Orthopedic Hospital of Oklahoma

Stretching Exercises

Muscles are composed of many layers of tissue called fascicles, similar to tiny strands of fiber. Surrounding the muscles and in between muscles lies a thin layer of protective tissue called fascia. The soft tissue fibers that connect the muscles to bones are tendons.  Nerves exit the spinal column and travel to the muscle fibers. Here, the electrical signal travels from the nerve to stimulate those fibers to shorten or contract. The more muscle fibers that are stimulated, the stronger the force of the contraction.

If muscles are suddenly stretched during an activity, without warning, muscle fibers, fascia, and ligaments can be twisted and even torn.  Gradually and repeatedly stretching muscles before and after exercise will allow muscles and the surrounding tissues to gently prepare for being stressed during an exercise or activity.

Stretching exercises help prevent sports-related injuries in these ways:

  • Decreasing the amount of blood in the internal organs and routing the circulation to the muscles in the extremities where the oxygen will be needed 
  • Increasing the pulse and respiratory rate gradually, rather than placing excess stress on the heart and lungs 
  • Improving the strength, elasticity, and flexibility of muscles and tendons
  • Loosening a variety of muscle groups
There are a variety of types of stretches:
  • Active- For active stretching, assume and hold a position without anything or anyone holding the limb, such as bending forward at the waist with fingertips extended toward the floor.
  • Passive- In this exercise, the stretch is assisted. An example would be grasping your elbow with the opposite hand and pulling the elbow gently across the body to stretch the shoulder.
  • Hold-Relax-Contract- There are a variety of stretches involving different combinations of stretching a muscle, holding that position, then contracting the muscle, and then relaxing.  This exercise can be repeated in different alternating patterns.
  • Isometric- When doing isometric stretching exercises, muscles are  tightened and contracted.  For example, leaning in toward a wall with hands pushing against the wall.

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There are hundreds of types of stretches available for every muscle and the stretches can be done in almost any position.
Some general guidelines should be followed no matter what stretching exercise is being done:
  • Start out gradually and gently. Slowly increase the intensity and amount of stretch to a muscle.
  • A good rule is to “listen to your body.” If something hurts, pay attention.  It may indicate an injury or problem and needs to be addressed.
  • Do not do quick bouncing or jerking type stretches. They can easily cause twists and tears in the muscles and soft tissue.
  • Pick exercises that fit your needs and do them correctly.  Doing a stretch incorrectly can cause damage.
  • Stretch for several minutes before and after the sports activity.  The warm up period is important in preparing the body for stressful demands to be placed upon it.  The cool down period after activity is just as important to allow the body to return to its normal resting state of function.