Active stretches

Question 1

What the rationale behind active stretching?

Answer 1

Increases active
flexibility. Strengthens
the agonistic muscles

Question 2

Whats the physiological effects of active stretching?

Answer 2

A regular force over a long time period:
Increases the ability to tolerate discomfort
Increase tissue’s ability to tolerate load

Stretching using regular low-level force results in Stronger:
Fibre orientation
Increased thickness
Improved cross-bridging

Question 3

What structures are affected by active stretches?

Answer 3

Soft tissue - muscle, ligaments, tendons

Question 4

What are the parameters for active stretching?

Answer 4

10- 15 secs
2 - 6 reps

5 days per week, for increasing active flexibility

6/52/3-4 times a week for strength

Question 5

Precautions/ contraindications

Answer 5

Bony limit to movement
Recent fracture
Acute inflammation/tissue trauma
Acute pain with movement
Non-compliant patient or unable to give consent
Shortened tissues are compensatory

Question 6

How would you teach a patient a stretch?

Answer 6

1) explain what muscle is being stretched, point out where they should be feeling the stretch
2) demonstrate the stretch & get them to replicate
3) observe their stretch & give technique pointers

Question 7

How would you document this treatment?

Answer 7

Date, Time, Patient name
Explanation of procedure & gaining informed consent
Muscle being stretched
Stretch prescribed
Patient response to stretch
Recommended duration and frequency
Sign