OUTLINE - JOINT RANGE OF MOTION (ROM)
I. Relationship between Flexibility and Joint Integrity
II. Factors affecting ROM
A. Neurogenic
1. Neural Mechanism
a. Stretch Reflex
i. Muscle Spindle Structure
b. Autogenic Inhibition
i. Golgi Tendon Organs
c. Reciprical Inhibition
B. Myogenic
1. Passive
2. Active
3. Passive Insufficiency
4. Active Insufficiency
C. Articular Constraints
1. Osseous Structure
2. Ligamentous Arrangement
D. Other
1. Skin
2. Subcutaneous Tissue/Adipose Tissue
3. Friction
4. Pressure
III. Increasing Joint ROM (Flexibility)
A. Terminology
1. Active
2. Passive
3. Agonist
4. Antagonist
B. Types of Stretching Exercises
1. Static
a. Active
b. Passive
2. Ballistic
3. Proprioceptive Neuromuscular Facilitation (PNF)
a. Hold-Relax (HR)
b. Agonist-Contract (AC)
c. Hold-Relax Agonist-Contract (HR-AC)