To be honest, writing another 鈥渟tretching is useless鈥 article feels a little bit like spiking the football. A decade ago, whenever I wrote about evidence suggesting that traditional static stretching doesn鈥檛 have any obvious benefits and might even impair performance, I鈥檇 get a stream of angry messages upbraiding me for my ignorance. These days, the battle is over. No one is obsessed with touching their toes anymore.
Or so I thought. But when I saw 听颈苍 Sports Medicine titled 鈥淭he Case for Retiring Flexibility as a Major Component of Physical Fitness,鈥 I couldn鈥檛 resist giving it a look. And one of the stats in the article caught my eye. According to a 聽of 605 personal trainers in the U.S.鈥攙irtually all of whom had certifications from the American College of Sports Medicine (ACSM)聽or the National Strength and Conditioning Association鈥80 percent of them still prescribed traditional static stretching to their clients. The battle鈥檚 not over after all.
The main spur for the Sports Medicine article, by exercise scientist James Nuzzo, is the fact that flexibility is still pegged as one of the five 鈥渕ajor components鈥 of physical fitness, alongside body composition, cardiovascular endurance, muscle endurance, and muscle strength, by the ACSM. The 2018 edition of the , from the Department of Health and Human Services, also lists flexibility among its big five (this time alongside cardiorespiratory fitness, musculoskeletal fitness, balance, and speed).
If you actually flip through these documents, you鈥檒l experience a bizarre cognitive dissonance. The Guidelines state repeatedly that 鈥渇lexibility activities are an appropriate part of a physical activity program, even though their health benefits are unknown and it is unclear whether they reduce risk of injury.鈥 Um… then why are we recommending them? That鈥檚 the question Nuzzo attempts to answer in a detailed review that cites over 300 references.
Let鈥檚 start with a definition: the paper focuses on static flexibility, as exemplified by the sit-and-reach test, in which you see how close you can come to touching your toes (or how far beyond them you can reach) while sitting on the floor with legs outstretched. The best way to improve static flexibility is with static stretching, which involves pushing to the edge of your range of motion and holding a position for, say, 20 to 30 seconds. This is quite different from dynamic stretching, which is more like a form of calisthenics that involves moving muscles through their typical range of motion.
So what does being flexible do for you? According to the research Nuzzo summarizes, greater flexibility as measured by the sit-and-reach test isn鈥檛 associated with longer life鈥攗nlike the ACSM鈥檚 other four 鈥渕ajor components鈥 of physical fitness. It also doesn鈥檛 predict more successful aging (like avoiding falls), except in ways that are better predicted by muscle strength.
Contrary to a half-century of locker-room wisdom, being flexible doesn鈥檛 seem to protect you from injury either. This topic is the focus of hundreds of studies, and there are admittedly a few that do find benefits. At the other end of the spectrum, there are a few that find聽that being too flexible is also associated with injury. But overall, it just doesn鈥檛 seem to make much difference. It鈥檚 also not associated with non-sports-related problems like low-back pain.
And finally, being flexible doesn鈥檛 improve your sports performance鈥攗nless you鈥檙e doing something where range of motion has a direct impact. If you鈥檙e a gymnast or a ballerina or a hockey goaltender, you鈥檇 better be flexible. Even as a cyclist, you need enough flexibility to be able to get into an aerodynamic riding position and still pedal comfortably.聽If you鈥檙e a runner, on the other hand, you鈥檙e highly unlikely to sustain an injury that has any connection to your inability to touch your toes. In fact, there鈥檚 some evidence that greater flexibility makes you a less efficient runner, presumably because having tight 鈥渟prings鈥 in your legs allows you to store and return more energy with each stride.
So flexibility itself doesn鈥檛 seem to be a big deal. Is there still a role for stretching as part of a warm-up or warm-down? A Cochrane Review back in 2007 concluded that stretching before, during, or after a workout doesn鈥檛 do anything to prevent subsequent muscle soreness. It doesn鈥檛 seem to reduce injury risk either.
I鈥檒l acknowledge a caveat here. Most of these studies involve assigning an identical stretching program to a group of people, regardless of their initial level of flexibility and their individual idiosyncrasies and imbalances. That doesn鈥檛 seem to work. But what if you, personally, have an unusually tight left IT band, or a chronically tight calves? Could targeted stretching of your identified weak spots reduce your risk of injury or help rehab an existing injury? Here, too, the evidence is slim at best鈥攂ut this is a hard question to study, so I鈥檇 leave it in the 鈥減lausible鈥 category.
As for performance, there鈥檚 solid evidence that holding a stretch for a minute or more temporarily decreases strength and speed for up to an hour, likely due to changes in the neuromuscular signaling from brain to muscle. That鈥檚 a pretty harsh irony: all the stretching that I did religiously before every race in the 1990s and early 2000s might have actually dulled my edge.
To be fair, I鈥檓 glossing over some details here. We could spend hours parsing the evidence for whether the loss of strength after stretching is significant, how long it lasts, and so on. But if you zoom out to the big picture, the important point isn鈥檛 whether stretching is a tiny bit good, a tiny bit bad, or neutral鈥攊t鈥檚 that any benefits, at least on a population level, are pretty much invisible.
So anointing flexibility as one of the five 鈥渕ajor components鈥 of physical fitness gives it undeserved importance, and leads people (including, apparently, personal trainers) to spend time that could otherwise be devoted to other activities with far better return on investment.
Nuzzo suggests that strength training聽is an ideal alternative. Sure, it makes you strong and has all sorts of other long-term health benefits鈥攂ut if you use your full range of motion while doing it, it can also make you more flexible, with various studies showing increases in sit-and-reach scores of between 10 and 25 percent. Aerobic exercise and other forms of functional and combined training can also boost flexibility, according to a few studies. Basically, it appears that being healthy and active is enough to maintain a reasonable level of flexibility.
As for what to do before exercise, the state-of-the-art among pro athletes has shifted away from static stretching toward a three-stage dynamic warm-up:
- Start with an easy jog (or spin or swim or whatever) to raise your body temperature.
- Then progress to some dynamic stretching drills that move your muscle through (and a bit beyond) the full range of motion they鈥檒l encounter during the workout. For runners, that might mean high knees, butt kicks, walking lunges, and side skips.
- Finish with some short bursts that approach the full intensity of the coming workout, like relaxed 15-second sprints.
The overall goal of this warm-up isn鈥檛 to extend your maximum range of motion, but to physically warm your muscles up to make them softer and more pliable (along with various other things like getting your heart rate up so it鈥檚 ready to deliver oxygen to your muscles). A warm-up like this is a good idea before an interval workout or race; if you鈥檙e just heading out for a run, simply easing into it by starting the first mile slowly is probably good enough.
Or maybe it鈥檚 not. Perhaps you know from years of experience that you feel like crap if you run without stretching first, and feel great if you do stretch. Or maybe you just like the feeling of being flexible: I can鈥檛 deny that, as the parent of a couple of young kids, I kind of wish I could sit cross-legged on the floor more comfortably. If so, then stretch to your heart鈥檚 content鈥攂ut do it because you want to be more flexible or you like the feeling, not because you imagine it will prolong your life, protect you from injury, or boost your athletic performance.
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