Improve Flexibility with Research-Supported Stretching Protocols | Huberman Lab Podcast #76

- Welcome to the Huberman Lab Podcast,

where we discuss science

and science-based tools for everyday life.

[upbeat music]

I'm Andrew Huberman,

and I'm a Professor of Neurobiology and Ophthalmology

at Stanford School of Medicine.

Today, we are going to discuss the science and practice

of flexibility and stretching.

Flexibility and stretching are topics that I believe

do not receive nearly as much attention as they deserve.

For most people, the topics of flexibility and stretching

bring to mind things like yoga,

injury prevention, or maybe even contortionism.

But it turns out that flexibility and stretching

are features that are built into our basic body plan.

Young children, young animals, and adults,

and, indeed, older children and animals

all stretch and all have some degree of flexibility.

It turns out that having flexibility,

and our ability to stretch,

and the interaction between stretching and flexibility

are fundamental to how we move,

our ability to learn new movements,

indeed also to prevent injury or repair injuries,

and to offsetting and reducing inflammation

throughout the body.

In fact, today I'm going to share with you

a remarkable set of studies that show that stretching

can actually adjust things like tumor growth.

This is work that was done by one of the major directors

of the National Institutes of Health.

So, today's discussion will start

with a description of the mechanisms,

literally the cells

and the connections from your nervous system

that mediate flexibility and stretching.

And I promise that I'll make

that information accessible to you

whether or not you have a biology background or not.

Then with that information in hand,

I'm going to present to you what the scientific literature

says about the best times and ways to stretch,

everything right down to the detail

of how long to hold a stretch,

whether or not to hold a stretch at all

because it turns out there are multiple kinds of stretching.

So, you can imagine you have stretches

where you hold the stretch for a very long time

and use as little momentum as possible,

and then there's also what's called dynamic

and ballistic stretching

where you're literally swinging your limbs

trying to increase the range of motion.

I will explain the science and application

of flexibility and stretching

in the context of sports performance,

whether or not you are engaging in cardiovascular exercise,

or resistance exercise, or both,

whether or not you're a competitive athlete

or simply a recreational exerciser, as I am,

whether or not you are trying to increase your range

of motion and flexibility for longevity purposes,

or whether or not you're trying to do it

in order to access different parts of your nervous system

'cause we'll soon learn today

that your ability to improve flexibility

and, indeed, to engage in specific stretching exercises

can actually be used to powerfully modulate

your ability to tolerate pain,

both emotional and physical pain.

So, this thing that we call flexibility and stretching

is actually a vast landscape.

We're going to simplify and organize all that for you today

and by the end of today's episode,

you're going to have a number of simple, easy-to-apply tools

that are grounded in the best scientific research

that you can apply for your specific goals.

Before we begin, I'd like to emphasize that this podcast

is separate from my teaching and research roles at Stanford.

It is, however, part of my desire and effort

to bring zero-cost to consumer information

about science and science-related tools

to the general public.

In keeping with that theme,

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Let's talk about flexibility and stretching.

Before we talk about the practices

of flexibility and stretching,

I'd like to just highlight some of the features

that are already built into your nervous system

and into your body that allow you to be flexible.

Some of us feel tighter than others,

sometimes in specific limbs or areas of our body,

some people feel really loose and limb,

some people even have what's called a hyper-flexibility.

I, for instance, have a relative that can take her fingers

and bend them back to the point where they touch her wrist.

And it always makes me cringe a little bit,

but she can do that without any pain,

she seems to have some hyper-flexibility in her joints.

I do not have that feature.

Some of you may find that you are more flexible

than others naturally,

and some of you might be thinking

you don't need to build in additional flexibility.

Well, I think by the end of today's episode,

you'll realize that almost all of us can benefit

from having some sort of understanding about flexibility

and having some stretching protocol

that we incorporate into our life,

if not just for physical performance reasons

and for postural reasons,

then also for cognitive and mental reasons,

and I'll be sure to clarify what all of that means.

Right now, I'd like to take a moment

and just highlight the flexibility that you already have.

For instance, if you were to move your arm

behind your torso a little bit

and then sort of let go

or stop exerting any effort in doing that,

you would find that the limb would return

more or less to a position next to your torso,

at least I would hope so.

And why is that?

Well, it turns out that there are aspects

of your nervous system, aspects of your skeletal system,

aspects of your muscles,

and aspects of the connective tissue

that binds all of that together,

that try and restore a particular order

or position to your limbs

and your limbs relative to one another.

So, that reflects a very specific set of processes

that it turns out are the same set of processes

that you use when you are trying

to enhance flexibility and stretching.

So, I'd like to just take a moment

and review the basic elements of nervous system,

muscle, connective tissue, and skeletal tissue, bone,

that allow for flexibility and stretching.

And here we can point to two major mechanisms

by which your nervous system,

neurons, meaning nerve cells,

communicate with muscles,

and those muscles communicate back to your nervous system

to make sure that your limbs don't stretch too far,

they don't move too far such that you get injured.

And in addition to that,

mechanisms that ensure that you don't overload your muscles

too much with weight, or with tension, or with effort

and damage them that way.

'Cause it turns out that the second security mechanism

of making sure that you don't overload muscles

can be leveraged toward

increasing your flexibility almost immediately.

That's right, there are protocols and tools

that I'll share with you that are going to allow you

to vastly improve your flexibility over time.

But there are also mechanisms that allow you

to quite significantly increase your degree of flexibility

in a very short period of time,

and within just a few seconds.

So, let's establish some of the basic biological mechanisms.

Any time we talk about biology or physiology,

we're going to talk about structure,

meaning the cells and their connections,

and functions, what they do.

There are just a few names to understand,

you do not have to memorize these names.

The important thing that I'd like you to know

is that flexibility and the process of stretching

and getting more flexible involves three major components,

neural, meaning of the nervous system,

muscular, muscles, and connective tissue.

Connective tissue is the stuff

that surrounds the neural stuff and the muscular stuff,

although it's all kind of weaved together

and braided together in complicated ways.

Some of you may have heard of fascia.

We're going to talk a little bit about fascia today,

although it's such an interesting tissue

that's really deserving of its own episode.

Fascial tissue, we're going to talk about some of the stuff

that surrounds muscles that really gives you your shape,

and holds everything together,

and allows for flexibility to occur.

So, here's a key thing that everyone should know

whether or not you're talking about flexibility or not.

Your nervous system controls your muscles,

it's what gets your muscles to contract.

So, within your spinal cord,

you have a category of neurons, nerve cells,

that are called motor neurons.

To be precise, they are lower motor neurons

'cause they're in your spinal cord.

We call them lower to distinguish them

from the motor neurons that are in your brain

up in your skull.

Those lower motor neurons,

hereafter I'll just refer to them as motor neurons.

If I want to talk about the other kind of motor neurons,

I'll say upper motor neurons.

So, if I say motor neurons,

I just mean the ones in your spinal cord.

Those motor neurons send a little wire

or set of wires out to your muscles,

and that creates what's called a neuromuscular junction,

which just means that the neurons meet the muscles

at a particular place.

Those neurons release a chemical,

that chemical is called acetylcholine.

Some of you may have heard about acetylcholine before,

acetylcholine also exists in your brain

and does other things in your brain,

mainly it's involved in focus and attention.

But at the neuromuscular junction,

the release of acetylcholine from these nerve cells,

these neurons, onto the muscles

causes the muscles to contract.

And when muscles contract,

they are able to move limbs

by way of changing the length of the muscle,

adjusting the function of connective tissue

like tendons and ligaments.

And for instance,

if you're bringing your wrist closer to your shoulder,

that biceps muscle is contracting, it's getting shorter.

I mean, in reality it hasn't gotten shorter overall,

it's just temporarily shorter, of course.

All of that is controlled by neurons.

And it's those motor neurons from the spinal cord

that are really responsible for the major movement

of your limbs by way of causing contraction

of specific muscles at specific times.

So, the key thing to take away is that nerve

controls the contraction of muscles.

Now, within the muscles themselves,

there are nerve connections.

And these are nerve connections that arise

from a different set of neurons in the spinal cord

that we call sensory neurons.

The sensory neurons

exist in a different part of the spinal cord,

and they send a low wire or set of wires into the muscles.

And there's a particular kind of sensory neuron

that comes out of your spinal cord and into your muscles,

which are called spindle neurons.

They create or they actually wrap around muscle fibers,

kind of corkscrew around them

and give kind of a spring-like appearance.

And for you aficionados out there,

these are intrafusal connections or neurons.

Intrafusal means within the muscle,

but you really don't need to know that

unless you're really curious about it,

or you're going to become a neuroscientist,

or you're in medical school or something.

These spindle connections within the muscle

that wrap around the muscle fibers

sense the stretch of those muscle fibers.

So, now we have two parts to the system that I've described.

You've got motor neurons

that can cause muscles to contract and shorten,

and we have these spindles within the muscles themselves

that wrap around the muscle fibers,

and that information is sent from the muscle

back to the spinal cord.

It's a form of sensing what's going on in the muscle.

Much in the same way that you have neurons in your eye

that sense light in your external environment,

you have neurons in your ear that sense sound waves

in your external environment,

you have neurons in your spinal cord

that are sensory neurons

that are sensing the amount of stretch in the muscles.

What happens is if a given muscle is stretching really far,

those sensory neurons, those spindles within the muscle

will activate and will send a electrical potential,

literally a bit of electricity

along that wire's length into the spinal cord.

And then, within the spinal cord

that sensory neuron communicates

through a series of intermediate steps,

but to the motor neuron

and makes sure that that motor neuron contracts.

Now, why would that be useful?

Well, what this does is it creates a situation

where if a muscle is or is stretching too much

because the range of motion of a limb is increased too much

then the muscle will contract

to bring that limb range of motion into a safe range again.

Now, what determines whether or not a range of motion

is quote-unquote safe or not

is dictated by a number of things.

It's dictated by things that are happening

in this kind of loop of neural connections

in the spinal cord and muscle.

It's also determined by what's going on in your head,

literally in your mind cognitively

about whether or not the movement of that limb

its increasing range of motion is good for you,

whether or not you're doing it deliberately,

whether or not it's bad for you.

And then there are also some basic safety mechanisms

that are put in there that really try and restrict

our limb range of motion.

Okay, so just to clarify,

this whole thing looks like a loop,

and the essential components of the loop

are motor neurons contract muscles,

sensory neurons, of which there are a bunch

of different varieties,

well, in this case, what we're calling the spindles

are sensing stretch within the muscles.

