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Improve Flexibility with Research-Supported Stretching Protocols | Huberman Lab Essentials

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Improve Flexibility with Research-Supported Stretching Protocols | Huberman Lab Essentials

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905 segments

0:00

Welcome to Huberman Lab Essentials,

0:01

>> [music]

0:02

>> where we revisit past episodes for the

0:04

most potent and actionable science-based

0:06

tools for mental health, physical

0:08

health, and performance.

0:11

I'm Andrew Huberman and I'm a professor

0:13

of neurobiology and ophthalmology at

0:15

Stanford School of Medicine. Today we

0:17

are going to discuss the science and

0:19

practice of flexibility and stretching.

0:21

The important thing that I'd like you to

0:23

know is that flexibility and the process

0:25

of stretching and getting more flexible

0:27

involves three major components. Neural,

0:31

meaning of the nervous system, muscular,

0:33

muscles, and connective tissue.

0:35

Connective tissue is the stuff that

0:37

surrounds the neural stuff and the

0:40

muscular stuff, although it's all kind

0:41

of weave together and braided together

0:43

in complicated ways. So, here's a key

0:45

thing that everyone should know, whether

0:47

or not you're talking about flexibility

0:48

or not.

0:50

Your nervous system controls your

0:52

muscles. It's what gets your muscles to

0:54

contract. So, within your spinal cord

0:57

you have a category of neurons, nerve

0:59

cells, that are called motor neurons.

1:02

Those neurons release a chemical. That

1:04

chemical is called acetylcholine. The

1:06

release of acetylcholine from these

1:08

nerve cells, these neurons, onto the

1:10

muscles causes the muscles to contract.

1:13

And when muscles contract, they are able

1:15

to move

1:17

limbs by way of changing the length of

1:21

the muscle, adjusting the function of

1:24

connective tissue like tendons and

1:25

ligaments. Now, within the muscles

1:28

themselves, there are nerve connections.

1:32

And these are nerve connections that

1:34

arise from a different set of neurons in

1:36

the spinal cord that we call sensory

1:38

neurons. These

1:40

spindle

1:42

connections within the muscle that wrap

1:44

around the muscle fibers sense the

1:46

stretch of those muscle fibers.

1:49

So, now we have two parts to the system

1:52

that I've described. You've got motor

1:53

neurons that can cause muscles to

1:55

contract and shorten, and we have these

1:59

spindles within the muscles themselves

2:02

that wrap around the muscle fibers, and

2:04

that information is sent from the muscle

2:07

back to the spinal cord. It's a form of

2:10

sensing what's going on in the muscle.

2:12

Now, why would that be useful? Well,

2:14

what this does is it creates a situation

2:16

where if a muscle is or is stretching

2:19

too much because the range of motion of

2:21

a limb is increased too much, then the

2:24

muscle will contract to bring that limb

2:26

range of motion into a a safe range

2:29

again. Okay, so just to clarify, this

2:31

whole thing looks like a loop, and the

2:33

essential components of the loop are

2:35

motor neurons contract muscles, sensory

2:38

neurons that we call spindles are

2:40

sensing stretch within the muscles, and

2:42

if a given muscle is elongating because

2:46

of the

2:47

increased range of motion of a limb,

2:49

those sensory neurons send an electrical

2:51

signal into the spinal cord such that

2:53

there is an activation of the motor

2:55

neuron, which by now should make perfect

2:57

sense as to why that's useful. It then

2:59

shortens up the muscle. It actually

3:01

doesn't really shorten the muscle, but

3:02

contracts the muscle. It brings the limb

3:04

back into a safe range of motion. So,

3:07

that's one basic mechanism that we want

3:09

to hold in mind. This idea of a spindle

3:12

that senses stretch and can activate

3:14

contraction of the muscles and shorten

3:15

the muscles. The next mechanism I want

3:17

to describe, and once again, there are

3:19

only two that you need to hold in mind

3:20

for this episode, has to do with sensing

3:23

loads.

