NASM Chapter 7 Flashcards
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NASM Chapter 7 Flashcards

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Questions and Answers

How do you perform the Multiplayer Lunge with Reach dynamic stretch?

  1. Stand in proper alignment with hands on hips and feet straight ahead. 2. Draw navel inward. 3. Step forward and descend into a lunge position while reaching forward. 4. Use hip and thigh muscles to push up and back to the start position. 5. Perform 10 reps. 6. Repeat on opposite leg. 7. Progress to side lunges with reach, then turning lunges with reach.

How do you perform the Single-Leg Squat Touchdown dynamic stretch?

  1. Stand on one leg in optimal posture. 2. Draw navel inward. 3. Squat by bending the ankle, knee, and hip while reaching the opposite hand near the standing leg toe. 4. Return to starting position. 5. Perform 10 reps. 6. Repeat on opposite side.

How do you perform the dynamic stretch Tube Walking: Side-to-Side?

  1. Stand with feet hip-width apart, knees slightly bent. 2. Place tubing around lower leg. 3. Draw navel inward. 4. Take 10 small steps sideways without allowing knees to cave inward. 5. Repeat in the opposite direction.

How do you perform the dynamic stretch Medicine Ball Lift and Chop?

<ol> <li>Stand with feet hip-width apart, knees slightly bent. 2. Grasp a medicine ball with both hands and keep elbows extended. 3. Draw belly button inward. 4. Initiate rotational movement lifting the medicine ball from low to high. 5. Allow the hips to pivot on the back foot. 6. Perform 10 reps. 7. Repeat on opposite side.</li> </ol> Signup and view all the answers

Why is the inverted hurdler's stretch controversial?

<p>It is believed to place high stress on the inside of the knee and may cause pain and stress on the kneecap.</p> Signup and view all the answers

Why is the Plow a controversial stretch?

<p>The head is lower than the hips, placing high stress on the neck and spine.</p> Signup and view all the answers

Why is the shoulder stand a controversial stretch?

<p>It is inverted, like the Plow, and places high stress on the neck, shoulders, and spine.</p> Signup and view all the answers

Why is the straight-leg toe touch a controversial stretch?

<p>It may place the vertebrae and cartilage discs in the low back under high stress.</p> Signup and view all the answers

What is controversial about the arching quadricep stretch?

<p>It places very high stress on the kneecap and other tissues on the front of the knee joint.</p> Signup and view all the answers

What are probably overactive muscles when your feet turn out?

<p>Soleus, Lateral Gastrocnemius, Biceps femoris (short head).</p> Signup and view all the answers

What are probable underactive muscles when your feet turn out?

<p>Medial gastrocnemius, Medial hamstring complex, Gracilis, Sartorius, Popliteus.</p> Signup and view all the answers

What are two sample SMR techniques to use when your feet turn out?

<p>Gastroc/soleus, Biceps femoris (short head).</p> Signup and view all the answers

What are two sample static stretches to use when your feet turn out?

<p>Gastroc stretch, Supine biceps femoris stretch.</p> Signup and view all the answers

What is a sample strengthening exercise to use when your feet turn out?

<p>Single-leg balance reach.</p> Signup and view all the answers

What are probable overactive muscles when your knees move inward?

<p>Adductor complex, Biceps femoris (short head), TFL, Vastus lateralis.</p> Signup and view all the answers

What are probable underactive muscles when your knees move inward?

<p>Gluteus medius/maximus, Vastus mediales oblique (VMO).</p> Signup and view all the answers

What are two SMR techniques to use when knees move inward?

<p>Adductors, TFL/IT band.</p> Signup and view all the answers

What are two static stretches to do when your knees move inward?

<p>Supine biceps femoris stretch, Standing TFL stretch.</p> Signup and view all the answers

What is a good strength exercise to do when your knees move inward?

<p>Tube walking side to side.</p> Signup and view all the answers

If you have excessive forward lean, what muscles are probably overactive?

<p>Soleus, Gastrocnemius, Hip flexor complex (TFL, rectus femoris, psoas), Abdominal complex (rectus abdominis, external oblique).</p> Signup and view all the answers

If you have excessive forward lean, what muscles are probably under active?

