THE SCIENCE AND PHYSIOLOGY OF FLEXIBILITY AND STRETCHING Stretchingisafundamentallyimportantpartofsportandexercise,playingaroleinimproving performance,andpreventinginjuryandrehabilitation,butitsscientificunderpinningshave,to this point, been overlooked in book publishing. The Science and Physiology of Flexibility and Stretchingisthemostup-to-dateandcomprehensivebooktocovertheunderlyingphysiology and psychologyofstretching, criticallyassessing why, when,and how weshouldstretch,as wellasofferingahighlyillustrated,practicalguidetostretchingexercises. Placingstretchinginthecontextofbothhealthandperformance,thefirstsectionofthebook setsoutthesciencebehindstretching,criticallyassessingthebenefits,disadvantages,androlesof differenttypesofstretching,exploringthemechanismsbehindincreasingrange-of-movement through stretching and other methods, and offering evidence-based guidance on building stretching into warm-ups. In its second section, the book provides a step-by-step guide to static,dynamic,andPNFstretchingexercisesforbeginners,throughrecreationalathletes,toelite performers. Richlyillustrated,andincludinganonlineresource,TheScienceandPhysiologyofFlexibility and Stretching provides an important scientific enquiry into stretching, and an invaluable reference for any strength and conditioning coach or student, personal trainer, sports coach orexercisescientist. DavidG.Behm,PhD,isaUniversityResearchProfessorattheSchoolofHumanKinetics andRecreation,MemorialUniversityofNewfoundland,Canada.Hewasahighlycompeti- tive athlete, was drafted into the Canadian Football League (1979) and won Canadian provincialchampionships in tennis (Saskatchewan:1987) and squash(Newfoundland: 2000, 2002). His athletic background led him to an academic career in the areas of applied neuromuscular physiology and sport/exercise science. Dr Behm has won a number of university, national, and international awards. He has published over 230 peer-reviewed scientific articles with over 14,000 citations. He consistently presents his research findings internationally and his work is often featured in popular fitness and health magazines, and onlinepublications.Hehasbeenrankedno.1expert/scientistintheworldforstretchingby Expertscape,andno.8forresistancetraining,no.14forplyometrics,andno.24formuscle fatigue. This page intentionally left blank THE SCIENCE AND PHYSIOLOGY OF FLEXIBILITY AND STRETCHING Implications and Applications in Sport Performance and Health David G. Behm Firstpublished2019 byRoutledge 2ParkSquare,MiltonPark,Abingdon,OxonOX144RN andbyRoutledge 711ThirdAvenue,NewYork,NY10017 RoutledgeisanimprintoftheTaylor&FrancisGroup,aninformabusiness ©2019DavidG.Behm TherightofDavidG.Behmtobeidentifiedasauthorofthisworkhas beenassertedbyhiminaccordancewithsections77and78ofthe Copyright,DesignsandPatentsAct1988. Allrightsreserved.Nopartofthisbookmaybereprintedorreproduced orutilisedinanyformorbyanyelectronic,mechanical,orothermeans, nowknownorhereafterinvented,includingphotocopyingand recording,orinanyinformationstorageorretrievalsystem,without permissioninwritingfromthepublishers. Trademarknotice:Productorcorporatenamesmaybetrademarksor registeredtrademarks,andareusedonlyforidentificationandexplanation withoutintenttoinfringe. BritishLibraryCataloguing-in-PublicationData AcataloguerecordforthisbookisavailablefromtheBritishLibrary LibraryofCongressCataloging-in-PublicationData Names:Behm,DavidG.,author. Title:Thescienceandphysiologyofflexibilityandstretching:implications andapplicationsinsportperformanceandhealth/DavidG.Behm. Description:Abingdon,Oxon;NewYork,NY:Routledge,2019.