3:24

So, at the end of each muscles, you have

3:27

tendons typically, and there are neurons

3:32

that are closely associated with those

3:35

tendons

3:36

that are called Golgi tendon organs,

3:38

right? These are neurons that are

3:40

sensory neurons that sense how much load

3:43

is on a given muscle, right? So, if

3:44

you're lifting up something very, very

3:46

heavy, these neurons are going to fire,

3:48

meaning they're going to send electrical

3:49

activity into the spinal cord,

3:52

and then those neurons have the ability

3:54

to shut down, not activate, but shut

3:57

down motor neurons and to prevent the

4:00

contraction of a given muscle. So, for

4:02

instance, if you were to walk over and

4:04

try and pick up

4:05

a weight that is

4:07

much too heavy for you, meaning you

4:08

could not do it without injuring

4:10

yourself. There are a number of reasons

4:11

why you might not be able to lift it,

4:13

but let's say you start to get it a

4:14

little bit off the ground or you start

4:16

to get some

4:18

force generated that would allow it to

4:19

move.

4:20

But, the force that you're generating

4:23

could potentially rip your muscles or

4:25

your tendons off of the bone, right?

4:27

That it could disrupt the joints, that

4:29

could tear ligaments. Well, you have a

4:30

safety mechanism in place. It's these

4:32

Golgi tendon organs, these GTOs as

4:34

they're called, that get activated and

4:36

shut down the motor neurons and make it

4:38

impossible for those muscles to

4:40

contract. There are also mechanisms that

4:43

arrive to the neuromuscular system from

4:47

higher up in the nervous system, from

4:48

the brain.

4:49

And those mechanisms involve a couple of

4:52

different facets that are really

4:53

interesting

4:54

and I think that we should all know

4:56

about. In fact, today I'm going to teach

4:57

you about a set of neurons that I'm

4:59

guessing 99.9%

5:01

of you have never heard of, including

5:03

all you neuroscientists out there, if

5:04

you're out there.

5:06

And I know you're out there.

5:08

That seem uniquely enriched in humans

5:12

and probably perform essential roles in

5:15

our ability to regulate our physiology

5:17

and our emotional state. So, within the

5:19

brain we have the ability to sense

5:21

things in the external world, something

5:23

we called exteroception, and we have the

5:25

ability to sense things in our internal

5:27

world, within our body, called

5:29

interoception. Interoception can be the

5:31

volume of food in your gut, whether or

5:33

not you're experiencing any organ pain

5:35

or discomfort, whether or not you feel

5:36

good in your gut and in your organs. The

5:38

main brain area that's associated with

5:41

interpreting what's going on in our body

5:42

is called the insula, i n s u l a. It's

5:45

a very interesting brain region. It's

5:47

got two major parts. The front of it is

5:49

mainly

5:50

concerned with things like smell and to

5:54

some extent vision. Like if you smell

5:56

something good to approach it or if you

5:58

smell something bad to avoid it. The

5:59

posterior insula, the back of the insula

6:02

that is,

6:03

has a very interesting and distinct set

6:06

of functions.

6:07

The posterior insula is mainly concerned

6:10

with what's going on with your somatic

6:12

experience. How do you feel internally?

6:15

It mainly batches information into yum,

6:17

I want to keep doing this or approach

6:19

this thing,

6:20

or continue down some path of movement

6:24

or eating or staying in a temperature

6:26

environment, etc. Or yuck, I need to get

6:28

out of here. I don't want any more of

6:30

this. I don't want to keep doing this.

6:31

This is painful or aversive or

6:33

stressful. In your posterior insula,

6:37

you have a very interesting population

6:39

of very large neurons. These are

6:41

exceptionally large neurons called von

6:44

Economo neurons. Neurons that are again,

6:47

unbeknownst to most neuroscientists, and

6:49

they seem uniquely enriched in humans.