<p>Anterior Tibialis, Gluteus maximus, Erector Spinae.</p> Signup and view all the answers

If you have excessive forward lean, what are two SMR techniques you should use?

<p>Gastroc/soleus, Quadriceps.</p> Signup and view all the answers

If you have excessive forward lean, what are two static stretches you should use?

<p>Gastroc stretch, Kneeling hip flexor stretch.</p> Signup and view all the answers

If you have excessive forward lean, what strengthening exercise should you use?

<p>Quadruped arm/opposite leg raise, Ball wall squats.</p> Signup and view all the answers

If your low back arches, what muscles are probably overactive?

<p>Hip flexor complex, Erector spinae, Latissimus dorsi.</p> Signup and view all the answers

If your low back arches, what muscles are probably under active?

<p>Gluteus maximus, Hamstring complex, Intrinsic core stabilizers.</p> Signup and view all the answers

If your low back arches, what two SMR techniques should you use?

<p>Quadriceps, Latissimus dorsi.</p> Signup and view all the answers

If your low back arches, what two static stretches should you use?

<p>Kneeling hip flexor stretch, Latissimus dorsi ball stretch.</p> Signup and view all the answers

If your low back arches, what strengthening exercise should you use?

<p>Quadruped arm/opposite leg raise, Ball wall squats.</p> Signup and view all the answers

If your arms fall forward, what muscles are probably overactive?

<p>Latissimus dorsi, Teres major, Pectoralis major/minor.</p> Signup and view all the answers

If your arms fall forward, what muscles are probably under active?

<p>Mid/lower traps, Rhomboids, Rotator cuff.</p> Signup and view all the answers

If your arms fall forward, what two SMR techniques should you use?

<p>Thoracic spine, Latissimus dorsi.</p> Signup and view all the answers

If your arms fall forward, what two static stretches should you use?

<p>Latissimus dorsi ball stretch, Pectoral wall stretch.</p> Signup and view all the answers

If your arms fall forward, what strengthening exercise should you use?

<p>Squat to row.</p> Signup and view all the answers

If your shoulders elevate during the assessments, what muscles are probably overactive?

<p>Upper traps, Sternocleidomastoid, Levator scapulae.</p> Signup and view all the answers

If your shoulders elevate during the assessments, what muscles are probably under active?

<p>Mid/lower traps.</p> Signup and view all the answers

If your shoulders elevate during the assessments, what SMR technique should you use?

<p>Upper trapezius (thera cane).</p> Signup and view all the answers

If your shoulders elevate during the assessments, what static stretches should you do?

<p>Static stretch upper trapezius/scalene stretch.</p> Signup and view all the answers

If your shoulders elevate during the assessments, what strengthening exercise should you do?

<p>Ball cobra.</p> Signup and view all the answers

If your head protrudes forward during the assessments, what muscles are probably overactive?

<p>Upper trapezius, Sternocleidomastoid, Levator scapulae.</p> Signup and view all the answers

If your head protrudes forward during the assessments, what muscles are probably under active?

<p>Deep cervical flexors.</p> Signup and view all the answers

If your head protrudes forward during the assessments, what SMR technique should you use?

<p>Upper trapezius (thera cane).</p> Signup and view all the answers

Define flexibility.

<p>The normal extensibility of all soft tissues that allows the full range of motion of a joint.</p> Signup and view all the answers

Define extensibility.

<p>Capability to be elongated or stretched.</p> Signup and view all the answers

Define dynamic range of motion.

<p>The combination of flexibility and the nervous system's ability to control this range of motion efficiently.</p> Signup and view all the answers

Define neuromuscular efficiency.

<p>The ability of the neuromuscular system to allow agonists, antagonists, and stabilizers to work synergistically to produce, reduce, and dynamically stabilize the entire kinetic chain in all three planes of motion.</p> Signup and view all the answers

Define postural distortion patterns.

<p>Predictable patterns of muscle imbalances.</p> Signup and view all the answers

Define relative flexibility.

<p>The tendency of the body to seek the path of least resistance during functional movement patterns.</p> Signup and view all the answers

Define muscle imbalance.

<p>Alteration of muscle length surrounding a joint.</p> Signup and view all the answers

Define reciprocal inhibition.