And if a given muscle is elongating

because of the increased range of motion of a limb,

those sensory neurons send an electrical signal

into the spinal cord

such that there is an activation of the motor neuron,

which by now should make perfect sense

as to why that's useful.

It then shortens up the muscle.

It actually doesn't really shorten the muscle,

but it contracts the muscle

that brings the limb back into a safe range of motion.

Okay, so this process is very fast,

it was designed to keep your body together and safe.

It's designed to make sure that you don't take your arm

and swing it behind your torso

and it just goes all the way back

to the middle of your back.

I mean, unless you're a contortionist

or you've trained that kind of level of flexibility,

that would be terrible

because it could provide a lot of damage to the muscles,

and to the connective tissue, and so forth.

So, that's one basic mechanism that we want to hold in mind,

this idea of a spindle that senses stretch

and can activate contraction of the muscles

and shorten the muscles.

The next mechanism I want to describe,

and once again there are only two

that you need to hold in mind for this episode.

This other mechanism has a lot of the same features

as the one I just described,

but it has less to do with stretch,

in fact, it doesn't have to do with stretch

as much as it has to do with sensing loads.

So, at the end of each muscles you have tendons typically,

and there are neurons that are closely associated

with those tendons

that are called Golgi tendon organs, right?

These are neurons that are sensory neurons

that sense how much load is on a given muscle.

Right, so if you're lifting up something very, very heavy,

these neurons are going to fire,

meaning they're going to send electrical activity

into the spinal cord.

And then, those neurons have the ability to shut down,

not activate, but shut down motor neurons

and to prevent the contraction of a given muscle.

So, for instance, if you were to walk over

and try and pick up a weight that is much too heavy for you,

meaning you could not do it without injuring yourself

and you start to try and heave that weight off the ground.

There are a number of reasons

why you might not be able to lift it,

but let's say you start to get it

a little bit off the ground,

or you start to get some force generated

that would allow it to move.

But the force that you're generating

could potentially rip your muscles or your tendons

off of the bone,

right, that it could disrupt the joints

and it could tear ligaments.

Well, you have a safety mechanism in place,

it's these Golgi tendon organs,

these GTOs, as they're called,

they get activated and shut down the motor neurons

and make it impossible for those muscles to contract.

Okay, so on the one hand,

we have a mechanism that senses stretch

and can figure out when stretch is excessive.

And when this system detects that stretch is excessive,

it activates the contraction of muscles.

And then, we have a second mechanism that senses loads,

and when tension or loads is deemed excessive

by these circuits,

and remember these circuits don't have a mind,

they don't go, "Oh, this is excessive,"

they just sense loads.

And when those loads exceed a certain threshold,

well then those GTOs, those Golgi tendon organs,

send signals into the spinal cord

that shut down your motor neuron's ability

to contract muscle so that you no longer can lift

that heavy load.

So, both of these are protective mechanisms,

but both of these can be leveraged in a very logical way

and in a very safe way

in order to increase your limb range of motion.

So, there are a couple of things I want to point out

before going a little bit further

into how your nervous system

controls flexibility and stretching,

and those key points are the following.

There are now dozens if not hundreds of studies

that show that a dedicated stretching practice

can improve limb range of motion.

Now, for many of you listening,

you're probably saying, "Duh,"

but I think it's important to point that out,

that a dedicated stretching practice

can increase limb range of motion.

And as you'll soon learn,

there are specific mechanisms that can explain that effect.

The second point is one of longevity.

And when I say longevity,

I don't necessarily mean late-stage aging.

We all undergo a decrease in limb range of motion,

unless we do something to offset that decrease.

And the current numbers vary from study to study,

but if you look en masse,

you look at all of those studies

and what you basically find

is that we start to experience a decrease in flexibility

from about age 20 until about age 49 that's pretty dramatic.

And then, of course, it will continue after age 49,

but basically it's a 10% decrease every 10 years.

So, we could say it's a 1% decrease per year,

although it's not necessarily linear.

What do I mean by that?

Well, it's not necessarily that on your 21st birthday,

you are 1% less flexible

than you were on your 20th birthday

and it decreased by 1% per year,

some of these changes can be non-linear.

So, you can imagine the person

who's doing just fine in terms of flexibility

between 20 and 30,

and then they get to 32

and suddenly they've lost 5% of their flexibility.

Now, of course, there will be a ton of lifestyle factors.

If you're a regular practitioner of yoga,

if you have a dedicated stretching practice,

if you're doing other things

to improve your muscle contractibility,

so you're doing resistance training

it turns out can actually indirectly improve flexibility.

There are a number of different factors,

but the key point is that maintaining

some degree of flexibility

and maybe even enhancing range of motion and flexibility

is of immense benefit for offsetting injury

provided it's not pushed too far.

There are a number of people

who have pushed their limb range of motion

so far that they experience all sorts of injuries,

both acute and chronic injuries.

Today, we'll also talk about how to avoid those scenarios.

Okay, so we've established that there are mechanisms

within the spinal cord, muscles, and connective tissue,

those remember it's the motor neurons,

the spindles, the GTOs,

and, of course, the muscles themselves,

and connective tissue, tendons,

but also other forms of connective tissue

that establish whether or not a limb

is going to stay within a particular range of motion or not,

and whether or not a limb is going to be allowed

by the nervous system to pursue

or handle a given load, a given tension.

There are also mechanisms that arrive

to the neuromuscular system

from higher up in the nervous system, from the brain.

And those mechanisms involve a couple of different facets

that are really interesting,

and I think that we should all know about.

In fact, today, I'm going to teach you about a set of neurons

that I'm guessing 99.9% of you have never heard of,

including all you neuroscientists out there,

if you're out there, and I know you're out there,

that seem uniquely enriched in humans

and probably perform essential roles

in our ability to regulate our physiology

and our emotional state.

So, within the brain,

we have the ability to sense things in the external world,

something we called exteroception,

and we have the ability to sense things

in our internal world within our body, called interoception.

Interoception can be the volume of food in your gut,

whether or not you're experiencing

any organ pain or discomfort,

whether or not you feel good in your gut and in your organs,

that's actually a kind of feeling, "Hmm, I feel great,

I feel sated, I feel relaxed,"

but those are all different forms of interoception.

The main brain area that's associated

with interpreting what's going on in our body

is called the insula, I-N-S-U-L-A.

It's a very interesting brain region,

it's got two major parts.

The front of it is mainly concerned with things like smell,

and to some extent vision, and to some extent other things

that are arriving from the external world

and combining with what's going on internally

and making sense of all that,

or at least routing that information elsewhere

in your nervous system to make decision,

like if you smell something good to approach it,

or if you smell something bad to avoid it.

The front of the insula is really doing

all of that kind of stuff along with other brain areas.

The posterior insula, the back of the insula that is,

has a very interesting and distinct set of functions.

The posterior insula is mainly concerned

with what's going on with your somatic experience.

How do you feel internally?

And how is the movement that you happen to be doing

combining with your internal state

to allow you to feel,

as I like to say the nervous system mainly batches things

into yum, like, "Oh, this is really good for me,"

yuck, "This is really bad for me and I need to stop,"

or meh, "This is kind of neutral."

Okay, so this isn't about food,

but we could say for most stimuli,

most senses, whether or not they're senses

of things internally or externally,

our nervous system is trying to make decisions

about what to do with that information,

and so it mainly batches information into yum,

I want to keep doing this or approach this thing,

or continue down some path of movement, or eating,

or staying in a temperature environment, et cetera,

or yuck, I need to get out of here,

I don't want any more of this,

I don't want to keep doing this,

this is painful, or aversive, or stressful.

And then meh, so if it doesn't really matter,

I can just kind of stay right here or not.

Yum, yuck, and meh.

Well, in your posterior insula,

you have a very interesting population

of very large neurons,

these are exceptionally large neurons

called von Economo neurons.

These are neurons that are, again,

unbeknownst to most neuroscientists

and they seem uniquely enriched in humans.

Chimpanzees have them

and some other large animals have them.

So, they're found in whales,

chimpanzees, elephants, and in humans.

But even though we are much smaller than most whales

and even though we are much smaller than most elephants,

I mean, remember there are baby elephants.

As far as I know, they haven't bred up

like mini-elephants yet,

they seem to have a teacup version

of pretty much every dog breed.

You can look that up,

I certainly have mixed feelings about this notion

of trying to downsize everything

to the point where you could

kind of like the pocket-sized bulldog

I think of someday will arrive.

I'm not a fan of that kind of downsizing

of different breeds,

but because there aren't teacup elephants

and teacup gorillas, and teacup chimpanzees, and so forth,

most all of those other species are larger than us.

They have these von Economo neurons

and we have these von Economo neurons,

but we have in upwards of 80,000 of these things

in our posterior insula.

These other species tend to have

somewhere in the range of 1,000 to maybe 10,000 or so.

Why is that interesting?

Well, these von Economo neurons

have the unique property of integrating

our knowledge about our body movements,

our sense of pain and discomfort,

and can drive motivational processes

that allow us to lean into discomfort

and, indeed, to overcome any discomfort

if we decide that the discomfort that we are experiencing

is good for us or directed toward a specific goal.

This knowledge turns out

to be very important to keep in mind

because as we migrate this conversation

toward the things that we can do

to enhance flexibility and stretching,

you'll soon learn that there are moments

within a stretching protocol

where you have the opportunity to either override pain

and discomfort to kind of relax through it

or push through it.

Right, there's a decision fork in the road there,

and it'll tell you which fork in the road to take,

or to say, "Uh-uh, I'm not going to do that.

I'm going to allow these natural reflexes

of the spindle to kick in

and just essentially stop me from stretching

if a given limb isn't designed

or shouldn't be stretched that far."

So, I'd like you to keep these von Economo neurons in mind.

I should mention they're named von Economo

because the guy, Constantin von Economo,

that discovered them at the end of the 1800s, early 1900s,

decided to name them after himself, as many scientists do,

or certainly the neurologists and physicians

are famous for naming things after themselves.

These von Economo neurons

turn out to be very important to keep in mind

as we embark on our exploration

of what sorts of stretching practices

can be best applied to increase flexibility

because whether or not you undertake a mild,

moderate, or intense flexibility training,

you will no doubt encounter a scenario at some point

where you will have to ask yourself, "Do I quote-unquote

relax into this stretch,

or do I try and push through

just a little bit of discomfort?"

And I'll explain how to gauge that decision

in a very specific and ideally safe way,

and I'll give you some tools that will allow you

to make that decision in a way

that best preserves the integrity of those neural circuits

that I described earlier and can keep you safe.

These von Economo neurons sit in the exact position

that one would want to be able to evaluate

what's going on in the body,

in particular what's going on in terms of limb movements,

how that relates to our feelings of discomfort.

And then there's the other aspect

of these von Economo neurons,

which is that these von Economo neurons

are connected to a number of different brain areas

that can shift our internal state

from one of so-called sympathetic activation.

So, this is a pattern of alertness and even stress,

sometimes even panic,

but typically alertness and stress

to one of so called parasympathetic activation

to one of relaxation.

Oftentimes, you'll hear that stretching

should be done by relaxing into the stretch.

Well, what does it actually mean to relax into the stretch?

Well, these von Economo neurons

sit at this junction where they're able to evaluate

what's going on inside our body

and allow us to access neural circuitries

by which we can shift our relative level of alertness

down a bit, or our relative level of stress down a bit

and thereby to increase so-called parasympathetic activation

and to literally override some of those spindle mechanisms,

even the GTO mechanisms,

but especially the spindle mechanisms

at the neuromuscular and muscular spinal junction.

And in that way,

gently, subtly override the reflex

that would otherwise cause us

to contract those muscles back.

The reason that's possible is because your brain

has those other kinds of motor neurons,

the upper motor neurons that can both direct,

meaning control, and can override lower motor neurons.

I'll give you a brief example of this

that you've already done in your life,

and that we all have the capacity for.

What I'm referring to is the monosynaptic stretch reflex.

This is something that every first year neuroscience

graduate student learns,

which is that if you were to step

on a sharp object with a bare foot,

you would not need to make the decision

to retract your foot, you would automatically do that

provided you have a healthy nervous system.

There are mechanisms in place

that cause the retraction of that limb

by way of ensuring that the proper muscles contract

and other muscles do not contract,

in fact, that they fully relax.

Okay, so in the case of stepping on a sharp object

like a piece of glass, or a nail, or a tack,

you would essentially activate the hip flexor

to lift up your foot as quickly as possible.

In doing so, that same neural circuit

would activate a contralateral,

meaning opposite side of the body circuit,

to ensure that the leg,

the foot that's not stepping on the sharp object

would do exactly the opposite and would extend

to make sure that you don't fall over.

All of that happens reflexively,

it does not require any thought or decision making.

In fact, humans without any neocortex,

literally that who decerebrate

or an animal that doesn't have...

When I say decerebrate, I mean lack of cerebral cortex.

They can perform that

because it's all controlled by circuits

that are basically below the brain and in the spinal cord.

There's a little bit of activation of circuits

in the kind of deeper parts of the brain,

but basically you don't need to think

or decide in order to do that.

However, if your life depended

on walking across some sharp objects, let's say.

Let's make it a little less dramatic

so it's not like the "Die Hard" movie or something

where he has to run barefoot across the glass,

although that's a pretty good example

of what I'm describing here,

but let's say you had to walk across some very hot stones

to get away from something that you wanted to avoid.

You could override that stretch reflex

by way of a decision made with your upper motor neurons,

your insula, and your cognition,

and almost certainly those von Economo neurons,

which would be screaming, "Don't do this,

don't do this, don't do this,"

could shuttle that information to brain areas

that would allow you to override the reflex

and essentially push through the pain.

And maybe even, in fact,

even not experience the pain

to the same degree or even at all.

So, these von Economo neurons

sit at a very important junction within the brain.

They pay attention to what's going on in your body,

pain, pleasure, et cetera.

And that includes what's going on with your limbs

and your limb range of motion.

They also are paying attention

and can control the amount of activation,

kind of alertness or calmness

that you are able to create within your body

in response to a given sensory experience.

And as I mentioned before,

they seem to be uniquely enriched in humans,

they seem to be related to the aspects of our evolution

that allow us to make decisions

about what to do with our body

in ways that other animals just simply can't.

Before we go any further,

I want to give you a practical tool

that you can, of course, use,

but that will also give you insight and experience

into your muscle spindle spinal cord circuit mechanisms.

So, what I'd like you to do

is if you're in a proper place to do this,

you're going to stand with legs straight,

meaning knees not bent,

and you're going to try and touch your toes,

or for some of you that's going to be very easy

and you might even be able to put your hands

flat on the floor.

I don't have that kind of flexibility,

it's pretty easy for me to touch my toes.

I don't care if you round your back or not,

although ideally I would say don't round your back.

Not because it's bad to do so necessarily,

but just to try and keep this

the same from trial to trial, as it were.

So, try and get a sense of what your range of motion

is in terms of bending over at the waist

while maintaining a flat back

and trying to touch your toes or even touch the floor.

Maybe, again, you can even go hands flat to the floor

or maybe even far out in front of you.

Okay, now what I'd like you to do is stand back up

and I'd like you to contract your quadriceps

as hard as you possibly can for about 5-15 seconds.

Let's say 10 seconds

just to keep things more or less normalized.

This obviously is not a super controlled experiment.

So, to contract your quadriceps

for those of you who don't know,

you're going to extend your lower limb out.

So, this would be like kicking,

although don't do it too quickly,

you're going to kick out your foot,

you should feel your quadriceps contract

on the top of your thighs.

And you're going to try and consciously contract them

as hard as you can.

Okay, typically if you want to point your toe

back towards your knee or shin that's also going to help

somewhat to contract even harder and harder.

Okay, so, do that for about 10 seconds.

A lot of you will do this just while standing,

contract, contract, contract.

Okay, then release it,

and then now go ahead and repeat that stretch

where you're trying to touch your toes or touch the floor.

So, this is, again, relying more or less

on hamstring flexibility among other things.

Okay, what most of you will find

is that you have an immediate increase

in hamstring flexibility,

or your range of motion has increased.

If you didn't experience that,

then I would encourage you

to try and contract your quadriceps harder and longer,

so maybe 20 or 30 seconds,

and then try this so-called experiment again.

Why would contracting your quadriceps

allow your hamstring flexibility to suddenly increase?

Well, the way that our muscles are organized

is such that we have muscles

that are antagonistic to one another.

So, our quadriceps and our hamstrings

work in sort of a push-pull fashion, if you will.

They can antagonize one another,

so when you move your heel towards your glutes,

you are using your hamstring,

the hamstring obviously also does other things

related to hip movement.

And when you lift your knee

or when you extend your foot

and contract your quadriceps,

you are essentially relaxing the hamstrings.

Now, of course, most movements

involve both quadricep and hamstring in synchrony.

And that synchrony is really an elegant one,

but here we're more or less isolating

the quadriceps from the hamstrings,

at least to the extent that it can leverage

these spindle stretch mechanisms.

So, what happens is when you contract your quadriceps hard,

you are relaxing or releasing some of the stretch

that's occurring in those intrafusal spindle sensory fibers

going into your spinal cord.

And as a consequence,

you're able then to stretch your hamstrings further,

or we can be more accurate and say that your range of motion

about the hamstring and its related joints

is greater when you aren't engaging that spindle reflex,

which would cause the hamstrings to contract.

Okay, so if you are somebody who has tight hamstrings,

there could be a variety of reasons for that,

but part of the reason is likely to be neural

and you can release that neural spindle reflex

by contracting the opposite antagonistic muscle,

which in this case is the quadriceps.

The same thing is true and can be leveraged

for stretching other muscles.

So, for instance, if you're going to do a tricep stretch,

the typical kind of overhead where you grab your elbow

and move it toward the midline of your body

with using your opposite hand.

Well, you can do that,

and then I would suggest trying to flex your bicep,

contract your bicep that is, while doing that.

And for most people you'll notice a increase

in the tricep range of motion

or ability to kind of lean into,

or to relax into, or to push that stretch,

excuse me, a little bit further.

Now, for you physios out there

and for those of you that have backgrounds in kinesiology,

I want to acknowledge,

of course, there are other mechanisms

that are coming into play.

There are actually neural connections

within the joints themselves

that are providing proprioceptive feedback,

et cetera, et cetera.

But this is simply to illustrate

that part of our range of motion

is determined by these spindle mechanisms

that I spent some time focusing on earlier.

And indeed, this approach can be leveraged

toward creating increased limb range of motion,

not just for the hamstrings, but for your quadriceps.

So, for instance, if you have tight quadriceps,

you can do the opposite.

You can contract your hamstring very intensely

for let's say 10 seconds, or 20 seconds, or 30 seconds.

So, that would take some conscious effort

of bringing your heel up towards your glutes.

You could do that in a way

that you're really trying to contract those muscles hard,

you'd have to use some deliberate

hamstring activation there,

meaning you have to use those upper motor neurons

and the other aspects of your upper brain power, as it were,

to try and really contract your hamstrings

as intensely as possible, then you would relax that,

and then you would do your quadricep stretch again.

And if you did a pre-hamstring contraction

measurement of your quadricep flexibility,

and then you did a post-hamstring contraction

measure of your quadricep flexibility,

almost certainly you would find

that that flexibility had increased.

Now, of course, the muscle really didn't change much,

the tendons didn't change much.

What changed was the patterns of neural activation

that were restricting you from in the first case

stretching your hamstring or having a...

To be more accurate we should say

having a certain range of motion about the hamstring

and its related joints

and those brake mechanisms were removed.

And, of course, then when you contract your hamstring,

you're removing some of the neural brakes,

the spindle acting as a brake

and inhibiting that quadricep range of motion.

Okay, so you can imagine this,

and in fact you can apply this

for any number of different muscles,

the larger muscles and the sort of biceps,

triceps, and hamstrings, quadriceps

that are sort of the simplest place to think about this

and to apply it.

But in theory and, indeed, in practice,

it really works for all the various muscle groups,

it's just sometimes harder to access

these so-called antagonistic muscle groups.

Now, we should take a moment and just discuss

what actually happens as we get more flexible

in the short-term and long-term.

I just mentioned what happens in the short-term,

clearly those don't involve lengthening of the muscles.

It's not like the muscles slide along the bones

or that the tendons really stretch out

that much more than they had prior to that kind of exercise.

But it is the case that if people stretch

consistently over a given period of several weeks or more

that there are changes in the muscles.

This gets a little bit tricky in terms of nomenclature,

and I just want to highlight that

because I think that a number of people

get frustrated and confused,

in fact, when we talk about muscles getting longer.

You know, that the whole concept of a muscle getting longer

isn't really in keeping with reality,

but there are elements within the muscles

that can change their confirmation.

So, to get a little bit detailed here,

and we won't spend too much time on this,

but I just want to acknowledge this

for those of you that are interested

in neuromuscular physiology

and how it relates to flexibility.

You know, you have your muscle fibers

and then you have your so-called myofibrils.

So, you can imagine kind of a single fiber,

that fiber, of course, will get input

from those motor neurons.

And then within those fibers,

you have what are called sarcomeres.

And you can kind of think about sarcomeres

as little segments, kind of like the segments of bamboo.

If you ever look at bamboo, it's not just one big stalk,

it's got those little outpouching along the way

that going to break up

the what would be just one big stalk of bamboo

into different segments, but they're all connected.

The sarcomeres are somewhat like that.

And within the sarcomeres

you have a couple of different components.

One thing is called myosin, which is like a thick layer,

and then the other is actin.

And those are interdigitated, as we say,

they're kind of connected to one another,

kind of like if you were put your fingers together

from your two hands.

If you put your fingers

in between one another, that's interdigitated,

literally interdigitated in this case, so pun intended.

And that myosin and actin

kind of move relative to one another

and they have a lot to do with your ability

to contract muscles.

When we stretch muscles,

when we go through a stretching practice,

there are a number of things that change,

some neural, some related directly to connective tissue,

but also it appears from really nice work

mainly done from McGill University,

I'll provide a link to a couple of these studies

if you want to dig in there more deeply,

that change the confirmation,

the relative size and spacing of some of these things

like sarcomeres and the way that myosin and actin

kind of work together.

But we don't want to think of muscles as lengthening,

we can, however, think about the resting state of a muscle

being slightly different or, indeed, very different

than the resting state of a muscle

of somebody or of a limb

that has not undergone regular flexibility training.

So, that's as much time as I want to spend on that

because we could spend an entire hour

getting right down into the details,

but I do want to emphasize, however,

that muscles have different parts, they have fibers,

they have sarcomeres, they have myosin, they have actin.

But the idea of making our muscles longer,

that reflects a number of processes

that occur basically within an existing muscle length.

The length of our muscle bellies

and where our insertions are relative

to our connective tissue in our limbs

is genetically determined, right?

Some people have, for instance,

a bicep that goes all the way from the crook of their elbow

up to their shoulder, right?

And some people can if they were to put their arm

in a 90 degree angle could put two or three fingers

between their bicep and their elbow.

They have, we can say, a shorter bicep, relatively shorter.

Now, the reason I mentioned

these highly detailed cellular mechanisms

is because as we start to embark on different protocols

for using stretching to increase flexibility

and range of motion,

we need to ask ourselves what is preventing our ability

to extend range of motion?

Is it the spindle, right?

Is it because the muscle is stretching too much?

Oftentimes, it can be because of that

and/or because of a sense of pain

or simply a sense that the muscle is not in a position

that it's been in before

that's unrelated to pain or to spindle activation.

And oftentimes, it can be related directly

to these changes in the confirmation of myosin and actin,

and within the context of the sarcomeres.

Now, of course, you can't peer into

or sense your individual sarcomeres,

however, you do have neurons that innovate these areas

and that send that sensory information

back into the spinal cord and up to your brain to interpret.

So, you'll find that as we move along,

there are specific adjustments that you can make

at both the macro level,

meaning how much movement to insert

into your stretching, right?

Is it going to be a static,

or a dynamic, or even a ballistic stretch?

Or, for instance, at the micro level,

that even just a slight sub-millimeter

or millimeter increase in the stretching of a given muscle

and it related tissues

can translate into an increased range of motion performance.

As a quick but relevant aside,

I thought I'd share with you something useful

that's also grounded in this notion of antagonistic muscles.

So, for those of you that do resistance training,

whether or not it's with body weight,

or with physical weights, or machines, what have you,

you may have found that if you,

let's say, were to do three sets of a pushing exercise,

so this could be pushups,

this could be bench presses, this could be shoulder presses,

something of that sort.

And then, later in the workout you were to do,

let's say, machine pull-downs, or pull-ups,

or chin-ups of some sort, so a pulling exercise.

Typically, what you would find

is if you were to do what's often called straight sets,

so you would do three sets of pushups,

let's say, with two minutes of rest in between

that you might be able to get

a certain number of repetitions on the first set.

Let's just for sake of example,

let's say you can get 10 repetitions on the first set,

and then you get eight repetitions on the second set,

and then you get six repetitions on the third set

with two minutes in between,

and then you would move on at some point

to your pulling exercises.

And similarly, let's say you were doing chin-ups

or pull-downs and you would get 10 repetitions,

rest two minutes,

eight repetitions, rest two minutes, and six repetitions.

Okay, fine.

Well, typically what people discover

is that if they interleave

their pushing and pulling exercises,

provided they do that for muscles

that are antagonistic to one another.

So, in this case, pushing with the chest,

shoulders, and triceps for the pushing exercises,

and pulling with the back and biceps,

and, of course, there are other muscles involved as well.

But because those muscle groups

are at least in part antagonistic to one another,

what people often find is that if they were

to, say, do their pushing set, get 10 repetitions,

then move to a pulling set

after just say 60 seconds and perform that pulling set,

then go back to the pushing set,

then go back to a pulling set,

push, pull, push, pull,

in other words, interleaving their sets.

Even if they were to maintain the same amount of rest

between sets of pushing and sets of pulling,

what they discover often is that the drop

in the number of repetitions that they get

is somewhat offset.

So, rather than get 10, 8, 6,

as it were with the straight sets,

it will be 10, 9, 8.

So, what this means is not that you're increasing

the total rest time to four minutes between sets

because then, of course, it wouldn't be equivalent,

but rather that while maintaining the same amount of rest

between sets for this same muscle group,

by going from push, pull, push, pull

of antagonistic muscles,

you're able to have improved performance.

And the reason for that has everything to do

with what we were describing before,

which is that typically if you were to do push set,

rest, push set, rest, push set, rest.

Well, in between those sets

and, in fact, actually during those sets of pushing,

the pulling muscles that would be involved in the chin-ups

or pull-downs, et cetera, are actually relaxing,

or at least are being released of some tension,

including the activation of the spindles among other things.

So, that's a long-winded way of saying

that interleaving push and pull of antagonistic sets

can leverage some of the same neural circuits

that we're talking about leveraging

for sake of increasing flexibility.

Now, I offer this to you as a tool that you can try.

One of the challenges with using this tool,

however, is that you often have to occupy multiple sites

within the gym.

You know, if you're doing this at home

and you have your own gym, that's one thing.

If you're doing this in a gym

where you have multiple pieces of equipment,

well, then you become that person

who has essentially taken over some small corner,

or multiple corners, or machines within the gym.

And oftentimes, you'll find that you'll walk back

to a machine or you'll walk back

to a given resistance exercise

and someone has now taken it over

and the whole thing could be thrown off.

So, it takes a little bit of orchestrating

in order to do properly.

But in general, what people find

is that this can allow you to enhance performance overall

of these individual movements,

again, while maintaining the same amount of rest.

And even if you choose not to do this,

I encourage you to pay attention to this as a concept

because, again, it's leveraging this idea

of antagonistic muscles, flexors and extensors,

antagonistic neural relationships

between the spinal cord mechanisms

that control one set of muscles

and activating those muscles,

allowing the opposite antagonistic muscle to relax

and therefore to perform better on its next set.

So, now I'd like to shift to the question

of what types of stretching can and should we do

to increase limb range of motion?

If our goal is to do that

in the most efficient way possible

'cause I realize that most people

don't have endless amounts of time

to dedicate to a stretching practice.

And even for those of us that do,

I'm sure that you want to get the most outcome

for a given effort.

And what are the modes of stretching

that are going to allow us to increase our flexibility

and limb range of motion most safely?

Now, there are a number of different types of stretching

or methods of stretching.

Broadly defined, we can describe these as dynamic,

ballistic, static, and what's called PNF stretching.

PNF stands for Proprioceptive Neuromuscular Facilitation,

and it involves and leverages many of the mechanisms

that I described to you earlier.

The first two that I mentioned,

dynamic and ballistic stretching,

both involves some degree of momentum,

and can be distinguished

from static and PNF-type stretching.

Now, to distinguish dynamic stretching

from ballistic stretching,

I'd like to focus on this element of momentum.

Both involve moving a limb through a given range of motion,

in dynamic stretching, however,

it tends to be more controlled, less use of momentum,

especially towards the end range of motion.

Whereas in ballistic stretching,

there tends to be a bit more swinging of the limb

or use of momentum.

So, I invite you to visualize what dynamic

and ballistic stretching might look like in your mind,

you can even try it if it's safe for you to try it.

You know, you could imagine swinging your arm up overhead

as much as possible and bringing it down.

I'm doing this because I'm seated,

it's kind of a ridiculous movement to do while seated

or perhaps at all.

But for instance,

you can see dynamic and ballistic stretching.

Anytime someone, for instance, is holding onto something

with one arm or maybe not holding on

and swinging out their foot,

so essentially getting movement about the hip joint.

And you'll notice that some people raise it up,

and pause it, and bring it down,

that's one form of dynamic stretching.

Whereas others will swing it up

and sort of let it carry itself a bit further

due to the momentum at the top of the movement,

and then just let it drop back down

or maybe even control the descent.

There is an enormous range of parameter space here

or variables that one could imagine,

and there's just simply no way

that we could subdivide all those.

But again, dynamic and ballistic stretching

both involve movement,

so we have to generate some force

in order to create that movement.

Ballistic stretching involving a bit more momentum

or sometimes a lot more momentum,

especially at the end range of of motion.

Now, both of those are highly distinct

from static stretching,

which involves holding the end range of motion,

so minimizing the amount of momentum that's used.

So, to stay with the simple example

that we are all now familiar with

from our earlier discussion,

slowly bending over at the waist

and trying to touch your toes

or putting your hands to the floor

and then holding that end position

before coming up in a slow and controlled way,

such that you reduce the amount of momentum to near zero

would be one example of static stretching.

Static stretching can be further subdivided

into active or passive.

Right, there are different names

for these kinds of approaches.

You can hear about the Anderson approach

or the Jander approach,

you can look these sorts of things up online.

And, again, people tend to name things after themselves,

so some of these are proprietary

related to specific programs, I'm not focusing on those.

Others come to be named after the physiologists

or the practitioners that initially popularize them.

As is always the case,

there's always a naming and renaming

and claiming of territory with these things.

For the time being, I'd like to just emphasize

that static stretching can be both active,

where there's a dedicated effort

on the part of the stretcher, you,

to put force behind the hold to kind of extend

or literally to extend the range of motion.

And then, there's also passive static stretching

in which it's more of a relaxation

into a further range of motion,

and that can be a subtle distinction.

