What is Therapeutic Stretching?
What Model is Used for Therapeutic Stretching?
Specificity is how closely the ROM challenge resembles the affected functional movement. Overloading is the progressive increase in physical demands on the affected movement, and repetition is the overall exposure to the challenge
ROM recovery is associated with three recuperative processes in the body: repair, adaptation and symptomatic relief; processes that encompass the tissue, neurological and psychological–behavioural dimensions
ROM recovery is a multidimensional process intrinsic to the individual but also highly influenced by their environment. Hence, in functional rehabilitation we aim to co-create with the patient environments that challenge their ROM losses
How are Therapeutic Stretching Techniques Classified?
Why do We Need a Functional Approach?
Functional ROM challenges, including managed and assisted approaches, all contain the effective ingredients necessary for engaging the recuperative processes (repair, adaptation and modulation of symptoms)
Extra-functional ROM challenges, including all traditional passive and active stretching approaches, provide only a few or none of the effective ingredients necessary for repair, functional adaptation and long-term management of pain
When do We Use a Functional Approach or Traditional Stretching?
What Defines End-range?
Passive ROM is determined by tissue resistance. This will influence the angle at which the person will experience pain and discomfort. How far a person will stretch beyond that point will depend on their pain tolerance
When is Movement Considered Functional (Normal) or Dysfunctional (Abnormal)?
What Causes ROM Loss?
What is the Potential for ROM Recovery?
ROM rehabilitation will have a diminishing effect in persistent and progressive conditions, in particular if the adaptive or reparative capacity of the affected tissue is reduced, or when symptoms cannot be alleviated