<p>The simultaneous contraction of one muscle and the relaxation of its antagonist to allow movement to take place.</p> Signup and view all the answers

Define altered reciprocal inhibition.

<p>The concept of muscle inhibition, caused by a tight agonist, which inhibits its functional antagonist.</p> Signup and view all the answers

Define synergistic dominance.

<p>The neuromuscular phenomenon that occurs when inappropriate muscles take over the function of a weak or inhibited prime mover.</p> Signup and view all the answers

Define arthrokinematics.

<p>The motions of joints in the body.</p> Signup and view all the answers

Define arthrokinetic dysfunction.

<p>Altered forces at the joint that result in abnormal muscular activity and impaired neuromuscular communication at the joint.</p> Signup and view all the answers

Define autogenic inhibition.

<p>The process by which neural impulses that sense tension are greater than the impulses that cause muscles to contract, providing an inhibitory effect to the muscle spindles.</p> Signup and view all the answers

Define pattern overload.

<p>Consistently repeating the same pattern of motion, which may place abnormal stresses on the body.</p> Signup and view all the answers

Define static stretching.

<p>The process of passively taking a muscle to the point of tension and holding the stretch for a minimum of 30 seconds.</p> Signup and view all the answers

Define dynamic stretching.

<p>The active extension of a muscle, using force production and momentum, to move the joint through the full available range of motion.</p> Signup and view all the answers

What are the two mechanoreceptors located in muscle that help with neuromuscular efficiency?

<p>Muscle spindles and Golgi tendon organs.</p> Signup and view all the answers

When the GTO senses ______ it causes ______.

<p>tension, relaxation.</p> Signup and view all the answers

When the muscle spindle senses ______ it causes ______.

<p>stretch, contraction.</p> Signup and view all the answers

Why do knots form in soft tissue?

<p>Any trauma to the tissue of the body creates inflammation, activating pain receptors and initiating a protective mechanism that increases muscle tension or causes muscle spasm.</p> Signup and view all the answers

Define Davis's law.

<p>States that soft tissue models along the lines of stress.</p> Signup and view all the answers

Adhesions (contraction knots) form due to an inability to what?

<p>For the muscle to stretch.</p> Signup and view all the answers

What are the 3 phases of flexibility training within the OPT model?

<ol> <li>Corrective Flexibility 2. Active Flexibility 3. Functional Flexibility.</li> </ol> Signup and view all the answers

What should you do for corrective flexibility?

<ol> <li>Self-Myofascial Release 2. Static Stretching.</li> </ol> Signup and view all the answers

What should you do for active flexibility?

<ol> <li>Self-Myofascial Release 2. Active-isolated stretching.</li> </ol> Signup and view all the answers

What should you do for functional flexibility?

<ol> <li>Self-Myofascial Release 2. Dynamic Stretching.</li> </ol> Signup and view all the answers

Flexibility techniques should only be performed on what tissues?

<p>Tissues that have been identified as overactive during the assessment process.</p> Signup and view all the answers

Self-myofascial release is a stretching technique that focuses on what two systems in the body?

<p>The neural system and the fascial system.</p> Signup and view all the answers

When using SMR, you should find a tender spot and sustain pressure on that spot for a minimum of how long?

<p>30 seconds.</p> Signup and view all the answers

Why should you use SMR before stretching?

<p>Breaking up fascial adhesions may potentially improve the tissue's ability to lengthen through stretching techniques.</p> Signup and view all the answers

How would you use SMR for the Gastrocnemius and Soleus?

<ol> <li>Place foam roll under mid-calf 2. Cross left leg over the right leg to increase pressure (optional) 3. Slowly roll calf area to find the most tender spot 4. Once identified, hold tender spot until the discomfort is reduced (minimum 30 seconds).</li> </ol> Signup and view all the answers

How would you use SMR for your TFL/IT Band?

<ol> <li>Lie on one side, the foam roll just in front of the hip. Cross the top leg over the lower leg, with foot touching the floor 2. Slowly roll from hip joint to lateral knee to find the most tender spot 3. Once identified, hold tender spot until the discomfort is reduced (minimum 30 seconds).</li> </ol> Signup and view all the answers

How would you use SMR for your adductors?