And there are other ways in which we can further distinguish

active and passive static stretching.

But nonetheless, static stretching

involves both those types of elements, active and passive,

but is really about eliminating momentum.

And then, there's the PNF,

the Proprioceptive Neuromuscular Facilitation.

And proprioception has several different meanings

in the context of neuroscience and physiology.

To just keep it really simple for today,

proprioception involves both a knowledge and understanding

of where our limbs are in space and relative to our body.

Typically, relative to the midline,

so the brain is often trying to figure out

where are our limbs relative to our midline

down the center of our body.

And we know where our limbs are

based on so-called proprioceptive feedback,

so that's feedback that comes from sensory neurons.

Right, now you know what sensory neurons

that are essentially monitoring

or responding to events within the joints,

the connective tissue, and the muscles,

and within the deep components of the muscles

like the spindle reflex,

and within the tendons like the GTO,

the Golgi tendon organ.

So, PNF-type stretching

leverages these sorts of mechanisms, these neural circuits,

by way of, for instance, you would lie on your back

and if your goal is to increase your hamstring flexibility

and the flexibility and range of motion

of other related muscle systems,

you might put a strap around your ankle

and pull that muscle.

Or I should say, excuse me, that limb towards you,

you're not going to pull the muscle towards you,

you're going to pull that limb your ankle towards you

to try and get it sort of back over your head.

And then, progressively relaxing into that,

or maybe even putting some additional force

to push the end range of motion and then relaxing it.

And then, actually trying to stretch that same limb

or increase the limb range of motion without the strap.

Right, sometimes these are assisted by other people.

So, people will even use loads,

sometimes they'll even use machines.

There are a number of different apparati

that have been designed for this,

sometimes it'll involve a training partner.

There's a huge range of PNF protocols,

and those protocols can be done both by oneself

with or without straps, with machines,

with actual weights, or with training partners.

If you're interested in the variation of exercises

to, say, target your hamstrings versus your quadriceps

versus your shoulders versus your chest muscles, et cetera,

your neck muscles, and so on,

there is an enormous range of information

on dynamic, ballistic, static, and PNF stretches

for all the various muscle groups.

And I should say there are some excellent books

on those topics,

there are also some excellent videos

on YouTube and elsewhere.

Nowadays, it's pretty easy to find exercises

that allow you to target specific muscle groups.

Again, I encourage you to be safe in how you approach this,

and I would encourage you also to pay attention

to the information that soon follows

as to what sorts of protocols one would use

to apply those exercises.

But the number of exercises

and the availability of those exercises

for targeting different muscle groups

with these four different kinds of stretching

is both immense and fortunately, thankfully,

immediately accessible to all of us often at zero cost.

So, specific exercises

to target specific muscle groups aside,

we've now established

that there are four major categories of stretching,

or at least those are the four major categories

I'm defining today.

And we can further divide those categories

into which are the ones that are going to be most effective

for increasing range of motion in the long-term,

not just in one individual session.

And there have been a number of studies exploring this.

I can list out at least four,

and we'll put those four as a kind of a cluster

under one heading in the show note captions

that arrive at essentially the same answer,

which is that for increasing limb range of motion,

it does appear that static type,

including PNF, but static-type stretching

is going to be more effective

than dynamic and ballistic stretching.

So, at least in my mind, this is good news.

Why is it good news to me?

Well, while dynamic and ballistic stretching

can be immensely useful for improving performance

of specific movements,

in particular, in the context of particular sports

like tennis, or in sprinting, or frankly for any sport,

they do carry with them a certain amount of risk

because of the use of momentum.

So, you don't need to be highly trained

in order to perform them.

In fact, there is a place

and we will describe when one would want to apply dynamic

or ballistic stretching.

I'll just give away for now,

I think that most physios out there

and certainly the ones that I spoke to,

Dr. Andy Galpin, Dr. Kelly Starrett, and a few others

point to the fact that doing some safe

dynamic and ballistic stretching

prior to, say, a resistance training session,

or maybe even prior to a cardiovascular training session

can be useful both in terms of range of motion effects

and in terms of neural activation effects.

I don't want to use the words warm-up

because warming up is typically associated

with increasing core body temperature, as it should be,

but for engaging the neural circuits

and becoming familiarized with the neural circuits

that you're about to use in other movements

while also increasing the range of motion of the joints

involved in those movements

so that you can perform them more safely

and more confidently.

So, I'm certainly not saying,

I want to repeat, I'm certainly not saying

that dynamic and ballistic stretching are not useful,

they absolutely are,

but in terms of increasing limb range of motion

in the long-term of truly becoming more flexible

as opposed to transiently more flexible,

static stretching, which includes PNF,

appears to be the best route to go.

So, if your goal is to increase your limb range of motion

for a given muscle group, or perhaps for all muscle groups,

although you can imagine that'd be pretty tough.

I mean, you're not going to spend time,

I could imagine, working on your tongue muscle control

or neck muscle control and every muscle control,

but most of us want to reduce so-called tightness

in air quotes and increase limb range of motion

for certain muscle groups.

And it appears that the best way to do that

is going to be static stretching of some kind,

which raises the question of how often

to do that static stretching

and how long to hold those static stretches.

And we can also ask the question,

we should ask the question,

where to hold those static stretches?

Is it always a good idea to hold those static stretches

at the end or the point of maximal range of motion?

We're going to address that now.

There's some terrific science around this.

A slightly older study,

but nonetheless a powerful one

because it provided a foundation

for a lot of subsequent work,

which basically served to just confirm

the answer they got here is a study from Bandy et al.

And the title of this study

is The Effect of Time and Frequency of Static Stretching

on the Flexibility of the Hamstring Muscles.

It was a study involving 93 subjects,

so 61 men, 32 women ranging an age from 21-39 years,

so a pretty broad demographic

who had limited hamstring muscle flexibility,

here I'm paraphrasing,

and randomly assigned to one of five groups.

So, the four stretching groups

stretched five days per week for six weeks,

the fifth group, which served as a control, did not stretch.

The results clearly show that quote,

"The change in flexibility appeared to be dependent

on the duration and frequency of stretching."

This is great,

this tells us that stretching for a given amount of time

scales with the amount of limb range of motion

improvement that one will see.

There were many interesting findings within this study,

but the one that I'd like to highlight most is quote,

"The results of this study suggest that a 30 second duration

is an effective amount of time

to sustain a hamstring muscle stretch

in order to increase range of motion.

No increase in flexibility occurred

when the duration of stretching was increased

from 30 seconds to 60 seconds,

or when the frequency of stretching was increased

from one to three times per day."

Okay, so now we're starting to lay down some parameters.

What this study reveals and what subsequent studies tell us,

and we will get into those subsequent studies,

is that ideally one would do static stretches

that are held for 30 seconds.

Perhaps more in certain instances,

and I'll explain when that can be useful,

but here holding those stretches for more than 30 seconds

did not turn out to be additionally useful.

So, if you're going to stretch your quadricep, for instance,

and you're going to hold that stretch in static fashion,

remember not using momentum,

and you can use the mental tricks

of either trying to push through the pain,

which I don't recommend necessarily,

I think that makes us prone to injury,

or to relax into the stretch,

but nonetheless providing some force

typically with a hand in order to pull your ankle back,

if you're doing a quadricep stretch,

some people might do this on the edge of a sofa.

Remember, there are a lot of different exercises

and ways to do this that you can explore elsewhere.

Well, holding that static stretch for 30 seconds

appears to be sufficient

to stimulate an increase in limb range of motion over time.

Again, these are protocols

that were used repeatedly over time,

and we'll talk about how often to repeat them

in order to get maximal effect.

But 30-second holds for static stretches

is the number that I think we want to focus on

and that most of us are going to want to utilize.

So, now let's explore how many sets of static stretching

one ought to do in order to get

a maximum range of motion improvement

while not placing us into a system

that's going to create injury

nor a situation where we have to be constantly stretching

throughout the day

because, again, most of us don't have time to do that.

This issue of sets is an important one.

In the context of cardiovascular exercise,

we've talked about the data that support the fact

that doing at least 150

and ideally as much as 200 minutes per week

of Zone 2 cardiovascular exercise

is very useful for cardiovascular health

and for other aspects of health.

And, of course, there are other aspects

of cardiovascular exercise

that could be layered onto and into that

that can be useful like 90 second

maximal sprints, et cetera.

Discussed this a lot in the episode with Dr. Andy Galpin

and on our episode about endurance.

And we also talked about sets

in the context of strength and hypertrophy building,

building muscle size and/or strength

in the episode about that.

And in particular, in the episode with Dr. Andy Galpin,

and there, we could also arrive at some specific parameters.

And it's going to vary, of course, between individuals,

depending on how hard you train,

whether or not you take sets to failure,

your repetition range, et cetera,

but in the context of strength and hypertrophy building,

we arrived at a approximately six,

maybe as many as 10 sets per week per muscle group.

Some of that work is done as direct work

to a given muscle group, some of that work is indirect.

So, doing certain pulling exercise,

of course, will target the latissimus dorsi muscles,

but also the biceps.

So, that doesn't necessarily mean you have to do 10 sets

for the biceps and for the lats,

sometimes you're getting some indirect work, et cetera.

All of that was delineated in the episode

with Dr. Andy Galpin.

And we arrived at those numbers of sets

according to the same criteria that we will apply here,

what is the minimum number of sets

both to maintain and to improve

a given mode of performance?

Strength and hypertrophy or cardiovascular health,

again, to either maintain or improve.

And we can do the same thing for improving

or maintaining range of motion

because as I mentioned earlier,

the data pointed to the fact

that if we don't do some dedicated work

to improve range of motion over time,

we will lose our flexibility

and limb range of motion over time

just by virtue of the fact

that we're not doing anything to offset that.

So, whether or not you want to maintain,

reestablish, or gain limb range of motion,

static stretching of holds of 30 seconds appear to be best.

Now, the question is how long should you do that?

And how many sets should you do that?

And how many times a week should you do that?

And to answer those questions,

I'm going to turn to what I think

is a really spectacular review.

This was a review that was published in the year 2018,

so it's fairly recent,

first author Thomas, Ewan Thomas,

last author Palma.

We will put a link to this in the show note caption.

The title of the paper

is The Relation Between Stretching Typology

and Stretching Duration: The Effects on Range of Motion.

It's a very straightforward title.

This is a review article that explored

a number of different studies,

had criteria for whether or not those studies

could be evaluated in the context of the questions here,

had some quality standards and some other standards

that they applied.

