
"Musculature, Stretching, and Flexibility":
Part 4: "Stretching, Sprains and Strains"
Information compiled by Mr. Paul Riley: Naginata Shugyo; Aurora, CO
Note: The following material has been compiled and presented without markers and footnotes. A material source can be found at the end of the section.
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"The Stretch Reflex"
When the muscle is stretched, so is the muscle spindle. The muscle spindle records the change in length (and how fast) and sends signals to the spine which convey this information. This triggers the "stretch reflex" (also called the "myotatic reflex") which attempts to resist the change in muscle length by causing the stretched muscle to contract. The more sudden the change in muscle length, the stronger the muscle contractions will be (plyometric, or "jump", training is based on this fact). This basic function of the muscle spindle helps to maintain muscle tone and to protect the body from injury.
One of the reasons for holding a stretch for a prolonged period of time is that as you hold the muscle in a stretched position, the muscle spindle habituates (becomes accustomed to the new length) and reduces its signaling. Gradually, you can train your stretch receptors to allow greater lengthening of the muscles.
Some sources suggest that with extensive training, the stretch reflex of certain muscles can be controlled so that there is little or no reflex contraction in response to a sudden stretch. While this type of control provides the opportunity for the greatest gains in flexibility, it also provides the greatest risk of injury if used improperly. Only consummate professional athletes and dancers at the top of their sport (or art) are believed to actually possess this level of muscular control.
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"Components of the Stretch Reflex"
The stretch reflex has both a dynamic component and a static component. The static component of the stretch reflex persists as long as the muscle is being stretched. The dynamic component of the stretch reflex (which can be very powerful) lasts for only a moment and is in response to the initial sudden increase in muscle length. The reason that the stretch reflex has two components is because there are actually two kinds of intrafusal muscle fibers: "nuclear chain fibers", which are responsible for the static component; and "nuclear bag fibers", which are responsible for the dynamic component.
Nuclear chain fibers are long and thin, and lengthen steadily when stretched. When these fibers are stretched, the stretch reflex nerves increase their firing rates (signaling) as their length steadily increases. This is the static component of the stretch reflex.
Nuclear bag fibers bulge out at the middle, where they are the most elastic. The stretch-sensing nerve ending for these fibers is wrapped around this middle area, which lengthens rapidly when the fiber is stretched. The outer-middle areas, in contrast, act like they are filled with viscous fluid; they resist fast stretching, then gradually extend under prolonged tension. So, when a fast stretch is demanded of these fibers, the middle takes most of the stretch at first; then, as the outer-middle parts extend, the middle can shorten somewhat. So the nerve that senses stretching in these fibers fires rapidly with the onset of a fast stretch, then slows as the middle section of the fiber is allowed to shorten again. This is the dynamic component of the stretch reflex: a strong signal to contract at the onset of a rapid increase in muscle length, followed by slightly "higher than normal" signaling which gradually decreases as the rate of change of the muscle length decreases.
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Daily reality
Whew! That was a lot of physiology 101 mumbo jumbo. But, now that the "why does it work that way" portion has been re-visited in some small detail, we can touch on some things that many of us consider more "at-hand and user oriented".
Snap, Crackle, Pop
This Snap, Crackle, Pop is not coming from that bowl beneath your morning paper. No, suddenly, in the middle of a game or workout you hear it coming from inside a limb. It's alarming. But does it signal something serious, like a sprain, break, or tendon tear......or does it sound worse than it is?
According to the Penn State Sports Medicine Newsletter, noises around a joint are usually the result of "crepitus" (the rubbing of bone fragments), pressure changes, or ligaments making harmless contact. They're nothing to worry about if they're not quickly followed by pain. Nasty injuries, however, often produce ominous special audio effects. Here is the Penn State experts' guide to the sound track of injuries:
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Sprains and Strains
Knees and ankles are the two joints most commonly sprained, but any joint can be affected. Symptoms of a sprain may include:
If the joint is out of alignment, a dislocation or fracture may also have occurred.
Prevention of sprains primarily rests on limiting activities that require sudden, unexpected changes in the use of a joint. However, this advice may be too limiting, especially for people who are very physically active. An eight year study by Wake Forest University Baptist Medical Center concluded bracing to be more effective than taping to avoid ankle sprain.
Sprains can be very mild, requiring only the simple measures for recovery to take place. The main goals of the following measures is to prevent further injury and decrease the pain often caused by swelling:
Sprains can also be very severe when there has been a lot of tearing or rupture of a ligament. These injuries may require, in addition to the above, immobilization of the joint. Partial immobilization can be accomplished with the use of splints and bandaging. However, more complete immobilization may require the use of a cast.
Ligaments have poor blood supply and therefore heal slowly. The healing process continues long after the symptoms of the injury have gone away.
Strains also have levels of severity. Strains may be minor (as with microscopic tears) or major, such as ruptures of the muscle. The severity is often related to the amount of pain that results.
Symptoms of strains may include:
Common care for minor strains often include:
Minor strains usually resolve within a few days. Severe cases, when the muscle has ruptured, may require surgery.
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In any event, in order to make an informed decision about your health and medical care, be sure to ask your physician to fully explain the benefits, risks and costs of all treatment alternatives.
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Stretching
A study from Brigham Young University in Hawaii recently found that stretching can build muscle strength. Subjects who performed a 40 minute stretching routine three times per week increased their leg strength by an average of 17 percent after 12 weeks - without weight training. "If you combine stretching with weight training, you should have greater strength gains than with either one alone, says Joke Kokkonen, Ph.D., study author.
The types of stretches that we do are indicative of the type of activity we find ourselves primarily engaged in. There are, of course, a number of stretches that can be helpful across the board. The main consideration is flexibility, and in order to have more flexible muscles, you need to perform a stretching routine three to four times per week. Start with aerobics or walking for five minutes to warm up. Then stretch slowly and deliberately, and hold each stretch for 15 to 30 seconds (DO NOT bounce while stretching).
The following are some good cross-training stretches, however, your own sport may include many variations. The goals are the same; to be stronger, limber, and prevent needless injury.
Quadriceps stretch
Standing half lotus
Calf stretch
Arm circles
Triceps stretch
Chest stretch
Spread-leg sit and reach
Lower back
Hamstring stretch
Spine twist
Groin stretch
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