Stretching Protocols to Increase Flexibility and Support General Health

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Aging causes a natural decline in the range of motion over which our limbs and joints can move. From age 20 to 49, our flexibility declines by ~10% each decade. Studies show, however, that a dedicated stretching routine can and will give you improved range of motion in your limbs and joints, aka more “flexibility.”

During Episode #67, I discussed the biological mechanisms of flexibility, highlighting the communication between the nervous system, muscles and surrounding connective tissue. I also detailed key features of the major four different types of stretches.

Below, I describe the key takeaway messages for building flexibility, and I outline sample protocols that can be used and modified to develop your own optimal stretching routine.

Benefits of Stretching

In addition to alleviating general feelings of “tightness,” increasing flexibility can also contribute to improvements in overall general health: balance/stability, improved posture, smoother gait and elevated physical performance; and it can reduce pain. Stretching can also reduce inflammation — some data in animal models suggest it may even potentially reduce the risk of cancer.

No Need to Stretch Intensely (or for Very Long)

Wyon et al. showed that “microstretching” (defined for the study as 30-40%, where 100% would be slightly painful) is more effective than increasing the intensity of a stretch. So, whatever stretching routine you adopt, know that you do not need to push your limbs/joints to a point where you feel pain. Consistency and frequencywill pay dividends for long-term flexibility — not intensity! Most people will also be pleased to learn that an effective stretching protocol can take as little as 5 minutes per day.

Static Stretching

While dynamic and ballistic stretching (both types involve swinging limbs and using momentum) can be helpful prior to performance-based activity and sports, a routine built on static stretching appears to be the most effective at increasing long-term flexibility.

Bandy et al. determined that 30 seconds is the minimum threshold for flexibility benefits for static hold stretches (generating no momentum to move into or through the stretch). The stretching routine frequency is a key factor in long-term flexibility improvements. In a comprehensive review of different stretching routines, Palma et al. found that a minimum stretching frequency of 5x per week, with a total stretching time of 5 minutes/muscle group/week, was optimal.

Static Stretching — Protocol Basics

Do 2-4 sets of 30-second static holds per muscle group, 5 days per week.

Note: Meeting the goal of 5 minutes per muscle group per week can also be achieved by holding each stretch longer (e.g., 60 seconds instead of 30 seconds). By increasing the hold time per stretch, you can reduce the frequency (such as stretching every other day as opposed to 5x per week). That said, don’t try to stretch once or twice a week for a long time and expect much progress; better to do a little bit each day or so. The research shows that consistency beats duration and intensity when it comes to increasing flexibility.

Protocol #1: Static Stretching

PNF Stretching

The nervous system and muscles are in constant communication to keep joints and limbs within a “safe” range of motion. One such safety mechanism is the presence of intrafusal spindle fibers that communicate muscle stretch to the spinal cord and brain. If a stretch becomes excessive (e.g., arms swinging uncomfortably far behind your back), the spindle fibers activate specific motor neurons that cause the associated muscle(s) to rapidly contract, thereby bringing muscles/joints back to the normal range of motion.

Another protective mechanism is provided by the Golgi tendon organs (GTOs), which sense the amount of load or tension on a muscle. If GTOs sense too high of a load (i.e., trying to move something too heavy), the GTOs will communicate to the spinal cord and inhibit the motor neuron’s ability to contract the muscle, thereby preventing possible injury.

PNF (Proprioceptive Neuromuscular Facilitation) stretching leverages these mechanisms to actually increase flexibility. PNF, also called “contract-relax stretching,” combines stretching and contracting of muscles to increase joint range of motion and, in some cases, contractile strength (listen here to learn about underlying mechanisms). Here is a basic PNF routine:

Protocol #2: PNF Stretching

Antagonistic Muscle Groups

Alternating exercises of antagonistic muscle groups (e.g., flexors and extensors) can improve overall performance. For example, if you were to alternate barbell or dumbbell rows or pullups (all of which are pulling-based back exercises) with barbell or dumbbell bench presses or shoulder presses (pushing exercises), this would allow the chest, shoulders and triceps a period to “relax” while the biceps are actively engaged (during pulling movements) and for your back and biceps to relax during your pushing exercises. There is, of course, some crossover activation of antagonistic muscles, but this alternating of push and pull movements/sets can be very effective, nonetheless.

The relaxation occurs using some of the same mechanisms described above, where spindle fibers are released in the triceps, causing “relaxation” of the muscle while the GTOs become activated in the biceps. This phenomenon is termed autogenic inhibition, where the contraction of one muscle group “relaxes” the antagonistic muscle group.

Protocol #3: Antagonistic Muscle Group Training

Stay Connected

Hopefully, these protocols serve as useful examples in designing a routine stretching practice tailored to your goals. They can and should be adapted to your goals and current routines. Remember, consistency is the key to enhancing flexibility. By incorporating some or all of these approaches into your training (or even while you take calls, etc.), you can make sure you are offsetting the loss in flexibility that would otherwise occur, and building a supple, strong body by enhancing pathways between your nervous system and muscles.

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Thank you for your interest in science!

Best wishes,

Disclaimer: The Huberman Lab podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user’s own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions.