Network Magazine Autumn 2020 | Page 18

FILEX PRESENTER CEC ARTICLE 1 OF 5 ARTICLES INJURY & REHAB STRETCHING THE TRUTH Stretching may increase flexibility, but, as movement coach Dave Liow explains, this doesn’t necessarily reduce the risk of injury. t’s a given that stretching makes you more flexible. We’re also told that stretching reduces the risk of injury. This relationship, however, isn’t clear cut at all. It’s difficult to isolate the relationship between stretching and injury when conducting research. There are many factors that relate to injury risk. Fitness, strength, and previous injury, for example, are important considerations. Most of the research investigating stretching and injuries has followed groups of athletes or military recruits. Using military recruits in stretching studies has its advantages. Military recruits are reasonably homogenous, with factors such as age, exercise, and diet being very similar between groups. When recruits are divided into a group that stretches and a group that doesn’t stretch, we’re comparing ‘stretching’ apples with ‘non-stretching’ apples, as it were. However, using these results from young males in military studies to prescribe stretches for your 65-year-old female client may be a stretch. I The Goldilocks level of flexibility One of the larger military studies (Amako et al, 2003) 1 , which followed 900 recruits over two years, showed that fewer back injuries occurred with a stretching program. Other military studies, such as Jones and Hauschild (2015) 2 also show that the most flexible and the least flexible male recruits had increased injury risk. Recruits with low flexibility tended to suffer from overuse injuries, while flexible recruits were more likely to suffer from acute injuries. This suggests 18 | NETWORK AUTUMN 2020 THE QUICK READ • Much of the research into stretching and injuries has followed groups of military recruits, whose age, diet and lifestyle are similar enough to allow for good comparisons • One large study showed fewer back injuries occurring among recruits that followed a stretching program • Another study showed an increased injury risk among the most flexible and least flexible study subjects • A large Australian study found no difference in injury rates between a group that stretched and a non-stretching group after 12 weeks of training • Some studies have reported increased injury rates with stretching • Fitness training, proprioceptive training and strength training have been found to have a greater effect than flexibility training on injury-reduction.