| Includesbibliographicalreferencesandindex. Identifiers:LCCN2018023146|ISBN9781138086906(hbk)|ISBN 9781138086913(pbk)|ISBN9781315110745(ebk) Subjects:LCSH:Stretch(Physiology)|Stretchingexercises. Classification:LCCQP310.S77B452019|DDC613.7/182–dc23 LCrecordavailableathttps://lccn.loc.gov/2018023146 ISBN:978-1-138-08690-6(hbk) ISBN:978-1-138-08691-3(pbk) ISBN:978-1-315-11074-5(ebk) TypesetinBembo bySwales&WillisLtd,Exeter,Devon,UK VisittheeResources:www.routledge.com/9781138086913 I dedicate this book to: (cid:129) My lovely wife, Joanne and wonderful daughter Anna, who have kept me balanced and grounded; (cid:129) My many graduate students without whom it would have been impossible to collect and disseminate such a body of sport and exercise science literature and knowledge. (cid:129) My friends and colleagues at Memorial University and around the world who continue to inspire and support me. This page intentionally left blank CONTENTS Listoffigures viii Listoftables xii Listofabbreviations xiii 1 Mypersonalmotivationforstretching 1 2 Historyofstretching 5 3 Typesofstretchingandtheeffectsonflexibility 14 4 Mechanismsunderlyingacutechangesinrangeofmotion 48 5 Training-relatedrangeofmotionchangesandmechanisms 76 6 Recommendationsforstretchingprescription 81 7 Stretchingeffectsoninjuryreductionandhealth 95 8 Doesstretchingaffectperformance? 106 9 Effectofstretchtrainingonperformance 136 10 Otherflexibility-enhancingtechniques 139 11 Stretchingexerciseillustrations 165 Index 192 FIGURES 1.1 DavidBehm(32)caught“again”frombehind 2 2.1 Pandiculation 6 2.2 Yogapositions 8 2.3 PersianmeelsandIndianclubs 9 3.1 Unassistedandassistedpassivestaticstretchingwithapartner oraband 15 3.2 Dynamicstretching(hipextensionandflexion) 17 3.3 Proprioceptiveneuromuscularfacilitation(PNF)stretching forthehamstrings 18 3.4 Neuromobilization 21 3.5 Standardandelectronicgoniometers 29 3.6 Inclinometers 31 3.7 Sit-and-reachtest 33 3.8 Collagenandelastinfibreswithinatissue 35 4.1 Hoffmanreflexandtendonreflex 50 4.2 Tendonormyotacticreflexwithmonosynapticexcitationof theagonistmuscleanddisynapticreciprocalinhibitionofthe antagonistmuscle(reciprocalinhibitionnotshowninthis figure) 51 4.3 Nuclearbagandchainfibreslocatedwithinanintrafusal musclespindle 52 4.4 Golgitendonorgans 53 4.5 Renshawcellsandrecurrentinhibition 54 4.6 Cutaneousnervereceptors 55 4.7 SkeletalrestrictionsonROM 60 4.8 HarryHoudini 62 Figures ix 4.9 Contortionistwithhypermobilejoints 62 4.10 Titinandmyofilamentstructure 65 4.11 Fibronectinandintegrin 66 6.1 StretchingunderunstableconditionstoimproveROMand metastability 88 8.1 Olympicsprint2016 109 8.2 Ferrari(tightersuspension)versusCadillac(morecompliant, lessstiffsuspension) 110 8.3 Electromechanicaldelay(EMD) 112 8.4 Stretch-shorteningcycle:hurdlejumps(fromrighttoleft) beginningwithtake-off(propulsion),flightphase,(clearance ofthehurdle),landing(involvingeccentriccontractionsto absorbthereactionforces),withashortcontact(amortization ortransitionphase)time,followedbyconcentriccontractions foranotherpropulsionphase 113 8.5 Stretch-shorteningcycle:drop-jumppreparation,landing (amortizationortransitionphasewithelongation/stretching ofmusclesandtendons),andtake-off(propulsion:concentric contractions) 114 8.6 Drop-jumpstretch-shorteningcycle(SSC)reactionforces withashortversuslongcontacttime 117 8.7 Gatecontroltheoryofpain 127 10.1 Foamrollersandrollermassagers 140 10.2 Diffusenoxiousinhibitorycontrol 144 10.3 Gluteals 148 10.4 Quadriceps 149 10.5 Adductors(groin) 150 10.6 Tensorfascialatae 150 10.7 Hamstrings 151 10.8 Plantarflexors 151 10.9 Tibialisanterior 152 10.10 Innerormedialcalf(medialsoleusandgastrocnemius) 152 10.11 Outerorlateralcalf(lateralsoleus,gastrocnemius,and peronei) 153 10.12 Soleofthefoot 153 10.13 Pectorals 154 10.14 Pectoralsandanteriordeltoid 154 10.15 Lateralshoulder(deltoid)andarm(bicepsandtricepsbrachii) 154 10.16 Posteriorshoulder(deltoids)andtricepsbrachii 155 10.17 Posteriorshoulders(deltoidsandtrapezius) 155 10.18 Bicepsbrachii 156 10.19 Tricepsbrachii 156
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