You probably have been told that you don’t spend enough time stretching. Whether it was by a coach, a physical therapist, or a doctor; you’ve probably heard that you could have prevented an injury by stretching more. You may have also been told that if you don’t start stretching more, you will get hurt again! Like most people, you probably took the time to go through a full stretching routine before your next couple of workouts but slowly returned to your old habit of not stretching. Well, I am here with some good news: you don’t need to spend more time stretching! This probably comes as a shock to a lot of you, so let’s tackle the myths behind the benefits of stretching one by one, ultimately helping you answer the question, “How much do I need to stretch?”.

 

Stretching Differences: Static vs. Dynamic

First, let’s make sure we establish a few definitions. Static stretching is a passive stretch of tissue through a full range of motion in a relaxed state. This is what we typically think of when someone says “stretching” and includes holding a stretched position for a long period of time (typically around 30 seconds). Examples include: bending forward to touch your toes, stretching your calf off the end of a step, or holding your elbow over your head with the opposite arm. In contrast: dynamic stretching is an active movement that typically takes you through a larger range of motion. This can include examples such as a walking lunge, bodyweight calisthenics, and many yoga positions that require sustained active holds. This article attempts to debunk the myths associated with static stretching without discouraging dynamic stretching which is entirely different. For the rest of this article, I will use the term “stretching” in place of static stretching as described above.

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thoracic spine mobility how much should i stretch prehab guys

When we think of the thoracic spine one word comes to mind; neglect. Thank you for striving to replace that word by completing this program! The thoracic spine is structurally designed to allow mobility to happen. If this area becomes neglected, the lower back and shoulders can become angry neighbors. The solution becomes restoring peace in the neighborhood by owning thoracic mobility. The block party is 8 weeks away and you are hosting the thoracic spine, get ready to impress your neighbors!

 

World’s Greatest Stretch – Dynamic

  • HOW: Follow along with the detailed video tutorial for all movement cues. This is a dynamic stretching routine, meaning you will be moving from different positions rather than just holding one position (which is more of a static stretch). We call this the World’s Greatest Stretch as it allows you to move through different, full body positions, and enhances mobility in many different areas of the body as a result!

 

  • FEEL: During various positions of this stretching routine, you will feel stretching through your hamstrings, mid back, hip flexors, and even portions of your low back such as your quadratus lumborum!

 

  • COMPENSATION: Do not try to “overstretch” with these movements. Allow your body to stay within whatever range feels best for you! As you perform this stretching routine more regularly, you will find that your mobility will improve as a result!

 

Hip 90/90 Internal Rotation Stretch – Dynamic

Begin in a seated position with one leg in front of your knee bent and your lower leg on the ground. The other leg is bent at the side. From here, rotate towards the side leg and slowly return back to the starting position. Repeat for the prescribed amount of reps.

 

Lat Stretch – Dynamic

Sample Overhead Mobility [P]Rehab Program Exercise

Lean against a wall with your back flat and feet out with a slight bend in your knees. Raise both arms up as you rotate your hands out. Try to get your elbows to touch each other. Do this in a slow and controlled motion. You should feel a stretch in your lat muscles.

 

Does Stretching Prevent injuries?

No! A variety of research trying to establish a link between decreased flexibility and increased injury risk has been conducted without any notable success. Many of these studies have focused on the sit-and-reach test which involves measuring how far forward one can reach their hands while sitting on the floor with legs extended. This is considered to be a measure of hamstring and low back flexibility and is recommended by The American College of Sports Medicine (ACSM) as part of a physical fitness testing battery.

Learn How To Stretch Your Hamstrings The Right Way!

A study of 37 Australian professional footballers sought to establish a link between preseason sit-and-reach testing and hamstring injuries and found no correlation between the two. The same study did however find a significant association between preseason hamstring muscle weakness and hamstring strains.

A similar study of 450 amateur soccer players in the Netherlands also found no correlation between the sit and reach test and hamstring injuries. In another study, the authors found that adding the Nordic hamstring exercise significantly reduced players risk of sustaining a hamstring injury.

Taken together, this research allows us to firmly say that taking the time to stretch your hamstrings will not decrease your risk of injury!

READ: HAMSTRING STRAINS: CAUSES, REHAB, AND TREATMENT STRATEGIES

hamstring strains stretching prehab guys

 

Will It help my performance?

