1.
(e.g., jogging in place) can be an appropriate warm- should be avoided when a joint or a muscle is in-
up. Warming up should always precede stretching flamed, infected, or injured or when a sharp pain is
because stretching cold muscles can result in an in- felt in a joint or muscle.
jury to the affected musculature.
MORE THAN ONE ALTERNATIVE. Four basic types of
MIXED RESULTS. Studies that have attempted to stretching techniques existVballistic, dynamic, static,
identify the benefits of stretching have produced and proprioceptive neuromuscular facilitation (PNF).
7.
inconclusive results. Some investigations have found Of the four options, ballistic stretching is not recom-
that stretching can be quite helpful, whereas others mended because of the safety issues attendant to the
2.
have determined that minimal, if any, benefits oc- bouncing involved. Dynamic stretching commonly is
cur. Anecdotally, however, advocates of stretching used as a supplemental part of an individuals warm-
8.
dinate level of flexibility actually may be susceptible
ON TARGET. When individuals stretch, they should to a greater risk of injury particularly if the excessive
focus on the major muscles and joints in their body flexibility compromises joint integrity. On the other
4.
be performed slowly and smoothly. Stretching ex-
ercises done in a bouncing manner can be counter-
productive. Not only can undue stress be placed on
the joint(s), small tears in the muscle(s) also can occur.
Furthermore, because these tears can leave scar tissue
as the muscle heals, which will tighten the muscle
9. inevitable, occurrence, which is often accompanied
by a decline in functional ability, posture, and coordi-
nation and an increase in injury risk. Truth be known,
however, the loss of flexibility in older adults is more
the result of disuse of the bodys musculature rather
than the inescapable by-product of advancing years.
even further, the net result can be that the exerciser
will wind up less flexible and more prone to pain. THE GOLD STANDARD. With regard to an appropriate
exercise prescription for stretching, the most author-
ABSTAIN FROM PAIN. Although exercising should not itative organization in the world in such matters,
10.
be painful, stretching may cause some individuals American College of Sports Medicine (ACSM), rec-
5.
to experience a degree of muscle soreness for a ommends engaging in flexibility training 2 to 3 days
few days. Pain, on the other hand, is a signal that per week, holding each stretch for 10 to 30 seconds to
a person has stretched too far. The underlying ex- mild discomfort and performing three to four repe-
pectation while stretching should be to feel ten- titions per stretch. For PNF stretches, ACSM suggests
sion, rather than pain, in the involved muscles and that each repetition involves a 6-second contraction,
connective tissues. followed by a 10- to 30-second assisted stretch.
James A. Peterson, Ph.D., FACSM, is a freelance writer and consultant in sports medicine. From 1990 until 1995,
Dr. Peterson was director of sports medicine with StairMaster. Until that time, he was professor of physical
education at the United States Military Academy.
C 2012 by the American College of Sports Medicine. Reprint permission is granted to subscribers of ACSMs Health & Fitness Journal A. CALL 800-486-5643 TO SUBSCRIBE OR JOIN
Copyright 2012 American College of Sports Medicine. Unauthorized reproduction of this article is prohibited.