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Stretching - Does it prevent injuries?

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By Andy Choens
From Albany, NY
Feb 26, 2008
Me!

The NY Times has an interesting article on stretching.
http://www.nytimes.com/2008/02/26/health/26real.html?ex=1361>>>>>

I'm not sure that I agree with it. As a climber, runner, and yogi, stretching is an important part of my regular routine. I even stretch at work to help muscles relax from too much computer time.

I'm curious to see what your opinion is.


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By Deaun Schovajsa
From Arvada, CO
Feb 26, 2008
You wanna' look like this when ya get old!

Does it prevent injuries? I don't know.

Does it have other benefits? I believe that it does. I use stretching to keep my shoulders mobile and balanced. Many climbers stretch to increase mobility and movement range (i.e., leg stretching to facilitate stemming and high stepping).

Unfortunately, the article doesn't address or acknowledge any positives of stretching , so it is hard to know if research is available to show that they exist and what they are.

I will continue to stretch my old body until the fibers begin to pop like worn guitar strings. Regrettably, that may happen sooner than later..


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By John McNamee
Administrator
From Littleton, CO
Feb 26, 2008
skiing one

Wasn't there a discussion about this a few weeks back. I can't seem to find it but maybe someone can?

Thanks.


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By Richard Radcliffe
From Louisville, CO
Feb 26, 2008

John McNamee wrote:
Wasn't there a discussion about this a few weeks back. I can't seem to find it but maybe someone can? Thanks.

This is the thread that had some discussion about stretching: Counter muscle exercises


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By Mike Anderson
Feb 26, 2008

The article, and your thread title are misleading.

The research showed "little or no effect on post-exercise soreness." and it cites older studdies that looked at "total injuries", but doesn't define that.

I wouldn't be surprised to find that stretching doesn't effect "muscle injuries", but I think it is helpful in preventing injuries to other connective tissues (tendons, ligaments). I think it's critical to preventing elbow tendonitis, in particular, which is relevant to climbing. Another example with running would be IT band tendonitis.

PS, at least one self-proclaimed "expert" recommends against stretching your shoulders. He says you'll make them unstable and increase the chances of dislocating, etc.


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By SirVato
From Toyota-rado
Feb 26, 2008
Cheeeeech!!!

It depends on the activity. If you don't need to be flexible for your particular activity then stretching won't do much for you.
For what I do, I know for a fact it prevents injury. I do alot of acrobatic stuff and watching my friends try the same moves and get injured as all the proof I need. I'm no stronger than them but being able to bend and twist a consideralbe amount further than your average joe has led me to get very few (0)strain related injuries.

Good example take a fresh tree branch and bend it quickly. It'l bend but (probably)not break. Now take an old dried up branch and do the same. . .Instant snappage. .

Think about it, if you can't twist your shoulders past 90deg from your hips and then all of the sudden something FORCES you to twist that far well you're gonna get hurt. If you already have that flexibility then its just another day in the park. ?Entiendes?

My .02


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By Paul Hunnicutt
From Boulder, CO
Feb 26, 2008
Half Dome

I totally disagree with this fluff piece. Maybe it doesn't change soreness so much, but certainly helps me warm up, reduce chance of injury, and releases lactic acid after a big pump.


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By Deaun Schovajsa
From Arvada, CO
Feb 26, 2008
You wanna' look like this when ya get old!

Mike Anderson wrote:
PS, at least one self-proclaimed "expert" recommends against stretching your shoulders. He says you'll make them unstable and increase the chances of dislocating, etc.

Mike that is an interesting theory. I would tend to believe that strength and complete and balanced muscle development would be the most important piece of joint stabilization.

I have had physical therapists prescribe specific stretches to counter my shoulder problems. Not that I believe PT's are necessarily "experts' on specific non-typical injuries such as mine. Interestingly though, the stretches do seem to help stabilize my shoulders and allow me to keep them moderately strong.


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By Aerili
From Reno, NV
Feb 26, 2008
Windy day at Woodfords  <br /><br />Photo by Malieka <br />(Gotta love that crazy angle!!)<br /><br />June 2009

I just attended a "science to application" sports performance conference in the last three days in which the latest consensus on flexibility and injury prevention as well as sport performance was covered.

