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Why are warm-ups important?
Improve performance and reduce injury risk
Performance benefits of warming up
Faster muscle contraction/relaxation, faster reaction time, ↑ strength & power, ↓ muscle stiffness, ↑ blood flow, ↑ metabolic reactions, ↑ mental readiness
Ideal total warm-up duration
10–20 minutes
General warm-up
5–10 min of low-intensity aerobic activity
Specific warm-up
Movements similar to the sport or workout
Proper warm-up order
Aerobic exercise → dynamic stretching → sport-specific activity
What does RAMP stand for?
Raise → Activate & Mobilize → Potentiate
Purpose of the “Raise” phase
↑ body temperature, HR, respiration, blood flow, joint fluid viscosity
Purpose of “Activate & Mobilize”
Wake up key muscles and move joints through ROM
Purpose of “Potentiate”
Sport-specific movements with gradually increasing intensity
Flexibility
Ability of a joint to move smoothly through full ROM
Static flexibility
Total ROM during passive movement
Dynamic flexibility (AROM)
Available ROM during active movement
Why is flexibility important?
Injury prevention, daily function, sport performance
Reduced flexibility is linked to injury in which tissues?
Achilles tendon, hamstrings, plantar fascia, IT band
Major limitation to flexibility
Tightness of soft tissue
Soft tissue contribution to joint resistance (largest to smallest)
Joint capsule (47%) → muscle & fascia (41%) → tendons/ligaments (10%) → skin (2%)
Stress relaxation
Tension decreases during a held static stretch
Effect of warm vs cold joints on ROM
Warm joints ↑ ROM (up to 20%); cold joints ↓ ROM (10–20%)
Effect of inactivity on flexibility
Muscle shortening, loss of ROM
How does age affect flexibility?
Decreases due to ↓ elasticity and physical activity
Sex differences in flexibility
Women: ↑ hip flexion & lateral flexion; Men: ↑ hip extension & spinal flexion/extension
Risk of excessive flexibility
Joint hypermobility → ↑ injury risk
Best way to assess flexibility
Use multiple tests (joint-specific)
Static flexibility — direct methods
Goniometer, flexometer, inclinometer
Static flexibility — indirect methods
Linear measurements (cm/in)
ROM tests vs linear tests
ROM tests (degrees) are preferred
Sit-and-reach test measures what?
Hamstrings, hips, low back, spinal mobility
Why use modified sit-and-reach?
Reduces body size bias
Muscle spindles respond to what?
Muscle length change (trigger stretch reflex)
Golgi tendon organs (GTOs) respond to what?
Muscle tension → cause relaxation
Autogenic inhibition
Muscle relaxes itself under high tension
Reciprocal inhibition
Contracting muscle causes opposing muscle to relax
Effects of chronic flexibility training
↑ speed, power, torque, muscular performance
Performance improvements occur due to ↓ what?
Stiffness of the series elastic component
Ballistic stretching
Bouncing movements; ↑ injury risk; not recommended
Static stretching
Slow, controlled; 10–60s; safest & most common
PNF stretching is based on what principles?
Autogenic & reciprocal inhibition
Most effective PNF method
Hold-relax with agonist contraction
PNF disadvantages
Time-consuming, painful, requires partner
Dynamic stretching
Controlled, sport-specific movements; best for pre-competition
Stretching frequency
2–3 days/week (minimum ≥2)
Number of exercises per session
10–12 major muscle groups
Static stretch duration
10–60 seconds
PNF stretch timing
10s stretch / 5–6s contraction / 10–30s stretch
Stretching intensity
Stretch to discomfort, not pain
Minimum program length for improvements
≥4 weeks
Best time to stretch
After practice/competition or separate flexibility sessions
Stretching and soreness
Evidence for soreness reduction is mixed
Benefits of foam rolling
↑ blood flow, ↓ muscle tightness, ↓ DOMS
Foam rolling before exercise helps with what?
Restores muscle length-tension and reduces dysfunction
Foam rolling after exercise helps with what?
Reduces DOMS
PNF Stretching: Hold-Relax
Phase 1: Passive stretch of antagonist (10s)
Phase 2: Isometric contraction of antagonist (5-6s)
Phase 3: Relax, passive stretch antagonist (30s)
PNF Stretching: Contract-Relax
Phase 1: Passive stretch of antagonist (10s)
Phase 2: Full ROM concentric contraction of antagonist (5-6s)
Phase 3: Relax, passive stretch antagonist (30s)
PNF Stretching: Hold-Relax w/ Agonist Contraction
Most effective!
Phase 1: Passive stretch of antagonist (10s)
Phase 2: Hold against pressure (5-6s)
Phase 3: Concentric contraction of agonist w/ passive stretch of antagonist (30s)