Hold-relax Stretch Steps

Passive stretch 10s --> Relax 2-4s --> Isometric contraction 6s -->Relax 2-4s -->Passive stretch 10s--> Back to natural position

Contract-relax Stretch Steps

Passive stretch 10s --> Relax 2-4s --> Isotonic contraction to nature position 6s --> Relax 2-4s --> Passive stretch 10s--> Back to natural position

Hold-relax with Antagonist Contraction

Passive stretch 10s --> Relax 2-4s --> Isometric contraction 6s --> Relax 2-4s --> Active stretch 10s--> Back to natural position

PNF techniques

-Hold-relax (isometric). -Contract-relax (isotonic). - Hold-relax with antagonist contraction (isometric)

Manual flexibility components

-Body positions - Client - Assistant. -Demonstration. -Hand Placement - Stabilizing hand - Working hand. -Communication. -Eye contact. -Degree of Motion.

Stretching cautions

-Posture is important. -Stretch slowly. -Do not stretch to the point of the pain. -Do not stretch through the onset of muscle spasm. -Do not hold breath. -Flexibility is joint specific.

Stretching protocol

-Assistant must: - constantly remind client to inform them if at any time during the stretch they can move further into the ROM. -Assistant starts moving the joint through the ROM to the point of stretch or until the client tells you to hold/stop. At this point, hold your position and start your count ( 1-1000, 2-1000, 3-1000, etc.) -Ask the client if you can go further. -If yes, move further into the ROM until the client tells you to stop or hold. At this point, hold your position and start counting where you left off. -If no, hold the same position and continue count.

Wrist Flexors Client Position

seated with stable base posture, elbow bent at 90°, forearm supported by armrest, and palm in supine position.

Wrist Flexors Assistant Position

seated to the side being stretched.

Wrist Flexors Hand Placement A

stabilizing hand: grasp forearm slight above wrist joint.

Wrist Flexors Hand Placement B

working hand: across palm.

Wrist Flexors Direction of stretch

moving into wrist extensions up to 70°.

Wrist Extensors Client Position

seated with stable base posture, elbow bent at 90°, forearm supported by armrest, and palm in prone position.

Wrist Extensors Assistant Position

seated close to and facing client.

Wrist Extensors Hand Placement A

stabilizing hand: grasp forearm slight above wrist joint.

Wrist Extensors Hand Placement B

working hand: on backside of hand