6:53

Why is that interesting? Well, these von

6:56

Economo neurons have the unique property

6:59

of integrating our

7:01

knowledge about our body movements,

7:04

our sense of pain and discomfort, and

7:07

can drive motivational processes that

7:09

allow us to lean into discomfort and

7:11

indeed to overcome any discomfort if we

7:14

decide that the discomfort that we are

7:16

experiencing is good for us or directed

7:18

toward a specific specific goal. And

7:20

then, there's the other really

7:23

interesting aspect of these von Economo

7:25

neurons, which is that these von Economo

7:27

neurons are connected to a number of

7:29

different brain areas

7:31

that can shift our internal state from

7:33

one of so-called sympathetic activation.

7:35

So, this is a pattern of alertness and

7:39

even stress, sometimes even panic, but

7:41

typically alertness stress, to one of

7:43

so-called parasympathetic activation.

7:47

To one of relaxation. Oftentimes you'll

7:50

hear that stretching should be done by

7:51

relaxing into the stretch. Well, what

7:54

does it actually mean to relax into the

7:55

stretch? Well, these von Economo neurons

7:58

sit at this junction where they're able

8:00

to evaluate what's going on inside our

8:02

body and allow us to access neural

8:05

circuitries by which we can shift our

8:07

relative level of alertness down a bit

8:11

or our relative level of stress down a

8:13

bit and thereby to increase so-called

8:16

parasympathetic activation and to

8:19

literally override some of those spindle

8:22

mechanisms, even the GTO mechanisms, but

8:25

especially the spindle mechanisms at the

8:28

neuromuscular and muscular spinal

8:30

junction. I'll give you a brief example

8:32

of this that you've already done in your

8:34

life and that we all have the capacity

8:36

for. What I'm referring to is the

8:38

monosynaptic stretch reflex.

8:40

This is something that every first-year

8:42

neuroscience graduate student learns,

8:44

which is that if you were to step on a

8:46

sharp object with a bare foot, you would

8:48

not need to make the decision to retract

8:51

your foot. You would automatically do

8:53

that, provided you have a healthy

8:54

nervous system. There are mechanisms in

8:56

place that cause the retraction of that

8:59

limb by way of ensuring that the proper

9:02

muscles contract and other muscles do

9:05

not contract, in fact, that they fully

9:06

relax. Okay? So, in the case of stepping

9:09

on a sharp object like a piece of glass

9:11

or a nail or a tack, you would

9:13

essentially activate the hip flexor to

9:15

lift up your foot as quickly as

9:16

possible.

9:18

In doing so, that same neural circuit

9:21

would activate a contralateral, meaning

9:24

opposite side of the body, circuit to

9:26

ensure that the leg, the foot that's not

9:29

stepping on the sharp object, would do

9:31

exactly the opposite and would extend to

9:33

make sure that you don't fall over. All

9:36

of that happens reflexively. It does not

9:38

require any thought or decision-making.

9:41

However,

9:42

if your life depended on walking across

9:46

some sharp objects, let's say let's make

9:48

it a little less dramatic so it's not

9:49

like the Die Hard movie or something

9:51

where you have to run barefoot across

9:53

the glass, although that's a pretty good

9:55

example of what I'm describing here. But

9:57

let's say you had to walk across some

9:58

very hot stones to get away from

10:01

something that you wanted to avoid, you

10:04

could override that stretch reflex by

10:07

way of a decision made with your upper

10:08

motor neurons, your insula, and your

10:10

cognition, and almost certainly those

10:11

van Economo neurons, which would be

10:13

screaming, "Don't do this. Don't do

10:14

this. Don't do this." could shuttle that

10:16

information to brain areas that would

10:18

allow you to override the reflex and

10:20

essentially push through the pain. And

10:22

maybe even, in fact, even

10:25

not experience the pain to the same

10:27

degree or even at all.

10:29

So, these van Economo neurons sit at a

10:31

very important junction within the

10:33

brain. They pay attention to what's

10:35

going on in your body, pain, pleasure,

10:38

etc. And that includes what's going on

10:40

with your limbs and your limb range of

10:41

motion. They also are paying attention

10:45

and can control the amount of

10:47

activation, kind of alertness or

10:49

calmness that you are able to create

10:52

within your body

10:54

in response to a given sensory

10:55

experience.

