! Physical Therapy Muscle STRETCHING.pptx

PT Treatment Technique

1. STRETCHING

2. STRETCHING Introduction Terms related to stretching Active stretching- Muscle Stretching Passive Stretching- Passive structure Stretching Intermittent Stretching Mechanical Stretching Dynamic Stretching Positional Stretching 2

3. Stretching Indications Reduced ROM Pain due to spasm Muscle injury healed patients Poor muscle strength Poor muscle coordination Poor nutrition to muscle Joint Deformity 3

4. Effective delivery techniques 4 Indications ! Limited ROM ! Deformity ! Muscle Weakness ! Improve Fitness ! Reduce fatigue ! Promote wellness ! Prevent Injury ! Pre Endurance Training Contra Indications ! Bony Block ! Recent # ! Acute Inflammation ! Sharp Acute Pain ! Hematoma ! Hypermobility ! Shortened Structure protect JT ! Shortened MSL protect perform function/ skill ! Acute Ligament Sprains

5. Changes in Stretching 5 Elasticity Visco Elasticity Plasticity

6. Determinants OF STRETCHING 6 ! Alignment ! ROM ! Stabilization ! Intensity ! Duration ! Frequency ! Mode + Posture + Arthro/Osteo Kinematics + Injury Free + Magnitude of force + Length of time each cycle + # of Sessions per day/week + Static, Ballistic, Cyclic + Passive, Assisted, Active + Manual, Mechanical, self

7. Selection of Stretching 7 ! Tissue and impairment ! Evidence of Pain/Inflammation ! Duration of Hypomobility ! Stage of Healing ! Previous history and response of stretching ! Underlying health conditions ! Ability of the patient ! Patient’s acceptance

8. EFFECTS & USES 8 Effects ! Sarcomere give- HR ! Energy absorption & Wash away metabolites ! Muscle tension reduction ! Retention of muscle energy ! Prepare for other Physio /Alt/ Medicine Therapy Uses + Flexibility + New Sarcomere unit development- CR + Relaxation of local JT/ Body + Improved muscle performance + Improvement in health

9. Structures 9 ! Muscles ! Joint structures ! Capsule ! Tendons ! Nerve ! Muscle fascia

10. AGE GROUPS 10 Children Adults Geriatric population Play Therapy All Stretching exercises Mostly Passive/Assisted and Active

11. TRICEPS 11

12. TRICEPS 12

13. Triceps 13

14. Biceps 14

15. Biceps 15

16. Long Flexors/Extensors STRETCHING 16

17. Hip Flexors STERETCHING 17

18. HIP STERETCHING 18

19. STRETCHING 19

20. Hip Abductors 20

21. HIP ABD STRETCHING 21

22. HIP ADDuctors 22

23. HIP ADD STRETCHING 23

24. HIP ADD 24

25. KNEE FLEXORS 25

26. Knee flexors 26

27. General Protocol 27

28. Injury prevention 28 Stress – strain curve Point of failure Eccentric training injury Re-injury consideration Chronic and chronic reinjury consideration Instability or joint block consideration Increased pain

29. Thank you Notes will be available in BPT Second year student group WhatsApp Group On next 2-3 days after the class.