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amills1
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Static Stretching
- Elongate past EOR and hold
- 30 seconds typically
- With mechanical means can be done for several hours, days, or weeks
- Can progressively static stretch
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Cyclic Stretching
- Short duration
- Repeatedly applied and reapplied'5-10 sec hold each cycle
- Possible more comfortable for patient
- Not enough studies to determine effectiveness
- Slow speed and released gradually
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Ballistic
- Rapid, forceful, high speed and high intensity
- Bouncing movement
- Increased ROM in young/healthy subjects
- NOT RECOMMENDED in early stages
- Frequency is number of bouts per day/week
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Manual
- Therapist or other trained practitioner moves slightly beyond point of tissue resistance and available rom
- Therapist controls speed, intensity, duration
- Held 30-60 seconds
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Manual Self
- Flexibility exercise
- patient carries out independently
- Often part of HEP
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Mechanical Stretching
- Equipment used to stretch.
- Cuff weight, weight pulley, orthosis
- Low weight or load
- Long duration (15 mins to 8-10 hours)
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Neuromuscular Inhibition, Hold Relax (H-R)
- Hold relax (H-R)
- To EOR, isometric 8-10 sec of tight muscle, relax and stretch
- Makes stretch more tolerable to patient
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Neuromuscular Inhibition, Agonist Contraction (AC)
- Concentric contraction of antagonist of tight muscle
- Causes reciprical inhibition of tight muscle
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