10:57

And as I mentioned before, they seem to

10:59

be uniquely enriched in humans. They

11:01

seem to be related to the aspects of our

11:04

evolution that allow us to make

11:06

decisions about what to do with our body

11:09

in ways that other animals just simply

11:11

can't. Now, there are a number of

11:12

different types of stretching or methods

11:14

of stretching.

11:15

Broadly defined,

11:17

we can describe these as dynamic,

11:20

ballistic, static, and what's called PNF

11:24

stretching. PNF stands for

11:26

proprioceptive neuromuscular

11:27

facilitation. The first two that I

11:29

mentioned, dynamic and ballistic

11:31

stretching, both involve some degree of

11:33

momentum and can be distinguished from

11:36

static and PNF type stretching.

11:38

Now, to distinguish dynamic stretching

11:40

from ballistic stretching,

11:42

I'd like to focus on this element of

11:43

momentum.

11:45

Both involve moving a limb through a

11:48

given range of motion.

11:51

In dynamic stretching, however,

11:53

it tends to be more controlled, less use

11:55

of momentum, especially towards the end

11:57

range of motion. Whereas in ballistic

11:59

stretch there tends to be a bit more

12:01

swinging of the limb

12:03

or use of momentum. But again, dynamic

12:06

and ballistic stretching both involve

12:08

movement, so we have to generate some

12:10

force in order to create that movement.

12:13

Ballistic stretching involving a bit

12:15

more momentum or sometimes a lot more

12:16

momentum, especially at the end range of

12:18

of motion. Now, both of those are highly

12:21

distinct from static stretching, which

12:23

involves holding the end range of

12:25

motion, so minimizing the amount of

12:27

momentum that's used. Static stretching

12:29

can be further subdivided into active or

12:31

passive, right? There are different

12:34

names for these kinds of approaches. You

12:36

can hear about the Anderson approach or

12:38

the Janda approach. You can look these

12:39

sorts of things up online. There's also

12:41

passive static stretching, in which it's

12:44

more of a relaxation into a further

12:47

range of motion, and that can be a

12:48

subtle distinction. Nevertheless, static

12:49

stretching involves

12:51

both those types of elements, active and

12:53

passive, but is really about eliminating

12:56

momentum.

12:57

And then there's the PNF, the

12:59

proprioceptive neuromuscular

13:00

facilitation. And proprioception has

13:03

several different meanings in the

13:04

context of neuroscience and physiology.

13:07

To just keep it really simple for today,

13:09

proprioception involves both a knowledge

13:11

and understanding of where our limbs are

13:14

in space and relative to our body,

13:16

typically relative to the midline. So,

13:18

the brain is often trying to figure out

13:20

where are our limbs relative to our

13:22

midline down the center of our body. And

13:24

if your goal is to increase your

13:26

hamstring flexibility and the

13:28

flexibility and range of motion of other

13:31

related muscle systems, you might put a

13:33

strap around your ankle and pull that

13:36

muscle, or I should say, excuse me, that

13:39

limb toward you. You're not going to

13:40

pull the muscle toward you. You're going

13:41

to pull that limb, your ankle, toward

13:42

you to try and get it sort of back over

13:44

your head, and then progressively

13:46

relaxing into that, or maybe even

13:49

putting some additional force to push

13:51

the end range of motion, and then

13:52

relaxing it, and then actually trying to

13:55

stretch that same limb or increase the

13:57

limb range of motion without the strap.

14:00

There's a huge range of PNF protocols.