But anyway, yes, I and some other people already talked about this topic recently on another thread linked by someone else here.

Basically, meta-analyses of all the best research out there show that stretching does not appear to have an effect on injury prevention. There are a few studies that come up with an opposing conclusion, but they are small in number when compared to the conclusions of the majority of the other studies.

As for sport performance (a totally different topic), long term, non-acute stretching may be quite beneficial for people who engage in certain activities like dance, gymnastics, certain martial arts, acrobatics, etc.--mainly because their sport requires them to go into statically held positions of extreme ranges of motion.

The rest of athletes typically not do require excessively large ranges of motion for maximal performance.

Additionally, in terms of injury prevention, it important to understand that research has found that most injuries occur within NORMAL ranges of motion during eccentric loading conditions (i.e. think of that as decelerating). Therefore, if injuries are unlikely to occur beyond the range of motion your joint already has, why would increasing it supposedly protect you from injury?

I may post more info from my notes later when I have Internet access again.


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By Aerili
From Reno, NV
Feb 26, 2008
Windy day at Woodfords  <br /><br />Photo by Malieka <br />(Gotta love that crazy angle!!)<br /><br />June 2009

Paul Hunnicutt wrote:
I totally disagree with this fluff piece. Maybe it doesn't change soreness so much, but certainly helps me warm up, reduce chance of injury, and releases lactic acid after a big pump.


Paul, to be honest, I think it is funny you believe all this. I am not sure what kind of stretching you are doing, but I assume you are speaking of static stretching. Not only do we know that static stretching has basically zero effect on preparing the body for activity (since it does not increase core body temperature, does not increase heart rate or respiration, and in fact may inhibit neural activation required for the body to perform optimally during activity, among other things), but it has nothing to do with lactic acid clearance either (although, yes, it may help feel like it eases a blood pump, but for different reasons).


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By Hukt
Feb 26, 2008

From my understanding (please correct me if I am wrong) though "active" resting is still supported as a better rest then just sitting by allowing the elevated blood flow to clear the lactic acid.

Now that may not be simple stretching but for example yoga and pilates (what I consider stretching) does elevate my heart rate which would I believe fall into this category.

Basically just checking my understanding here.


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By Michael McKinnon
From Golden, CO
Feb 26, 2008
Bunny pancake

The article is misleading as well as the title of this thread. The article states that stretching has no impact on post- exercise soreness. I would believe this. I am sore no matter if I stretch or dont.

However, people are arguing different things in this thread. Does stretching prevent injury? Does stretching help with your sport?

These I believe are yes. A tight groin will pull way before a lose one does. Tight hamstrings will rip before a flexible hamstring. I could go on and on. But if you have played a competitive collegiate level sport (or simmilar) this whole argument is ridiculous to you.

It is like an article I read the other day that said soda and coffee can be a normal part of your hydration routine. It said they are not dehydrating.

Who writes this stuff?


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By Mike Anderson
Feb 26, 2008

Eyes Of Green wrote:
Additionally, in terms of injury prevention, it important to understand that research has found that most injuries occur within NORMAL ranges of motion during eccentric loading conditions (i.e. think of that as decelerating). Therefore, if injuries are unlikely to occur beyond the range of motion your joint already has, why would increasing it supposedly protect you from injury?


To answer your question: ...because I'm not interested in preventing "most" injuries, I want to prevent "all" injuries. I didn't attend any conferences lately, but I know that inflexibility of certain muscles can lead to overuse (tendonitis/tendonosis) injuries. I have personal experience (see my earlier post), and I'm sure we could come up with many more examples.


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By Joseph Stover
From Chistchurch, New Zealand
Feb 26, 2008

Does being strong decrease your chances of injury when doing heavy lifting?