And basically, windowed down a large collection of studies

to a remaining 23 articles

that were able to be considered quote, "Eligible

and included in the quantitative synthesis done here."

So, key points from that quantification

and synthesis done in this paper.

First of all, and I quote, "All stretching typologies

showed range of motion improvements over a long-term period.

However, the static protocols showed significant gains

with a p-value less than .05,"

which means a probability that cannot be explained

by chance alone,

"When compared to ballistic or PNF protocols."

So, again, that we're hearing is that static stretching

is the preferred mode for increasing limb range of motion.

Although, here they make the additional point

that static stretching might even be superior,

not just to ballistic stretching, but also to PNF protocols.

Because before, as you may recall,

there was a distinction between ballistic and dynamic,

and static and PNF.

And so, here it appears again that static stretching

is sort of rising to the top of the list

as the optimal approach

relative to all other stretching approaches,

at least in the context of increasing limb range of motion.

The authors go on to say, "Time spent stretching per week

seems fundamental to elicit range of movement improvements

when stretches are applied for at least or more

than five minutes per week."

Okay, this is critical.

This is not five minutes per stretch.

Remember, 30 seconds per static stretch,

but at least five minutes per week.

Whereas the time spent stretching within a single session

does not seem to have a significant effect

for range of motion gains.

If this is getting confusing,

I'll make sure that you soon understand

exactly what we can export from these conclusions.

The data indicated that performing stretching

at least five days a week.

Now, some of you may already be groaning,

for at least five minutes per week.

Okay, so five days per week, that's a lot,

but at least five minutes per week,

five minutes per week is not that much.

"Using static stretching may be beneficial

to promote range of motion improvements."

Okay, I've read this study in detail now,

they highlight, again, the reduction in flexibility

that occurs from 20-49 years of age and so on,

how acute bouts of short-term stretching

up to three weeks can improve stretch tolerance.

I think that's a key point that in the short-term,

the first three weeks of embarking

on a stretching and flexibility program,

much of the improvements come from the short-term

neural improvements that we talked about before

of inhibiting the spindle reflex and so on.

And also, a stretch tolerance,

a comfort with doing the movements

and maybe even a comfort in overriding

some of the pain mechanisms.

I'll talk a little bit more about that in just a bit

and the particular utility of yoga.

Something that I don't often practice,

but that after reading this article

that I'll mention in a little bit,

I'm considering perhaps taking up

some form of yoga protocol.

Now, I've already highlighted

some of the key take aways from the study,

namely that we need to get at least five minutes per week

of static stretching per muscle group.

And based on the previous paper that we talked about,

we need to divide that five minutes

into sets of 30 seconds each.

And as I mentioned earlier,

it doesn't seem to be the case

that you can do all of that in one day, unfortunately.

It does seem important that the frequency

of stretching practice

distributed throughout the week is important.

So, let's talk protocols.

We are now talking about doing static stretching,

so holding, so limiting momentum

and holding a stretch for 30 seconds per set.

We're talking about trying to achieve

five minutes per week of those static holds,

but that we can't do it all in one session

because the frequency of sessions

distributed throughout the week

correlates with the improvements in limb range of motion.

So, what this means is that we should probably be doing

anywhere from two to four sets

of 30 second static holds stretches

five days per week or some variant thereof.

And I do say some variant thereof because it turns out

that even though there was that earlier study

that we talked about

that holding a stretch for more than 30 seconds,

in that case 60 seconds,

didn't turn out to be additionally beneficial.

It appears that if you do hold those stretches

for 60 seconds per static stretching set, for instance,

you can get away with stretching

fewer days per week overall.

So, in order to make this as clear as possible

'cause I do realize there are a lot of parameters

and you might be asking,

"Why didn't you just make me a list

of the exact things I should do?"

Well, it doesn't work that way

because once you understand the mechanisms

and once you understand your particular goals,

this information is designed for you to be able to construct

a stretching program that is tailored

to your specific goals.

If I just gave you the stretching program that I'm doing,

or I should say that I'm soon to be doing

'cause I'm soon to be doing one

based on the research for this particular episode.

Well, that wouldn't be beneficial for you

because, for instance, if you have very flexible hamstrings,

but not very flexible quadriceps,

or you are somebody who is engaged in sport

or not engaged in sport,

what you need to do is going to vary somewhat.

So, what would effective stretching protocol look like?

We're all trying to improve limb range of motion

for different limbs and different muscle groups.

But just by way of example,

and it's because the one we've been using,

let's talk about hamstrings for the time being.

This could, of course, be applied to other muscle groups.

Let's say you want to improve hamstring flexibility

and limb range of motion about and around the hamstring

and involving the hamstring,

you would want to do three sets

of static stretching for the hamstring.

Again, easy to find such exercises on the internet.

You would do that by holding the stretch for 30 seconds,

resting some period of time,

and doing it again, holding for 30 seconds,

resting some period of time,

and then holding it for 30 seconds.

That would be one training session for the hamstrings.

I have to imagine that you'd probably want to stretch

other muscle groups as well in that same session.

Although, at least as far as I could tell,

there was no data pointing to the fact

that you couldn't do your hamstring stretching

one part of the day

and your quadricep stretching another part of the day.

But presumably, you're going to want to combine

your flexibility training into one single session.

So, three sets of 30 seconds each

get 90 seconds,

and you would do that ideally five times a week

or maybe even more

because it does seem like frequency

distributed throughout the week is an important parameter.

Now, one thing that we have not highlighted

or at least described

is how long to rest between stretching sets.

And despite my efforts,

I could not find research-backed information

that pointed to whether or not 30 seconds of rest

for every 30 seconds stretching,

or 60 seconds rest for every 30 second stretching was ideal.

I think it's reasonable to assume

that doubling the amount of time

for the interleaving rest

would be appropriate or at least doable.

If anyone out there has knowledge about rest

between stretching sets and has some physiology,

or some biology, or some experiential information

as to why a given ratio of duration of static stretch

to rest in between static stretch sets ought to be used,

please put it in the comments on YouTube,

that'd be a terrific way for us to get that information.

I'd love to do any follow-up

to links that you provide and so on.

But now, we're starting to build into a protocol

that is backed by the scientific data.

Three sets of 30 seconds of holds

done five times or maybe even six times per week.

One thing that did show up in my exploration

of the peer-reviewed research

is this notion of warming up for all this.

We haven't talked about that yet.

In general, to avoid injury,

it's a good idea to raise your core body temperature a bit

before doing these kinds of stretches.

Even these static stretches,

which we can sort of ease into

and don't involve ballistic movement by definition.

And the basic take away that I was able to find

was that if we are already warm from running,

or from weight training, or from some other activity

that doing the static stretching

practice at the end of that weight training,

or cardiovascular, or other physical session

would allow us to go immediately into the stretching session

because we're already warm, so to speak.

Otherwise, raising one's core body temperature by a bit

by doing five to seven, maybe even 10 minutes

of easy cardiovascular exercise or calisthenic movements,

provided you can do those without getting injured,

seems to be an ideal way to warm up the body for stretching.

We should be warm or warm-up to stretch,

although those warm-ups

don't have to be extremely extensive.

And then, just by way of logic,

doing the static stretching after resistance training

or cardiovascular training seems to be most beneficial.

In fact, and unfortunately we don't have time

to go into this in too much detail today,

I was able to find a number of papers that make the argument

that static stretching prior to cardiovascular training

and maybe even prior to resistance training

can limit our performance

in running and resistance training.

I realize that's a controversial area,

you have those who say, "No, it's immensely beneficial,"

you have those who say, "No, it inhibits performance,"

and those that say, "No, it's a matter

of how exactly you perform that static stretching,

and which muscle groups, and how you're doing this,

and how much time in between

static stretching and performance."

But to leave all that aside,

doing static stretching after some other form of exercise

and if not after some form of exercise,

after a brief warm-up to raise your core body temperature

definitely seems like the right way to go.

Now, for some of you out there,

and I confess for me as well,

doing something five days a week

seems like a big commitment,

even if that commitment is one to only do three sets

of 30 second static stretches.

I say this because you've got the warm-up,

I generally like to bring a kind of a focus

and dedication to a practice.

And, of course, because when doing these kinds of protocols,

it's likely that you're not just stretching your hamstring,

so it's not just 90 seconds of work

with a minute of rest in between,

but very likely that we're also doing quadricep stretching,

and also doing stretching for the shoulders,

and stretching for the back, and the neck, and so on.

And so, that entire session is going to take some time,

and five days a week is a pretty serious commitment

for most, especially for those of us that don't exercise

or do athletics for a living, which I don't.

So, there is some evidence from the literature

that one can get away with,

or I don't even know that we should think about it

as getting away with,

but that one can do longer hold static stretches

of up to say 60 seconds,

but do fewer total sessions per week.

So, rather than three 30 second static holds,

doing three 60 second static holds

and doing those every other day.

And there really hasn't been

a systematic exploration of this.

The article that I was referring to just a few moments ago,

this analysis of the 23 articles

was combined into this enormous set of tables

and some really quite nice graphs

that you're welcome to look at

since we're going to provide a link to the study.

There are a couple of key take aways that I want to mention

that are separate from this issue

of how long to stretch and how often.

First of all, they describe in their discussion

that there were improvements in range of motion

independent of whether or not people did static stretching,

active stretching, passive stretching,

ballistic stretching, or PNF stretching.

So, all of those forms of stretching

will improve limb range of motion.

This is essential to point out

and I want to emphasize this.

Static stretching, however,

gave the greatest degree of gains in limb range of motion.

And on average, they saw a 20.9% increase,

but some of the other increases they observed

were also quite substantial.

So, ballistic stretching can also provide

some pretty impressive limb range of motion improvements.

However, they tended to be in the range

of, here they point out, 11.65% increase,

or in the case of PNF, a 15% increase.

So, it appears that the greatest improvements

in limb range of motion for your time spent and effort spent

is going to be this minimum of five minutes per week

to elicit a significant response

with five days being the minimum

weekly recommended frequency

to achieve significant range of motion improvements.

I confess, this was pretty surprising to me

when I compare flexibility training

to, say, resistance training for strength and hypertrophy.

I've had the experience,

and I know that other people have had the experience,

and I think Dr. Andy Galpin would probably agree

that provided one trains hard enough and appropriately

that you don't need to train resistance training

five days a week in order to get significant improvements

in strength and hypertrophy.

Some people might need to,

but you can get a lot of positive results

in those variables with less frequent training,

certainly with three or four days a week of training.