14:02

Those protocols can be done both by

14:05

oneself, with or without straps, with

14:07

machines, with actual weights, or with

14:10

training partners. So, specific

14:12

exercises to target specific muscle

14:14

groups aside, we've now established that

14:16

there are four major categories of

14:18

stretching, or at least those are the

14:19

four major categories I'm defining

14:21

today. But in terms of increasing limb

14:23

range of motion in the long term, of

14:26

truly becoming more flexible, as opposed

14:29

to transiently more flexible, static

14:31

stretching, which includes PNF, appears

14:34

to be the best route to go. So, whether

14:35

or not you want to maintain,

14:37

reestablish, or gain limb range of

14:40

motion, static stretching of holds of 30

14:44

seconds appear to be best. Now, the

14:45

question is, how long should you do

14:48

that, and how many sets should you do

14:49

that, and how many times a week should

14:50

you do that? To answer those questions,

14:52

I'm going to turn to what I think is a

14:54

really spectacular review. The title of

14:56

the paper is "The Relation Between

14:58

Stretching Typology and Stretching

14:59

Duration: The Effects on Range of

15:01

Motion." First of all, and I quote, "All

15:04

stretching typologies showed range of

15:06

motion improvements over a long-term

15:08

period. However, the static protocols

15:09

showed significant gains with a P value

15:12

less than 0.05, which means a

15:14

probability that cannot be explained by

15:16

chance alone,

15:18

when compared to ballistic or PNF

15:20

protocols." So, again, what we're

15:21

hearing is that static stretching is the

15:23

preferred mode for increasing limb range

15:25

of motion. Although, here they make the

15:27

additional point

15:28

that static stretching might even be

15:31

superior not just to ballistic

15:33

stretching, but also to PNF protocols.

15:36

The authors go on to say

15:38

time spent stretching per week seems

15:39

fundamental to elicit range of movement

15:41

improvements when stretches are applied

15:43

for at least or more than 5 minutes per

15:46

week. Okay, this is critical. This is

15:48

not 5 minutes per stretch. Remember, 30

15:51

seconds per static stretch, but at least

15:53

5 minutes per week. So, what this means

15:56

is that we should probably be doing

15:58

anywhere from two to four sets of

16:01

30-second static hold stretches 5 days

16:04

per week. So, what would effective

16:06

stretching protocol look like?

16:08

We're all trying to improve limb range

16:10

of motion for different limbs and

16:12

different muscle groups. Let's talk

16:13

about hamstrings

16:15

for the time being. This could, of

16:17

course, be applied to other muscle

16:18

groups. Let's say you want to improve

16:20

hamstring flexibility and limb range of

16:22

motion about and around the hamstring.

16:26

And involving the hamstring, you would

16:27

want to do three sets

16:30

of static stretching for the hamstring.

16:32

You would do that by

16:35

holding the stretch for 30 seconds,

16:37

resting some period of time, then doing

16:39

it again, holding for 30 seconds,

16:40

resting some period of time, and then

16:43

holding it for 30 seconds. That would be

16:45

one training session for the hamstrings.

16:47

I have to imagine that you'd probably

16:48

want to stretch other muscle groups as

16:50

well in that same session. So, three

16:53

sets of 30 seconds each,

16:56

get 90 seconds, and you would do that

16:58

ideally five times a week, or maybe even

17:01

more. One thing that did show up in my

17:04

exploration of the peer-reviewed

17:05

research is this notion of warming up

17:08

for all this. We haven't talked about

17:09

that yet. In general, to avoid injury,

17:11

it's a good idea to raise your core body

17:13

temperature a bit before doing these

17:14

kinds of stretches,

17:16

even these static stretches, which can

17:18

sort of ease into and don't involve

17:20

ballistic movement by definition.

17:23

And

17:24

the basic takeaway that I was able to

17:26

find was that if we are already warm

17:29

from running or from weight training or

17:31

from some other activity, that doing the

17:34

static stretching

17:36

practice at the end of that weight

17:38

training or cardiovascular or other

17:39

physical session would allow us to go

17:42

immediately into the stretching session.

17:45

Because we're already warm, so to speak.

