching technique on hamstring flexibility:  Sullivan, Dejula, Worrell. Krannert Graduate School of Physical Therapy. University of Indianapolis. MSSE. Vol 24, Number 12, 1992 Study specified that anterior pelvic tilt (right) was more effective than posterior tilt (left). But also notice thoracic flexion vs. extension as well.
Multidimensional variable A Comparison of 2 Rehabiliation Programs in the Treatment of Acute Hamstring Strains .   Sherry and Best. Journal of Orthopaedic Sports Therapy. 2004; 34:116; 116-125. Compared traditional  static stretching, isolated progressive hamstring resistance exercise and icing  (STST) with a program of  progressive agility and trunk stabilization exercises and icing.  (PATS) Results – Return to sports STST – 37.4 days; PATS, 22.2 days Results – Re-injury rate  2 weeks after – STST, 54%; PATS, 0% 1 year after – STST, 70%; PATS, 7.7%
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Answers may be found in mixed modalities
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Strengthen weak muscles schools of “flexibilty” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Posterior and Anterior Linked systems  Superficial large muscle groups (Anatomy Trains)
[object Object]
Frontal and Transverse Plane Systems  (Anatomy Trains) ,[object Object]
More Muscles in motion (Yoga Anatomy)
Foot alignment must be considered in flexibility. (Rolf)
Multi-plane multi movement joints (Boyle/Cook) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Strength, weaknesses and tightness in hip musculature can be critical.  (Rolf) 15  lower  body muscles attach at hip
Even subtle differences in hip orientation. Sciatic nerve is entrapped in both excessive anterior and posterior tilts. (Rothbart)
Entrapment and outlet syndromes tip of the iceberg  (musculosketal atlas)
Can isolated single plane stretches help these muscle groups?  (Musculoskeltal Atlas)
Or these?  (Musculoskeltal Atlas) 17 muscles attach to scapula
Day to day life determines flexibility patterns ,[object Object],[object Object],[object Object],[object Object],[object Object]
Time under tension How long to stretch? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Lower body release, lengthening and alignment. ,[object Object],[object Object],[object Object],[object Object],[object Object]
10 minutes of Myfacial release ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
Preparing to squat ,[object Object]
Hip Flexors – (Gray/Wolf/Parracino) ,[object Object]
Releasing hamstrings with no stretch. (Egsocue/Carey) ,[object Object]
Stimulate hamstring length with movement (Egoscue/Carey) ,[object Object]
Hamstrings –  (Gray/Wolf/Parracino) ,[object Object]
Passive Healthy and aligned hip flexion (Egoscue/Carey)
Passive hip stabilization Unilateral and bilateral.  (Egoscue/Carey)
Promote bilateral symmetry from AB and AD ductors (Egoscue/Carey)
Internal and external rotation in femur and pelvis (Egoscue/Carey/Gray)
Extension, alignment and the true nature of abdominals.  (Gray/Wolf/Parracino/Carey)
Lateral lunges with overhead opposite reach (Gray/Wolf/Parracino ,[object Object]
Rotation lunges with opposite transverse reaches (Gray/Wolf/Parracino) ,[object Object]
Thoracic Spine position –  (Resistance Training Systems)
The only point of attachment for the arms  (Rolf)
Elevated or upright posture opens up chest cavity. The heart and aorta have ample room to deliver blood and oxygen to the body. The lungs can expand to full capacity.   An extreme example of  how a slouched posture can compress heart, lungs, aorta and interfere with proper cardiovascular activity.    Another extreme example but compression can also occur in the lower organs like stomach, liver, spleen, uterus   Proper Thoracic extension goes beyond arthrokinetic issues and into cardiovascular efficiency
Lymphatic system and hip flexors ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
Thoracic activation linked to lower body Plus wall clocks and leans (Egoscue/Carey)
[object Object],[object Object]
[object Object]
TYLs -Strengthen ,[object Object],[object Object]
[object Object]
[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Asca flexibility dimensions

  • 1.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6. Overhead squat (Cook, Carey et. al.)
  • 7.
  • 8.
  • 9. What is optimal range of motion?
  • 10.
  • 11.
  • 12. Going through these ROMs without ground force.
  • 14. You never know when you need the extra ROM. (Active or Passive)
  • 15. Even regular guys work extreme ROMs
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23. Posture and alignment variable The effects of pelvic position and stretching technique on hamstring flexibility: Sullivan, Dejula, Worrell. Krannert Graduate School of Physical Therapy. University of Indianapolis. MSSE. Vol 24, Number 12, 1992 Study specified that anterior pelvic tilt (right) was more effective than posterior tilt (left). But also notice thoracic flexion vs. extension as well.
  • 24. Multidimensional variable A Comparison of 2 Rehabiliation Programs in the Treatment of Acute Hamstring Strains . Sherry and Best. Journal of Orthopaedic Sports Therapy. 2004; 34:116; 116-125. Compared traditional static stretching, isolated progressive hamstring resistance exercise and icing (STST) with a program of progressive agility and trunk stabilization exercises and icing. (PATS) Results – Return to sports STST – 37.4 days; PATS, 22.2 days Results – Re-injury rate 2 weeks after – STST, 54%; PATS, 0% 1 year after – STST, 70%; PATS, 7.7%
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32. Posterior and Anterior Linked systems Superficial large muscle groups (Anatomy Trains)
  • 33.
  • 34.
  • 35. More Muscles in motion (Yoga Anatomy)
  • 36. Foot alignment must be considered in flexibility. (Rolf)
  • 37.
  • 38. Strength, weaknesses and tightness in hip musculature can be critical. (Rolf) 15 lower body muscles attach at hip
  • 39. Even subtle differences in hip orientation. Sciatic nerve is entrapped in both excessive anterior and posterior tilts. (Rothbart)
  • 40. Entrapment and outlet syndromes tip of the iceberg (musculosketal atlas)
  • 41. Can isolated single plane stretches help these muscle groups? (Musculoskeltal Atlas)
  • 42. Or these? (Musculoskeltal Atlas) 17 muscles attach to scapula
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 48.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53. Passive Healthy and aligned hip flexion (Egoscue/Carey)
  • 54. Passive hip stabilization Unilateral and bilateral. (Egoscue/Carey)
  • 55. Promote bilateral symmetry from AB and AD ductors (Egoscue/Carey)
  • 56. Internal and external rotation in femur and pelvis (Egoscue/Carey/Gray)
  • 57. Extension, alignment and the true nature of abdominals. (Gray/Wolf/Parracino/Carey)
  • 58.
  • 59.
  • 60. Thoracic Spine position – (Resistance Training Systems)
  • 61. The only point of attachment for the arms (Rolf)
  • 62. Elevated or upright posture opens up chest cavity. The heart and aorta have ample room to deliver blood and oxygen to the body. The lungs can expand to full capacity.   An extreme example of how a slouched posture can compress heart, lungs, aorta and interfere with proper cardiovascular activity.   Another extreme example but compression can also occur in the lower organs like stomach, liver, spleen, uterus   Proper Thoracic extension goes beyond arthrokinetic issues and into cardiovascular efficiency
  • 63.
  • 64.
  • 65.
  • 66.
  • 67. Thoracic activation linked to lower body Plus wall clocks and leans (Egoscue/Carey)
  • 68.
  • 69.
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  • 76.