<ol> <li>Lie prone with one thigh flexed and abducted and the foam roll in the groin region, inside the upper thigh 2. Slowly roll the inner thigh area to find the most tender spot 3. Once identified, hold tender spot until the discomfort is reduced (min 30 seconds).</li> </ol> Signup and view all the answers

How would you use SMR for the piriformis?

<ol> <li>Sit on top of the foam roll, positioned on the back of the hip. Cross one foot to the opposite knee 2. Lean into the hip of the crossed leg. Slowly roll on the posterior hip area to find the most tender spot 3. Once identified, hold tender spot until the discomfort is reduced.</li> </ol> Signup and view all the answers

How would you use SMR for the Latissimus Dorsi?

<ol> <li>Lie on the floor on one side with the arm closest to the floor outstretched and thumb facing upward 2. Place the foam roll under the arm (axillary region) 3. Slowly move back and forth to find the most tender spot 4. Once identified, hold tender spot until the discomfort is reduced.</li> </ol> Signup and view all the answers

What are the mechanisms of action of a static stretch?

<p>Autogenic inhibition or reciprocal inhibition (depending on how the stretch is performed).</p> Signup and view all the answers

What are the acute variables of a static stretch?

<p>1-3 sets, hold each stretch for 30 seconds.</p> Signup and view all the answers

How do you perform the static gastrocnemius stretch?

<ol> <li>Stand facing a wall or stable object 2. Extend one leg back, keeping the knee and foot straight and the back heel on the floor 3. Draw navel inward 4. Keep rear foot flat, pointed straight ahead. Do not allow the rear foot to flatten 5. Bend arms and lean forward toward the wall. Keep the gluteal muscles and quadriceps tight and the heel on the ground 6. Hold for 30 seconds.</li> </ol> Signup and view all the answers

How do you perform the Static Standing TFL Stretch?

<ol> <li>Stand in a staggered stance with the front leg slightly bent and rear leg straight 2. Externally rotate back leg 3. Draw navel inward 4. Squeeze gluteal muscles while rotating pelvis posteriorly 5. Slowly move body forward until a mild tension is achieved in the front of the hip being stretched 6. As a progression, raise the arm (on the same side as the back leg) up and over to the opposite side while maintaining pelvis position 7. Hold side bend position and slowly rotate posteriorly as illustrated 8. Hold for 30 seconds 9. Switch sides and repeat.</li> </ol> Signup and view all the answers

How do you perform the Static Kneeling Hip Flexor Stretch?

<ol> <li>Kneel with front and back legs bent at a 90-degree angle 2. Internally rotate back hip to target the psoas musculature or maintain a neutral position to target the rectus femuris 3. Draw navel inward 4. Squeeze gluteal muscles on the side being stretched while rotating pelvis posteriorly 5. Slowly move body forward until a mild tension is achieved in the front of the hip being stretched 6. As a progression, raise arm, side bend to opposite side, and rotate posteriorly as illustrated 7. Hold for 30 seconds.</li> </ol> Signup and view all the answers

How do you perform the Static Standing Adductor Stretch?

<ol> <li>Stand in a straddled stance with the feet beyond shoulder-width apart. Extend one leg back until the toe of the back leg is in line with the heel of the other foot. Both feet should be pointed straight ahead 2. Draw navel inward and posteriorly rotate the pelvis 3. Slowly move in a sideways motion (side lunge) until a stretch in the straight leg's groin area is felt 4. Hold for 30 seconds.</li> </ol> Signup and view all the answers

How do you perform the Static Latissimus Dorsi Ball Stretch?

<ol> <li>Kneel in front of a stability ball 2. Place one arm on the ball, with thumb pointed straight up in the air 3. Draw navel upward 4. Posteriorly rotate the pelvis 5. Slowly reach the arm straight out by rolling the ball forward 6. Hold for 30 seconds.</li> </ol> Signup and view all the answers

How do you perform the Static Pectoral Stretch?

<ol> <li>Stand against an object and form a 90-90 degree angle with your arm 2. Draw your navel inward 3. Slowly lean forward until a slight stretch is felt in the anterior shoulder and chest region 4. Hold the stretch for 30 seconds.</li> </ol> Signup and view all the answers

How do you perform the Static Upper Trapezius/Scalene Stretch?