17:47

Otherwise,

17:48

raising one's core body temperature by a

17:50

bit by doing

17:52

5 to 7, maybe even 10 minutes of

17:55

easy cardiovascular exercise or

17:56

calisthenic movements, provided you can

17:58

do those without getting injured,

18:00

seems to be an ideal way to warm up the

18:02

body for stretching. We should be warm

18:04

or warm up to stretch, although those

18:06

warm-ups don't have to be extremely

18:07

extensive. And then just by way of

18:09

logic, doing the static stretching after

18:12

resistance training or cardiovascular

18:13

training seems to be most beneficial. In

18:15

fact, and unfortunately, we don't have

18:17

time to go into this in too much detail

18:19

today. I was able to find a number of

18:20

papers that make the argument that

18:24

static stretching prior to

18:26

cardiovascular training, and maybe even

18:28

prior to

18:29

resistance training,

18:31

can limit our performance in running and

18:34

resistance training. I realize that's a

18:36

controversial area. You have those who

18:38

say, "No, it's immensely beneficial."

18:40

You have those who say, "No, it inhibits

18:42

performance." And the those that say,

18:44

"No, it's a matter of how exactly you

18:46

perform that static stretching and which

18:47

muscle groups and how you're doing this

18:49

and how much time in between static

18:51

stretching and performance." But to

18:52

leave all that aside, doing static

18:54

stretching after some other form of

18:56

exercise,

18:57

and

18:58

if you not after some form of exercise,

19:00

after a brief warm-up to raise your core

19:02

body temperature, definitely seems like

19:04

the right way to go. I'm guessing that

19:05

most people are not doing 5 days a week

19:08

of dedicated static stretch range of

19:10

motion

19:12

directed training. But it does appear

19:14

that that frequency about the week,

19:17

getting those repeated sessions even if

19:18

they are short for an individual muscle

19:20

group, turns out to be important.

19:21

They're going to offset the age-related

19:23

losses in flexibility for sure if one is

19:26

dedicated about these practices. Some of

19:28

you may be familiar with the so-called

19:29

Anderson method. It's been around for a

19:31

long time. Anderson has an interesting

19:33

idea and principle which is thread

19:35

through a lot of his teachings that I

19:37

think are very much in keeping with the

19:39

study that I'm about to describe next

19:41

where

19:42

he emphasizes to yes to stretch to the

19:46

end of the range of motion, but not to

19:49

focus so much on where that range of

19:50

motion happens to be that day. So for

19:53

instance, not thinking, "Oh, I can

19:56

always touch my toes for instance, and

19:58

therefore that's the starting place for

20:00

my flexibility training today." But

20:03

rather take the entirety of your system

20:05

into account each day and understand

20:07

that okay, provided you're warmed up

20:08

appropriately,

20:10

that you're now going to stretch your

20:11

hamstrings for instance, and you're

20:13

going to reach down for your toes, but

20:15

that your range of motion might be

20:17

adjusted that day by way of tension and

20:19

stress or by way of ambient temperature

20:21

in the room. And to basically define the

20:24

end range of motion as the place where

20:26

you can feel the stretch in the relevant

20:28

muscle groups. So what does this mean?

20:30

This means feel the muscles as you

20:31

stretch them. Don't just go through the

20:33

motions. And this means don't get so

20:35

attached to being able to always achieve

20:38

for instance a stretch of a given

20:39

distance on a within a given session.

20:41

You might actually find that by just

20:44

finding the place where you can't get

20:46

much further and holding the static

20:48

stretch there, that on the second and

20:50

third set that you happen to be doing

20:51

that day that your range of motion will

20:52

be increased considerably. Now,

20:56

along these lines, there's this even

20:58

more nebulous variable, this even more

21:00

kind of subjective thing of

21:03

how much effort to put into it. Should

21:05

you push into the stretch? Would you

21:07

even want to bounce a tiny bit? Would

21:09

you want to reach into that end point

21:12

and try and extend it within a given set

21:14

and session?

21:15

And for that reason I was excited to

21:17

find this paper entitled a comparison of

21:20

two stretching modalities on lower limb

21:22

range of motion measurements in

21:23

recreational dancers. It's a six-week

21:25

intervention program that compared

21:27

low-intensity stretching, which they

21:29

call micro stretching, but to be very

21:32

clear, micro stretching in the case of

21:34

this manuscript is low-intensity

21:36

stretching and they compared that with

21:38

moderate-intensity static stretching on

21:40

an active and passive ranges of motion.