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By asmith
Feb 26, 2008

Paul Hunnicutt wrote:
I totally disagree with this fluff piece. Maybe it doesn't change soreness so much, but certainly helps me warm up, reduce chance of injury, and releases lactic acid after a big pump.


in a great irony
while the article about stretching has some holes in it
a reference is made to lactic acid
but this was a classic myth that was disproved as well.

http://www.nytimes.com/2006/05/16/health/nutrition/16run.htm>>>>>

(of course i am not a biologist so i have no idea if the lactic acid myth is a myth)


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By asmith
Feb 26, 2008

Paul Hunnicutt wrote:
I totally disagree with this fluff piece. Maybe it doesn't change soreness so much, but certainly helps me warm up, reduce chance of injury, and releases lactic acid after a big pump.


in a great irony
while the article about stretching has some holes in it
a reference is made to lactic acid
but this was a classic myth that was disproved as well.

http://www.nytimes.com/2006/05/16/health/nutrition/16run.htm>>>>>

(of course i am not a biologist so i have no idea if the lactic acid myth is a myth)


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By Kevin Stricker
From Evergreen, CO
Feb 26, 2008

I think the jury might still be out on Lactic acid. One effect that the article did not address is the decrease in inter-muscular coordination from an increase in lactic acid which I believe is tied to the changes in pH in the muscle.

Also here are two interesting articles on lactic acid's effect on climbers:

Lactic Acid and Climbers

What is a Pump


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By Paul Hunnicutt
From Boulder, CO
Feb 26, 2008
Half Dome

All I know is that I feel better after stretching, everything feels loose and ready to do. Bike riding, hiking, running, etc...I feel totally different after warming up for 15 minutes, stretching and THEN hammering away then if I just go for it. I agree with Mike A. that my forearms definitely need to get warm and stretch now at my old age of 32. That goes for every other muscle in fact.

I mean there is a reason that in almost every sport people warm up and stretch before competition.

Whether or not it diminishes soreness...I've never found that to be the case, but is this why people stretch?


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By mobley
From Haven, Ct
Feb 27, 2008

Stretching can be good and bad.
I stretch the forearms in the car on the way to the crag and on the way home.
If I stretch too hard before any kind of running I always have something cramp up.
If I stretch too much before climbing something always cramps up in my neck/back.
If I stretch too much while tendinitis is acting up, it gets worse.
If I stretch enough before the tendinitis acts up it never does act up.
I always try to stretch after an activity.
Warming the body up before any activity(including stretching) is the best thing for me.

to each his own I guess.


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By Jeff Fiedler
Feb 27, 2008

I think folks are talking about different things in terms of "stretching before exercise." My understanding from the other thread and elsewhere is that warming up before exercise is useful. But, the sort of old-school stretching -- touch toes, etc., in the more static way -- just isn't the best way to warm up and can actually make muscles perform worse.

So for me, a ten minute or more hike to the base of a climb, and then some gentle shoulder rotations, etc., feels good. Getting out of the car at the gym and hopping on something at my limit is not good. The best I can do at the gym, if I have the patience, is do a couple laps on the easiest climb there first.

My 2 cents on stretching and injury prevention. I can see Eyes of Green 's point that a lot (most?) reported injures aren't ROM issues. But I wonder if this finding is skewed by the definition of an injury. My big injuries -- blown MCL and shoulder separations from rugby -- weren't flexibility related. My body just got forced hard and fast to move in directions it isn't supposed to at all. But I feel like I have a lot of niggling injuries that wouldn't make statistics for injuries, but that stretching seems to help reduce. Eg.., my hamstrings are so tight that it puts strain on my lower back. When I stretch, no back pain. But that's never showed up in any injury statistics.


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By NjC
Feb 28, 2008

Jeff Fiedler wrote:
I feel like I have a lot of niggling injuries that wouldn't make statistics for injuries, but that stretching seems to help reduce. Eg.., my hamstrings are so tight that it puts strain on my lower back. When I stretch, no back pain. But that's never showed up in any injury statistics.


I have to admit, even though I was a part of the original thread, I haven't had the time to do anything more than skim this thread and the links posted on the other. I will, just haven't. But this comment is exactly my thoughts. I was diagnosed 13 years ago with fibromyalgia after I herniated a disc in my neck and had it surgically corrected. It's either run it's course or I've found ways to effectively manage it, but I do have remaining aches and pains that are alleviated with what I'd call "light stretching" (As an edit, I should clarify I'm not using this term as others have, and problably not accurately, but mean holding a static stretch just at the point I feel tightness and for long enough to allow the muscle to relax). While "warming-up" your body in other ways makes sense, I find it hard to think stretching as a part of pre-excercise routine wouldn't also makes sense for people with old injuries. If I can get rid of an ache by stretching it out, I'm going to be able to move my body more freely. Or at least it feels better!


