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Stretching
Terminology for Stretching Therapies
| Term | Definition |
|---|---|
| Comfort Barrier | The first point of resistance short of the client's perceiving any discomfort at the physiologic or pathologic barrier |
| Contract and Stretch | Muscle energy method that involves concentric action on the target and then lengthening |
| Contract Antagonist and Stretch | Muscle energy method that involves using opposing muscle action to support tolerance to stretch |
| Contract-Relax-Antagonist-Contract | Muscle energy method that uses agonist and antagonist contraction before stretching |
| Counterpressure | Force applied to an area that is designed to match exactly (isometric contraction) or partly (isotonic contraction) the effort or force produced by muscles in that area |
| Cross-Directional Stretching | Tissue stretching that pulls and twists connective tissue against its fiber direction |
| Direct Tissue Stretching | Application of tension force in a local tissue area |
| Direction of Ease | Position the body assumes with postural changes and muscle shortening or weakening, depending on how it has balanced against gravity |
| Dynamic Stretching | Active movements that move tissue into and out of stretch position |
| Flexibility | Ability to move joints and muscles through their full range of motion |
| Integrated Approach | Combined methods of various forms of massage and other bodywork styles |
| Isometric | Contraction in which the effort of a muscle or group of muscles is exactly matched by a counterpressure, so that no movement occurs—only effort |
| Isotonic | Contraction in which the effort of a target muscle or group of muscles is partly matched by a counterpressure, allowing a degree of resisted movement |
| Longitudinal Tissue Stretching | Stretch applied along the fiber direction of connective tissues and muscles |
| Muscle Energy Techniques | Neuromuscular facilitation; specific use of active contraction in individual muscles or groups of muscles to initiate a relaxation response; activation of proprioceptors to facilitate muscle tone, relaxation, and stretching |
| Pin and Stretch | Method that uses focused pressure to lengthen the tissue while the client performs specific motions |
| Positional Release | Method of moving the body into the direction of ease (the way the body wants to move out of the position that causes the pain); proprioception is taken into a state of safety and may stop signaling for protective spasm |
| Pulsed Muscle Energy | Procedures that involve engaging the barrier and using minute, resisted contractions (usually 20 in 10 seconds); introduces mechanical pumping as well as post-isometric relaxation and reciprocal inhibition |
| Strain-Counterstrain | Use of tender points to guide positioning of the body into a space where muscle tension can be released on its own |
| Stretching | Mechanical tension applied to lengthen the myofascial unit |
| Mobilization | Involve moving a joint through its normal range of motion |
| Range of Motion | the range, usually expressed in degrees of a circle, through which bones of a joint can move or be moved |
| Passive | the client relaxes while the therapist performs the movements |
| Active | the client performs the mobilization or stretch |
| Active Assisted | the client performs the joint mobilization or stretch while the therapist assists and physically guides the movement |
| Active Resisted | The client performs the joint mobilization or stretch while the therapist applies resistance to the client's movement |
| Hard-end feel | occurs when the barrier is hard tissue such as bone. The therapist feels an abrupt stop to movement. |
| Soft-end feel | occurs when the barrier is compression of soft tissue, such as muscle, fascia, or skin. The therapist feels a spongy or mushy sensation. |
| Firm-end feel | occurs when the barrier to movement, such as tendons, ligaments, and joint capsules, offer resistance as they lengthen. The therapist feels a sensation similar to leather as it stretches. |
| Empty-end feel | occurs when normal motion is interrupted by client's pain before the therapist encounters structural resistance to passive movements; often indicates pathology, such as bursitis, tendonitis, or adhesive capsulitis |
| Static | involves bringing a tissue into a lengthened position and holding it there for some period of time |
| MET | muscle energy technique in the form of gentle isometric contractions to relax and lengthen the muscle |