<ol> <li>Stand in optimal posture 2. Draw navel inward 3. Retract and depress the scapula on the side being stretched 4. Tuck chin and slowly laterally flex the head, pulling one ear toward the same side shoulder 5. Hold the stretch for 30 seconds 6. Switch sides and repeat.</li> </ol> Signup and view all the answers

What is the mechanism of action for the active-isolated stretch?

<p>Reciprocal inhibition.</p> Signup and view all the answers

What are the acute variables for the Active-Isolated Stretch?

<p>1-2 sets, hold each stretch for 1-2 seconds for 5-10 repetitions.</p> Signup and view all the answers

How do you perform the Active Gastrocnemius Stretch with Pronation and Supination?

<ol> <li>Stand near a wall or sturdy object 2. Bring one leg forward for support. Use upper body and lean against the object 3. Draw navel inward 4. Keep rear foot on the ground, with opposite hip flexed 5. Slowly move through hips, creating controlled supination and pronation through the lower extremity 6. Hold for 1-2 seconds and repeat for 5-10 reps.</li> </ol> Signup and view all the answers

How do you perform the Active Supine Biceps Femoris Stretch?

<ol> <li>Lie supine on floor with legs flat 2. Flex, adduct, and slightly internally rotate the hip of the side being stretched while keeping the knee flexed 3. Place the opposite hand behind the knee of the leg being stretched 4. Draw navel inward 5. With hand supporting the leg, extend the knee 6. Hold for 1-2 seconds and repeat for 5-10 reps.</li> </ol> Signup and view all the answers

How do you perform the Active Standing TFL Stretch?

<ol> <li>Stand in a staggered stance with the front leg slightly bent and rear leg straight 2. Externally rotate back leg 3. Draw navel inward and raise arm overhead 4. Squeeze gluteal muscles while rotating pelvis posteriorly 5. Stride forward, in a controlled manner, until a mild tension is achieved in the front of the hip being stretched 6. Side bend and rotate posteriorly as illustrated 7. Hold for 1-2 seconds and repeat for 5-10 reps.</li> </ol> Signup and view all the answers

How do you perform the Active Kneeling Hip Flexor Stretch?

<ol> <li>Kneel with front and back legs bent at a 90-degree angle 2. Internally rotate back hip to target the psoas musculature or maintain a neutral position to target the rectus femoris 3. Draw navel inward and raise arm overhead 4. Squeeze gluteal muscles on the side being stretched while rotating pelvis posteriorly 5. Slowly move body forward until a mild tension is achieved in the front of the hip being stretched 6. Side bend and rotate posteriorly 7. Hold for 1-2 seconds and repeat for 5-10 reps.</li> </ol> Signup and view all the answers

How do you perform the Active Standing Adductor Stretch?

<ol> <li>Stand in a straddled stance with the feet more than shoulders-width apart. Extend one leg back until the toe of the back leg is in line with the heel of the other foot. Both feet should be pointed straight ahead 2. Draw navel inward and posteriorly rotate the pelvis 3. Slowly move in a sideways motion (side lunge) until a stretch in the straight leg's groin area is felt 4. Hold for 1-2 seconds and repeat for 5-10 reps.</li> </ol> Signup and view all the answers

How do you perform the Active Latissimus Dorsi Ball Stretch?

<ol> <li>Kneel in front of a stability ball 2. Place one arm on the ball with thumb straight up in the air 3. Draw navel upward 4. Maintaining core control, roll ball out until a comfortable stretch is felt 5. Hold stretch for 1-2 seconds and repeat for 5-10 reps.</li> </ol> Signup and view all the answers

How do you perform the Active Pectoral Stretch?

<ol> <li>Stand against an object and form a 90-90-degree angle with the arm as depicted 2. Draw navel inward 3. Slowly lean forward until a slight stretch is felt in the anterior shoulder and chest region 4. Hold stretch for 1-2 seconds and repeat for 5-10 reps.</li> </ol> Signup and view all the answers

How do you perform the Active Upper Trapezius/Scalene Stretch?