No! You may need a certain level of flexibility to partake in some sports. For example, a baseball pitcher can’t throw a ball without the flexibility to reach behind his head and throw a strike and a dancer can’t reach her leg above her head without the requisite hip motion. However, these motions are accomplished through practice and repeatedly performing the movement, not by stretching into that movement. Numerous studies have shown that among participants increased flexibility is not associated with improved performance. These include studies of players in American football, Australian Football, Soccer, and Sprinting. One thing that has been consistently shown to improve performance in these and a variety of other studies is strength training!

LISTEN:  ACUTE: CHRONIC WORKLOAD RATIOS

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Is there any downside to stretching?

Unfortunately, yes! Recent research established that just 10 sessions of hamstring stretches, performed for a typical rep scheme of 3×30 seconds, decreased hamstring strength by an average of 7%! Furthermore, this also decreased functional athletic performance measured by distance on a single leg triple hop test!  Given previous research establishing the links between strength and decreased injury risk, as well as strength and improved performance, the authors concluded that static stretching is likely to increase injury risk and decrease performance. It is crucial to note here that these negative effects were not found in a group that performed 10 sessions of dynamic stretches!

 

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Is there ever a time to stretch?

Yes! If your goal is to be able to touch our toes – stretch! If your goal is to reach behind your head – stretch! If you are trying to improve your knee extension after a surgery– stretch! Essentially, if you are stretching for the explicit purpose of being able to reach into a further range of motion then by all means go ahead and stretch! However, if you are looking to improve your performance and decrease your risk of injury the science says strengthen, don’t stretch! Below are some examples of static stretches:

Static Wall Calf Stretch – Knee Bent

Get set-up standing with a wall in front of you and place your hands on the wall. Take a step back with the side you plan to stretch, let the knee be bent and keep it bent. While keeping the foot you stepped back with flat on the ground, knee bent, and toes facing 12 o’clock, slowly lean and shift your weight forward until you feel a stretch.

 

Static Standing Quadriceps Stretch

Get set-up standing. On the side you want to stretch, grab your foot and pull it back towards your butt by bending your knee. Keep a flat back, squeeze your butt muscle to push your hip forward, and have your knee directly below your hip. Hold this position.

 

Static 90/90 Hip Stretch

Get set-up in a 90/90 position. You can use a yoga block or other object under your front hip to get into the correct position (follow video for tips and details). Once set-up, keep your thighs, knees, and feet flat against the ground, lift your chest up to make your torso long, shift your weight forward until you feel a stretch, and hold that position.

 

Closing Thoughts

The proposed benefits of stretching are simply not backed by any science. However, research has shown that strength training both improves athletic performance and decreases injury risk. If you are looking to prepare for your sport or a strength training session it is best to go through a dynamic warmup routine that prepares you for the movements you intend to perform. Hopefully, this article saves you some time in the gym and spares you the guilt over skipping your pre-workout stretches!

 

No More Stiffness Between Your Shoulder Blades!

thoracic spine mobility how much should i stretch prehab guys

Enough is enough! It is time to get rid of that nagging tightness that won’t go away between your shoulder blades. This thoracic spine mobility program is the ultimate guide to unlocking your stiff mid back and maximizing your mobility!

 

About The Author

Tommy Mandala, PT, DPT, SCS, OCS CSCS

[P]rehab Writer & Content Creator

tommy mandala prehab guysTommy Mandala is a Doctor of Physical Therapy, Board Certified Clinical Specialist in Sports & Orthopedics, and Certified Strength and Conditioning Specialist in New York City. He is the founder of ALL IN ACL, a digital coaching platform dedicated exclusively to helping ACLers return to the life they had before their injury with full confidence in their knee. Prior to that, he worked in the sports clinic at Hospital for Special Surgery, the #1 Orthopedic Hospital in the country. While there, he had the opportunity to hone his skills as an ACL specialist working closely with world renowned surgeons and evaluating patients from all over the world. He completed his sports residency training at the University of Delaware where he had opportunities to work with many of their Division I sports teams as well as the Philadelphia 76’ers NBA G-league affiliate, the Delaware Blue Coats. He also trained at Champion Sports Medicine in Birmingham, Alabama where he had the opportunity to learn from researchers in the American Sports Medicine Institute. Currently, Tommy works exclusively with ACLers through his digital coaching model. While many of these clients are athletes, Tommy works with ACLers of all different abilities helping them to build the strength they need to overcome this unique injury. One of his favorite aspects of his job is taking active clients who have never been a “gym person” before and showing them the amazing things that happen when they learn to strength train.