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By Leveille
From Appleton, WI
Feb 28, 2008

I'd have to conclude that the reason there are so few ROM injuries is due to the fact that so many people stretch. Seeing as how just about everyone stretches the chances of them getting ROM injuries is decreased dramatically. If everyone gave up stretching there is no doubt that ROM injuries would go up.


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By Paul Hunnicutt
From Boulder, CO
Feb 29, 2008
Half Dome

Someone once told me stretching was like chewing gum. You have to chew it a bit first before you can stretch it. I always warm up for 10-15 minutes before I stretch anything.


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By Aerili
From Reno, NV
Feb 29, 2008
Windy day at Woodfords  <br /><br />Photo by Malieka <br />(Gotta love that crazy angle!!)<br /><br />June 2009

Michael McKinnon wrote:
Does stretching prevent injury? Does stretching help with your sport? These I believe are yes. A tight groin will pull way before a lose one does. Tight hamstrings will rip before a flexible hamstring. I could go on and on. But if you have played a competitive collegiate level sport (or simmilar) this whole argument is ridiculous to you. It is like an article I read the other day that said soda and coffee can be a normal part of your hydration routine. It said they are not dehydrating. Who writes this stuff?


Mike, your grasp on science seems to be based on what you "believe" to be true, independent of empirical evidence and without a good understanding of muscle and tendon properties that affect flexibility. (And on your other tangent: yes, it's true that they've found that the fluid intake from caffeinated beverages appears to offset any theoretical dehydration caffeine might incur.)

You should look a bit further into the differences between static flexibility and dynamic flexibility; they are not the same. A statically tight hamstring may have no implication on the same muscle's ability to stretch under dynamic conditions. Most sports, including football, involve functional, dynamic flexibility and do not require participants to hold static postures. In fact, I specifically remember attending a seminar wherein the speaker was explaining how some of his football players exhibited poor static flexibility in certain joints, yet their performance on the field seemed to be unimpaired; further, still video captures of them in play revealed scaled measurements of their dynamic flexibility to be completely at odds with their static ranges.


Mike Anderson wrote:
I know that inflexibility of certain muscles can lead to overuse (tendonitis/tendonosis) injuries.


Overuse injuries aren't due to a lack of stretching; they're due to repetitive trauma. (I'm sure you know this.) In fact, I would bet you $100 99% repetitive injuries are not incurred through repetitive motions done in an extreme range of motion--which is where a lack of flexibility would matter. For instance: how about typing or use of a mouse? How about running? (Runners as a group tend to be less flexible than sedentary people.) How about people who get problems from using screwdrivers and wrenches over and over? Parents who pick up their kids over and over all day? PTs sometimes prescribe stretching while treating chronic injuries b/c the flexibility can be decreased AFTER the injury--as a protective mechanism your body wants to restrict motion, which can lead to the shortening in the musculature. But the flexibility deficit does not need to preceed the overuse injury for it to occur. (If you don't believe me, I just turned and spoke to my climbing partner who is an MD about this, and he agreed.)

In fact, people with TOO MUCH flexibility in a joint(s) are also very prone to chronic injury (ask me, I'm a walking advertisement for this phenomenom).



Jeff Fiedler wrote:
But I wonder if this finding is skewed by the definition of an injury. My big injuries -- blown MCL and shoulder separations from rugby -- weren't flexibility related. My body just got forced hard and fast to move in directions it isn't supposed to at all.


The statistic about injuries happening primarily in normal ROM wasn't about sprains or full ligament ruptures or fractures, etc. I believe it was specifically about strains--this has to do with muscle-tendon complex only and other types of injuries were doubtless excluded.


NjC wrote:
I was diagnosed 13 years ago with fibromyalgia after I herniated a disc in my neck and had it surgically corrected. It's either run it's course or I've found ways to effectively manage it, but I do have remaining aches and pains that are alleviated with what I'd call "light stretching"


There is no way you can correlate stretching's effect on the complications of fibromyalgia and a repaired disc herniation outcome with its effect on normal, healthy populations.



Long story short: static stretching's reputation for preventing injuries is probably actually stemming from the warm up performed prior to activity and has nothing to do with the stretching itself.


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