<ol> <li>Stand with optimal posture 2. Draw navel inward 3. Tuck chin and slowly laterally flex the head, pulling one ear toward the same-side shoulder while retracting and depressing the same-side shoulder complex 4. Hold stretch for 1-2 seconds and repeat for 5-10 reps.</li> </ol> Signup and view all the answers

What is the mechanism of action for the dynamic stretch?

<p>Reciprocal inhibition.</p> Signup and view all the answers

What are the acute variables of the dynamic stretch?

<p>1-2 sets, 10-15 repetitions, 3-10 exercises.</p> Signup and view all the answers

How do you perform the prisoner squat for dynamic stretching?

<ol> <li>Stand in proper alignment, with the hands behind the head 2. Draw navel inward 3. Lower to a squat position, under control and without compensation 4. Extend hips, knees, and ankles and repeat.</li> </ol> Signup and view all the answers

Study Notes

  • Flexibility: Normal extensibility of soft tissues for full joint motion.
  • Extensibility: Ability to be elongated or stretched.
  • Dynamic Range of Motion: Combination of flexibility and efficient nervous system control throughout a joint's full range.
  • Neuromuscular Efficiency: System's capacity for agonists, antagonists, and stabilizers to work together across all movement planes.
  • Postural Distortion Patterns: Predictable muscle imbalance patterns affecting posture and movement.
  • Relative Flexibility: Body's tendency to follow the path of least resistance during movement.

Muscle Function and Interaction

  • Muscle Imbalance: Alteration in muscle length around a joint affecting movement.
  • Reciprocal Inhibition: Simultaneous contraction of one muscle and relaxation of its antagonist to facilitate movement.
  • Altered Reciprocal Inhibition: Inhibition of functional antagonists due to tight agonists.
  • Synergistic Dominance: When inappropriate muscles substitute for weak or inhibited prime movers.

Joint Motion and Dysfunction

  • Arthrokinematics: Motion of joints in the body.
  • Arthrokinetic Dysfunction: Abnormal joint forces leading to impaired muscular activity and communication.

Stretching Techniques

  • Static Stretching: Holding a stretch at the point of tension for at least 30 seconds.
  • Dynamic Stretching: Active extension using force and momentum to move joints through their full range.

Mechanisms and Effects of Stretching

  • Static Stretch Mechanism: Involves autogenic or reciprocal inhibition based on stretch type.
  • Active-Isolated Stretch Mechanism: Utilizes reciprocal inhibition for muscle elongation.
  • Dynamic Stretch Mechanism: Also relies on reciprocal inhibition to facilitate movement.

Self-Myofascial Release (SMR)

  • Purpose: Releases tension in overactive muscles, enhancing overall flexibility.
  • Technique: Sustain pressure on tender spots for at least 30 seconds to relieve adhesions.

Flexibility Training Phases (OPT Model)

  • Corrective Flexibility: Uses self-myofascial release and static stretching to address imbalances.
  • Active Flexibility: Incorporates self-myofascial release and active-isolated stretching.
  • Functional Flexibility: Involves self-myofascial release combined with dynamic stretching.

Flexibility Assessment and Application

  • Perform flexibility techniques on tissues identified as overactive in assessments.
  • Address muscle tension and spasm caused by trauma through SMR to prevent knots.

Practical Stretching Procedures

  • Follow specific actions for the gastrocnemius, TFL/IT band, adductors, latissimus dorsi, and pectorals to ensure effective muscle elongation.
  • Maintain core engagement and optimal posture during stretches to maximize benefits.

Acute Variables for Stretching

  • Static Stretching: 1-3 sets, holding stretches for 30 seconds.
  • Active-Isolated Stretching: 1-2 sets, 1-2 seconds hold for 5-10 repetitions.
  • Dynamic Stretching: 1-2 sets, 10-15 repetitions covering various movement patterns.

Specialized Stretches

  • Gastrocnemius Stretch: Keep the rear heel down while extending the back leg.
  • Standing TFL Stretch: Requires gluteal contraction while achieving a mild stretch in the hip.
  • Latissimus Dorsi Stretch: Focuses on maintaining controlled movement and core stability.