 

 

Disclaimer – The content here is designed for information & education purposes only and is not intended for medical advice.

About the author : Tommy Mandala PT, DPT, SCS, OCS, CSCS

10 Comments

  1. Alexander September 16, 2020 at 1:34 pm

    Hello guys,
    I learn a lot from you and you rock!!
    But with these article I don t agree.
    1 st. The strech of hamstring give a lot of relief of lombar spine
    2. The strech of pelvitrohanteric muscles also release the passive stress from the lombar.
    These is science with multiple ears of proven practice. From Italy from example read about the RPG courses.

    If you wach just the hamstring strech and hamstring risk injury can be, but also I have doubts. If you read all the Biodex study you can find other detalies.
    In other You rock ..
    I wait your next articles.
    Best regards
    Alex

    • Tommy Mandala September 28, 2020 at 3:14 pm

      Thanks so much for reading Alex! I understand what you are saying as stretching definitely has some benefits. However in most people, improved flexibility simply doesn’t correlate to decreased injury risk overall as shown in the studies listed above.

      Regards,
      Tommy

  2. srikar sana September 16, 2020 at 6:57 pm

    Doesnt yoga Contain static streches??

    But ashtanga yogis strength is badass but they stretch a lot.

    So isnt this contradicting ????

    Moreover in asanas BKS iyengar (the legend) says when we stretch we have to tighten the muscles…

    Does strength decreases after stretching?
    But krishnamacharya youTube videos doesnt look like that.
    Ps: his videos are all in black and white… Father of modern yoga

    • Tommy Mandala September 28, 2020 at 3:09 pm

      Hello Srikar,
      Thanks for reading! Yoga does contain some static stretching, however most yoga poses actually involve actively reaching and holding postures which is more of an active or dynamic stretch.

      This is different than typical static stretches which the evidence highlighted above has been shown to decrease strength. This is not to say that you will lose all of your strength from a few static stretches, but it may work against your goals if strength is the goal. I hope that makes sense!

      Regards,
      Tommy

  3. Sara Simonsen September 19, 2020 at 11:56 pm

    Hi Tommy!

    Thank you for a very interesting article.
    I do have one question, though; in the “Is there ever a time to stretch” chapter, you say that if you want to reach behind your head you shold stretch. However, further up, you say that a baseball pitcher will obtain their required flexibility to reach behind his head through repeadtedly performing the movement, not by stretching into it.

    So my question is – I’m training to be a circus artist, and I really want to do the splits. Would you recommend stretching for me?
    I’ve had a few surgeries in my hip which have left me with very limitid flexibility.

    Thank you in advance! :-)

    • Tommy Mandala September 28, 2020 at 3:06 pm

      Hi Sara,
      Thanks so much for reading and commenting! So that is an interesting question! Where splits would differ from a pitching motion is that there is more of a passive element to splits as you are using your body weight to push you into that deep range of motion, so in this case I do think static stretching would be more appropriate! Since there is also a dynamic component to this movement I would say a blend of both static and dynamic stretching is appropriate for you!
      Regards,
      Tommy

  4. Marek September 20, 2020 at 12:03 am

    A very good article

    • Tommy Mandala September 28, 2020 at 3:04 pm

      Thanks so much for the support Marek!
      -Tommy

  5. Andrés Fuentes September 20, 2020 at 1:41 am

    Hi,

    Thank you for the eye-opening info.

    Currently, I put 5 minutes of dynamic stretching before the weightlifting and around 20 minutes of static stretching after weightlifting. The reason to this is because I have a shoulder injury which is also very stiff and non-flexible.

    Do you still think that the setup to unbalanced or can I even erase the static part and just focus on the dynamic part?

    Thanks for the good work as always!

    Best regards,
    Andrés

    • Tommy Mandala September 28, 2020 at 3:04 pm

      Hi Andrés,
      Thank you for your support! If your goal is to improve the flexibility of your shoulder in a certain range then it sounds like you are doing the right thing! But if you are looking to prevent future injuries you are probably better off spending more time strengthening than stretching!
      Regards,
      Tommy

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