And for cardiovascular training,

I'm not aware of anyone having tested

whether or not one very long run each week

can actually increase cardiovascular fitness

and you're not doing anything else.

Although, I have to imagine you'd probably see

some improvement compared to not doing anything,

but most people are doing repeated training sessions

of cardiovascular strength training.

Not a lot of people are doing five days a week

of strength training, at least that I'm aware of.

Some people are, but most people I think are not.

And some people are doing five or more days

a week of cardiovascular training.

I'm guessing that most people are not doing five days a week

of dedicated static stretch

range of motion directed training,

but it does appear that that frequency about the week

getting those repeated sessions,

even if they are short for an individual muscle group,

turns out to be important.

And so, that points to perhaps the reason

why so few people are doing dedicated range of motion work,

but it also reminds me that all of the studies

that were described at least in this review

and some of the other ones that were not

really show impressive changes in limb range of motion.

I mean, 20+%, or even 15% with PNF,

I mean, these are big changes that are going to benefit us,

they're going to offset the age-related losses

in flexibility, for sure,

if one is dedicated about these practices.

And in many cases,

they're going to increase limb range of motion

in ways that are going to allow us better performance

in certain physical endeavors, certainly better balance.

All right, we haven't really talked

about balance and stability,

but range of motion can impair balance and stability

in some extreme circumstances,

but by and large, limb range of motion, lack of tightness,

improved posture, improved physical performance, excuse me.

And things of that sort is something

that I think we can all benefit from,

and that are key features of longevity.

We don't often think of them

because we so prioritize cardiovascular health

and the relationship between the heart and brain health,

and resistance training, and musculoskeletal hypertrophy,

or strength, et cetera.

But as I delved into this literature,

it really highlighted for me the extent

to which having really good limb range of motion,

at least maintaining limb range of motion

as we age from year to year,

and maybe even improving limb range of motion

can be immensely beneficial for reducing pain

for, again, improving posture,

improving our ability to perform, to walk, et cetera.

And indeed, there's a whole literature

that relates our limb range of motion

to things like pain management

of things related to headache and so on and so forth.

So, limb range of motion is not just about

becoming a contortionist

or being able to complete the yoga class,

it really is about maintaining the integrity and the health

of the neuromuscular system, the connective tissue,

and the neuromuscular connective network

because those are indeed working as an ecosystem

and a network.

I'd like to just briefly touch

on PNF stretching for a moment.

Again, this is a vast landscape

with many parameters and different practitioners,

a lot of competing opinions out there,

to put it lightly.

Nonetheless, I do want to emphasize that the PNF training

leverages those spindle mechanisms

and GTO mechanisms that we talked about earlier,

but I realize that in describing the quadricep contraction,

hamstring stretch little mini-experiment

that hopefully you did,

that I didn't really highlight the role of the GTOs,

the Golgi tendon organs that much.

And I just would like to just briefly do that for a moment.

The GTOs have multiple functions.

In fact, I think even though GTOs

are in every medical textbook, every physiology textbook,

every first year neuroscientist learns about them

when learning about the neuromuscular junctions

and the mechanisms of interoception, et cetera,

they're likely to have other functions as well.

And one of the reasons why PNF stretching does work,

whether or not you're doing that by using a strap

to pull back a limb,

or whether or not you're actively contracting

your quadriceps to then release and emphasize

stretch range of motion for your hamstrings

and related muscle groups is that activation of those GTOs,

meaning putting loads and tension into that system

can inhibit the spindles

in the opposite antagonistic muscle groups.

Okay, so one of the reasons why flexing,

or I should say contracting your quadriceps

really intensely for some period of time

allows your hamstrings to subsequently experience

greater range of motion.

And again, it's not just the hamstrings,

but the related connective tissue

and neural circuits, et cetera

is because yes, it's quote-unquote relaxing

the hamstrings and the spindle,

but there's also a direct relationship

between activation of the GTOs in the quadricep

and release of the spindles

in the hamstring and related muscles.

This has a name, it's called autogenic inhibition,

it's a fancy name for contraction of one muscle group

providing a relaxation of the other muscle group

that's antagonistic to it.

And it relates back to this idea

of interleaving sets in the gym.

So, if you think back to that example,

now it should make sense as to why, for instance,

if you do, let's say, a set of bench presses

or shoulder presses,

and you let's say you get 10 repetitions

and you fail on the 11th,

that muscle is very, very fatigued.

If you were to rest some period of time

and then go back and do another set,

well, during the rest, that muscle group has been relaxing,

it's obviously not contracting the same way

it was during the resistance set,

but by going and doing a pulling exercise

that involves the antagonistic muscle group,

so strongly contracting the back muscles through a pull

like a pull-down, or a chin-up, or a row-type exercise,

you're activating or near activating the GTO system

in those pulling muscles in a way

that provides autogenic inhibition for the pushing muscles.

Now, again, the physios out there

are probably either screaming

or banging their heads against whatever sound system

this happens to be arriving through to them saying, "Wait,

but in many cases, the GTOs aren't activated enough

to provide that autogenic inhibition."

That's true, but even the sub-threshold activation

of those intraspinal circuits,

so the place where the GTO circuit

and the spindle circuit interact,

can provide an additional replenishment

of, say, the pushing muscles

while you're activating those pulling muscles.

And this is at least one, not the only,

but at least one mechanism

by which interleaving push and pull, push and pull

for both strength and hypertrophy training,

but also for range of motion stretching-type training

can allow you to achieve better results

in a shorter period of time.

And I raise this because I want to keep in mind

the efficiency of any training program.

We just a moment ago established that doing,

for example, three sets of 30 second static holds

can be very useful for the hamstrings

with let's just say for sake of simplicity and practicality

a minute's rest in between.

But during that minute's rest,

you can stretch the opposite antagonistic muscle group,

such as the quadriceps,

or if you want to use PNF training,

you could do loading of the quadriceps in between.

So, there are a number of different ways

in which you can start to interleave static stretching

with PNF stretching,

you can start to interleave even PNF-type protocols

with resistance training,

although that gets a bit more complicated.

You can really start to construct

and build protocols that are ideal for you.

What we will do

is for an upcoming Neural Network Newsletter.

So, for those of you that aren't familiar,

the Huberman Lab Podcast

has a so-called Neural Network Newsletter,

these are monthly newsletters where we put distilled points

from the podcast and oftentimes protocols

in a downloadable PDF form.

You can access it by giving us your email,

we don't share your email with anybody.

If you want to see examples of these,

you can go to hubermanlab.com

and go to the menu and see Newsletter,

you don't have to sign up for anything

to see examples of what these are like.

I'll provide a couple of different protocols,

one that is pure static stretching,

one that involves PNF-type stretching,

and I'll also put down a protocol

that involves the antagonistic interleaved muscle training

of the sort that I've been describing

a few times throughout this episode.

And then, you can try and apply those

either separately or maybe combine them in some way

that's useful for your goals.

There are a couple of key elements that are essential

for building a safe and effective range of motion

increasing program that arrived to us

both through the peer-reviewed research

and, admittedly, from people that have been involved

in teaching and training range of motion

for a very long period of time.

Some of you may be familiar

with the so-called Anderson method,

it's been around for a long time.

Actually have never met Anderson,

I don't, I should know this,

I don't even know if he's still alive,

I hope he's still alive,

but in any event, there are a lot of different features

to the Anderson and other protocols.

But one of the aspects of the Anderson protocol

that I think is highly relevant.

In fact, I know is relevant to the peer-reviewed research

that we're going to talk about in a few moments

is this notion of pushing through pain,

and how active or how passive to be about static stretching.

Now, this is somewhat subjective.

Right, if you think about getting into a stretch,

again, we'll just use the hamstrings for example.

So, you're either reaching for your toes while seated,

or maybe you're using a strap

and you're raising your foot overhead while lying down,

or maybe you're doing a toe touch-type exercise.

How far should you reach?

Where is the end range of motion?

Should you balance? Should you not balance?

We're going to talk a little bit more about that in a moment,

but Anderson has an interesting idea and principle,

which has thread through a lot of his teachings

that I think are very much in keeping with the study

that I'm about to describe next,

where he emphasizes to yes,

to stretch to the end of the range of motion,

but not to focus so much on where that range of motion

happens to be that day.

So, for instance, not thinking, "Oh,

I can always touch my toes, for instance.

And therefore that's the starting place

for my flexibility training today."

But rather to take the entirety of your system into account

each day and understand that, okay,

provided your warmed up appropriately,

that you're now going to stretch your hamstrings,

for instance, and you're going to reach down for your toes,

but that your range of motion might be adjusted that day

by way of tension and stress,

or by way of ambient temperature in the room.

And to basically define the end range of motion

as the place where you can feel the stretch

in the relevant muscle groups.

I think this is important

because unlike resistance training

or cardiovascular training,

where we can measure distance traveled over time

in the case of cardiovascular training,

or how much weight is on the bar,

and count repetitions, et cetera.

With range of motion training,

of course, range of motion is the feature

that we're interested in,

but there is likely to be a lot of variation from day-to-day

based on a number of different internal

and external factors.

And so, the Anderson method

is really about getting into static

and other forms of stretching.

I think today we've mainly been focusing

on static stretching and holding the end range of motion,

but really paying attention to the feel of the stretch

and the muscles involved.

And there are parallels in resistance

and cardiovascular training too I realize, right?

In the case of trying to build hypertrophy,

or I should say improve hypertrophy, muscle size,

oftentimes the best advice that one can give

is to don't try to lift weights,

but rather to challenge muscles.

Now, of course, you need to provide adequate loads

in order to get hypertrophy,

but when you're training purely for strength,

it's about moving weights.

When you're training purely for hypertrophy

or mainly for hypertrophy,

it's really about challenging muscles using weights

or other forms of resistance.

And similarly, and in keeping with this Anderson method,

when trying to build limb range of motion,

doing static stretching at a place where it's difficult,

but that you can experience the stretch of the muscle

cognitively, consciously being able to focus on the muscles

and their stretch is at least as useful

as is evaluating the current range of motion

you're able to achieve.

So, what does this mean?

This means feel the muscles as you stretch them,

don't just go through the motions.

And this means don't get so attached

to being able to always achieve,

for instance, a stretch of a given distance

within a given session.

You might actually find that by just finding the place

where you can't get much further

and holding the static stretch there,

that on the second and third set

that you happen to be doing that day,

that your range of motion will be increased considerably.

Maybe not, but very likely yes, you will.

And, of course, evaluating range of motion over time

is the key parameter

because that's the goal of all this type of work.