Key Points for Dynamic Stretching

  • Emphasize full body alignment and controlled movements during exercises like prisoner squats and lunges.
  • Incorporate variations targeting major muscles while ensuring safety and proper technique.### Medicine Ball Rotational Movement
  • Stand with feet hip-width apart, knees slightly bent, and feet straight ahead.
  • Grasp a medicine ball with both hands, keeping elbows fully extended.
  • Engage core by drawing the belly button inward.
  • Initiate trunk rotation, lifting the ball from a low to high position.
  • Allow hips to pivot on the back foot as the motion completes.
  • Perform 10 repetitions and repeat on the opposite side.
  • The exercise enhances arthrokinematics in the lumbo-pelvic-hip complex.

Controversial Stretches

  • Inverted Hurdler's Stretch: High stress on the inside of the knee, risking pain and kneecap stress.
  • Plow Stretch: Head is lower than hips, causing stress on the neck and spine.
  • Shoulder Stand: Similar to the Plow, places stress on the neck, shoulders, and spine.
  • Straight-Leg Toe Touch: Can stress vertebrae and discs in the lower back; may lead to knee hyperextension.
  • Arching Quadriceps Stretch: Puts significant stress on the kneecap and front knee tissues.

Muscle Activation Patterns

  • Feet Turn Out:

    • Overactive: Soleus, Lateral Gastrocnemius, Biceps Femoris (short head).
    • Underactive: Medial Gastrocnemius, Medial Hamstring Complex, Gracilis, Sartorius, Popliteus.
    • SMR Techniques: Gastroc/Soleus, Biceps Femoris.
    • Static Stretches: Gastroc Stretch, Supine Biceps Femoris Stretch.
    • Strengthening Exercise: Single-Leg Balance Reach.
  • Knees Move Inward:

    • Overactive: Adductor Complex, Biceps Femoris (short head), TFL, Vastus Lateralis.
    • Underactive: Gluteus Medius/Maximus, Vastus Medialis Oblique (VMO).
    • SMR Techniques: Adductors, TFL/IT Band.
    • Static Stretches: Supine Biceps Femoris Stretch, Standing TFL Stretch.
    • Strengthening Exercise: Tube Walking Side to Side.
  • Excessive Forward Lean:

    • Overactive: Soleus, Gastrocnemius, Hip Flexor Complex (TFL, Rectus Femoris, Psoas), Abdominal Complex.
    • Underactive: Anterior Tibialis, Gluteus Maximus, Erector Spinae.
    • SMR Techniques: Gastroc/Soleus, Quadriceps.
    • Static Stretches: Gastroc Stretch, Kneeling Hip Flexor Stretch.
    • Strengthening Exercises: Quadruped Arm/Opposite Leg Raise, Ball Wall Squats.
  • Low Back Arches:

    • Overactive: Hip Flexor Complex, Erector Spinae, Latissimus Dorsi.
    • Underactive: Gluteus Maximus, Hamstring Complex, Intrinsic Core Stabilizers.
    • SMR Techniques: Quadriceps, Latissimus Dorsi.
    • Static Stretches: Kneeling Hip Flexor Stretch, Latissimus Dorsi Ball Stretch.
    • Strengthening Exercises: Quadruped Arm/Opposite Leg Raise, Ball Wall Squats.
  • Arms Fall Forward:

    • Overactive: Latissimus Dorsi, Teres Major, Pectoralis Major/Minor.
    • Underactive: Mid/Lower Traps, Rhomboids, Rotator Cuff.
    • SMR Techniques: Thoracic Spine, Latissimus Dorsi.
    • Static Stretches: Latissimus Dorsi Ball Stretch, Pectoral Wall Stretch.
    • Strengthening Exercise: Squat to Row.
  • Shoulders Elevate During Pushing/Pulling:

    • Overactive: Upper Traps, Sternocleidomastoid, Levator Scapulae.
    • Underactive: Mid/Lower Traps.
    • SMR Technique: Upper Trapezius (Thera Cane).
    • Static Stretches: Upper Trapezius/Scalene Stretch.
    • Strengthening Exercise: Ball Cobra.
  • Head Protrudes Forward During Pushing/Pulling:

    • Overactive: Upper Trapezius, Sternocleidomastoid, Levator Scapulae.
    • Underactive: Deep Cervical Flexors.
    • SMR Technique: Upper Trapezius (Thera Cane).

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