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Doctor of Physical Therapy

When you should pursue alternative options

  • physical tissue limitations (PROM ≈ AROM)
  • Patients with neuromuscular tissue limitations

For patients with PROM > AROM, this is indicative of a neuromuscular ROM limitation. This patient could benefit from stretching, but there are other treatments which could work better and with less compression

Physical VS Neuromuscular Muscle Tightness

Physical:

  • PROM ≈ AROM
  • Passive muscle tension: physical resistance to stretch from the structures of the muscle or surrounding fascia1

Neuromuscular:

  • PROM > AROM
  • Active muscle tension: Tension created from dynamic muscle contration due to neuromuscular excitation1

Physical Stretching Exercises

  • Wall ITB stretch
  • Thomas Stretch

TFL Neuromuscular Releases

  • Contract-relax
  • Manual release
  • Self-myofascial release
  • Massage gun with stretching

References

1.
Page P. Current concepts in muscle stretching for exercise and rehabilitation. International Journal of Sports Physical Therapy. 2012;7(1):109-119.