Now, along these lines,

there is this variable that we've mentioned a few times

of passive versus active stretching,

and there's this even more nebulous variable,

this even more kind of subjective thing

of how much effort to put into it?

Should you push into the stretch?

Would you even want to balance a tiny bit?

Would you want to reach into that end point

and try and extend it within a given set and session?

And for that reason,

I was excited to find this paper

entitled A Comparison of Two Stretching Modalities

on Lower-Limb Range of Motion Measurements

in Recreational Dancers.

Happens to be done in recreational dancers,

it's a six-week intervention program

that compared low-intensity stretching,

which they call Microstretching.

They used a capital M,

so I don't know if that means that it's proprietary,

although I didn't see evidence of a conflict of interest,

but they call it Microstretching.

But to be very clear,

Microstretching in the case of this manuscript

is low-intensity stretching.

And they compared that

with moderate intensity static stretching

on an active and passive ranges of motion.

Okay, so there are a lot of different variables are here,

but I'll just highlight a few of the things

that are really most relevant to us,

and I'll give you the take away at the outset

and then return to it at the end

so that if I lose any of your attention

in the next couple of minutes,

at least you have that key take away.

Basically, what they found

was that a six-week training program

using very low-intensity stretching

had a greater positive effect on lower limb range of motion

than did moderate-intensity static stretching.

I find that incredibly interesting, so very low intensity,

and we'll define what that means in a moment.

Here, I'm quoting them,

"The most interesting aspect of the study

was the greater increase in active range of motion

compared to passive range of motion

by the Microstretching group."

So, this relates to what we were just talking about

a few moments ago as it relates to the Anderson method,

which is that very low-intensity stretching,

meaning effort that feels not painful

and in fact might even feel easy or at least not straining

to exceed a given range of motion

turns out to not just be as effective,

but more effective than moderate-intensity stretching.

So, what is low-intensity static stretching?

Well, they define this as the stretches were completed

at an intensity of 30-40%

where 100% equals the point of pain, right?

So, 30-40% in these individuals,

and again, I'm paraphrasing,

induced a relaxed state within the individual

and the specific muscle.

And here they were holding these static stretches

I should mention for one minute, not 30 seconds.

Now, the control group

was doing the exact same overall protocol,

so daily stretching for six weeks,

the same exercises, holding each set for 60 seconds,

but were using an intensity of stretch of 80%

where, again, 100 represents the point of pain

or the point where the person would want to stop stretching.

I find these data incredibly interesting

for, I think, what ought to be obvious reasons.

If you're going to embark on a flexibility

and stretching training program,

you don't need to push to the point of pain.

In fact, it seems that even just approaching

the point of pain is going to be less effective

than operating at this 30-40% of intensity

prior to reaching that pain threshold.

The pain threshold being 100%.

Now, of course, this is pretty subjective,

but I think all of us should be able

to register within ourselves,

so whether a given range of motion

or extending a given range of motion

brings us to that threshold of pain or near pain.

And according to this study at least,

operating or performing stretching

at an intensity that's quite low, that's very relaxing

turns out to be more beneficial

in increasing range of motion

than is doing exercises aimed at increasing range of motion

at a higher intensity.

Okay, so lower intensity stretching,

I should say lower intensity static stretching

appears to be the most beneficial way

to approach stretching.

And I think that's a relief probably to many of us

because it also suggests that the injury risk

is going to be lower than if one were pushing

into the pain zone, so to speak.

The authors offer a number of different explanations

as to why this approach, this Microstretching approach,

might be more effective.

Here, I'm paraphrasing from their discussion

where they mentioned that it could be hypothesized

that they had improved reciprocal inhibition

within the hamstring muscle group.

So, this gets right back to the sorts of neural mechanisms

that we talked about before,

that somehow by doing this low-intensity stretching

that they were able to access some of those spindle

and GTO-type mechanisms that we were referring to earlier,

and the inhibition of hamstring and quadricep stretches.

They also offer a number of different ideas

about how this could shift the activation

of the so-called sympathetic,

remember the kind of stress division of our nervous system,

and to reduce that relative

to activation of the parasympathetic arm

of the nervous system.

I confess, they have a couple of arguments

around sympathetic, parasympathetic

that are somewhat convoluted.

I will just in fairness to the neuroscience

on those systems,

I wouldn't suggest putting too much weight

on their arguments about sympathetic and parasympathetic.

To my mind, they didn't really hold much water,

but here I'm not trying to be disparaging

of the overall work, which I think is really quite sound,

which is that low intensity, so called Microstretching,

is going to be the most effective way

to increase limb range of movement over time.

I want to just briefly return to this idea

of whether or not to do ballistic or static stretching

before some sort of skill training,

or weight training, or any kind of sport,

or even cardiovascular exercise like running.

Again, the data are really split out there.

There are even folks who suggest

that doing any kind of stretching prior to running

is going to lower running efficiency,

it's going to require essentially more work

and more oxygen uptake at a given speed

for a variety of reasons,

and runners and that community argue about this endlessly.

There are papers in both sides, in both directions,

I'm sure I'll hear about some of this in the comments.

I'm not really going to take a stance on this as a consequence

because the data are all over the place.

However, I think there's a general logic that we can apply,

and here I'm borrowing from some conversations

and some information put out there by Dr. Andy Galpin,

who I think is, of course, both an expert

and thinks about these things

in a really sound and flexible way, no pun intended.

There are instances, for example,

where an individual might want to do some static stretching

to increase limb range of motion

prior to doing weight training

even if it's going to inhibit that person's ability

to lift as much weight.

Why would you want to do that?

Well, for instance,

if somebody has a tightness or a limitation

in their neuromuscular connective tissue system

someplace in their body and system

that prevents them from using proper form,

that they can overcome by doing some static stretching.

Well, that would be a great idea

as Dr. Galpin points out.

Or for instance, if proper stability within the movement

requires increasing limb range of motion in some way,

well then compromising the use of greater loads

could be greatly offset by doing some static stretching

to improve, say, hamstring flexibility

or another muscle group flexibility.

So, we can't always think about

just what's going to allow us

or inhibit us from using the maximal amount of weight

or from running as far as we want to run

as fast as we want to run.

There are instances where people are trying to overcome

injuries where they're trying to come back

from a repetitive surgery

or something of that sort, coming back from a layoff

where some additional static stretching

prior to cardiovascular, or weight training,

or skill training, or sport of some kind

is going to be useful because it's going to put us

in a position of greater safety

and confidence and performance overall,

even if it's adjusting down our speed

or the total amount of loads that we use.

So, it's you that needs to consider

whether or not for you and within a given training session

you want to do static training,

I should say static stretching range of motion training

prior to or after that training session.

And similarly, there are a lot of data

pointing to the fact that doing some dynamic

or even ballistic stretching prior to skill training,

or cardiovascular, or weight training can be beneficial

in part to warm-up the relevant neural circuits,

joints, and connective tissue, and muscles,

and as well to perhaps improve range of motion

or ability to perform those movements more accurately,

with more stability, and therefore with more confidence.

And while Dr. Andy Galpin

would never name any protocol after himself,

he's far too humble to do that,

I've named a couple of protocols after him,

particularly the Galpin equation for hydration,

because he was willing to stick his neck out there

and put down some specific numbers that people could follow

in order to ensure proper hydration during training,

you can look up the Galpin equation elsewhere.

You can just Google it or look elsewhere and find it.

And Dr. Galpin has also been very thoughtful and generous,

and I think very accurate in offering

a kind of a general organizational logic

for how to think about the goals

of a particular training session,

and thereby to decide whether or not

you're going to do ballistic, or static stretching,

and so on and so forth.

So, we can refer to this general approach as Galpinian.

Galpinian, is that right?

Galpin-ian logic, Galpinian logic.

Thus far, we've been talking about stretching

for sake of increasing limb flexibility and range of motion,

but there are other reasons perhaps

to embark on a stretching protocol

that include both our ability to relax

and access deep relaxation quickly,

as well as even to reduce inflammation

and perhaps even combat certain forms of cancer.

And if that sounds really far-fetched,

I want to emphasize that the study

I'm about to share with you in a moment

was actually carried out by one of the directors

of a division of the National Institutes of Health.

And this was the work of Helene Langevin,

who's a medical doctor, has done really important work

on the mechanisms underlying things like acupuncture

and has approached all that

from a very mechanistic viewpoint.

Right, so not looking just at the effects of acupuncture,

but really trying to understand what sorts of cytokines,

inflammatory molecules, and pathways are activated?

What sorts of neural mechanisms get engaged

by things like acupuncture

that impinges on the fascial tissues and so forth?

And Dr. Langevin is currently

Director of the National Institutes

of Complementary Health and Medicine

at the National Institutes of Health.

So, this is a major division supported by tax dollars

that support systematic mechanistic exploration

of things like respiration, meditation, yoga, acupuncture.

So, this is serious science applied to protocols

and approaches that have been used for some period of time,

but really aimed at trying to understand

what would the best protocols be to evolve new protocols?

So, there's a really interesting study

done in animal models,

but I think it's a powerful enough result

that I think we all should pay attention to it.

The title of this paper,

and, again, the last author is Dr. Langevin herself,

is Stretching Reduces Tumor Growth

in a Mouse Breast Cancer Model.

And yes, you can get mice to stretch,

it turns out that if you gently lift up mice by their tail

and they'll hold onto their cage,

there's a way in which you can mechanically stretch them

in a way that doesn't harm them.

First, I should mention that Dr. Langevin and others

have shown that just a brief whole body stretch of that sort

induces an increase in activation of the parasympathetic arm

of the autonomic nervous system,

again, not arm, limb arm,

but the aspect of the autonomic nervous system

that creates a whole body,

whole nervous system shift toward more relaxation.

So, yes, indeed stretching

induces relaxation at a systemic level,

not just at a local level.

And I think that's important,

probably not surprising to those of you

that use stretching regularly,

but yes, it does indeed relax us.

Yes, you can do this in mice and see that in mice as well.

Here's what they did for this current study,

or I should say this was a study published in 2018

in Scientific Reports.

They write, "Recent studies have shown

that gentle daily stretching for 10 minutes can reduce

local connective tissue inflammation and fibrosis."

Now, that's local tissue inflammation and fibrosis

as well we now know as systemic inflammation

and can induce relaxation systemically.

In this case, they focused on mice, not humans.

And mice were randomized to a stretch

versus no stretch condition

and were treated for 10 minutes once a day for four weeks.

So, it's 10 minutes of this passive whole body stretching

a day for four weeks.

What's remarkable, I mean,