21:42

Basically, what they found was that a

21:44

six-week training program using very

21:46

low-intensity stretching had a greater

21:49

positive effect on lower limb range of

21:50

motion than did moderate-intensity

21:53

static stretching. Here I'm quoting

21:55

them.

21:56

The most interesting aspect of the study

21:57

was the greater increase in active range

21:59

of motion compared to passive range of

22:01

motion by the micro stretching group.

22:03

So, this relates to what we were just

22:04

talking about a few moments ago as it

22:06

relates to the Anderson method, which is

22:08

that

22:09

very low-intensity stretching

22:12

meaning effort that

22:14

feels not painful

22:16

and in fact might even

22:17

feel easy or at least not straining to

22:22

exceed a given range of motion turns out

22:25

to not just be as effective but more

22:27

effective than moderate intensity

22:29

stretching. So, what is low-intensity

22:31

static stretching? Well, they define

22:33

this as the stretches were completed at

22:35

an intensity of 30 to 40%

22:39

where 100% equals the point of pain,

22:41

right? So,

22:43

30 to 40% in these individuals, and

22:46

again I'm paraphrasing, induced a

22:47

relaxed state within the individual and

22:50

the specific muscle. And here they were

22:52

holding these static stretches, I should

22:53

mention, for 1 minute, not 30 seconds.

22:57

Now, the control group was doing the

22:59

exact same overall protocol, so daily

23:01

stretching for 6 weeks,

23:04

the same exercises, holding each set for

23:07

60 seconds, but we're using an intensity

23:11

of stretch of 80% where again 100

23:14

represents the point of pain, the point

23:16

where the person would want to stop

23:18

stretching. I find these data incredibly

23:20

interesting for I think what ought to be

23:22

obvious reasons. If you're going to

23:24

embark on a flexibility and stretching

23:27

training program, you don't need to push

23:30

to the point of pain. In fact, it seems

23:32

that even just approaching the point of

23:34

pain is going to be less effective than

23:36

operating at this 30 to 40% of

23:40

intensity prior to reaching that pain

23:42

threshold, the pain threshold being

23:43

100%. Now, of course, this is pretty

23:45

subjective, but I think all of us should

23:47

be able to register within ourselves as

23:50

to whether a given range of motion or

23:52

extending a given range of motion brings

23:54

us to that threshold of pain or near

23:56

pain. And according to this study at

23:57

least, operating or performing

24:00

stretching at an intensity that's quite

24:02

low, that's very relaxing, turns out to

24:05

be more beneficial in increasing range

24:07

of motion than is doing

24:10

exercises aimed at increasing range of

24:12

motion at a higher intensity. Okay, so

24:14

lower intensity stretching, I should say

24:16

lower intensity static stretching,

24:18

appears to be the most beneficial way to

24:21

approach stretching, and I think that's

24:22

a relief um probably to many of us

24:25

because it also suggests that the injury

24:27

risk is going to be lower than if one

24:29

were pushing into the pain zone, so to

24:31

speak. I want to just briefly return to

24:33

this idea of whether or not to do

24:34

ballistic or static stretching before

24:37

some sort of skill training or weight

24:39

training, any kind of sport or even

24:42

cardiovascular exercise like running.

24:44

There are instances

24:46

for example, where an individual might

24:48

want to do some static stretching to

24:50

increase limb range of motion prior to

24:52

doing weight training, even if it's

24:54

going to to

24:56

that person's ability to lift as much

24:58

weight. Why would you want to do that?

24:59

Well, for instance, if somebody has a

25:02

tightness or a limitation in their

25:04

neuromuscular connective tissue system

25:05

someplace in their body and system that

25:09

prevents them from using proper form

25:11

that they can overcome by doing some

25:14

static stretching,

25:15

well, that would be a great idea. There

25:17

are instances where people are trying to

25:19

overcome injuries, where they're trying

25:20

to

25:21

come back from a reparative surgery or

25:23

something of that sort, coming back from

25:25

a layoff where some additional static

25:28

stretching prior to cardiovascular

25:30

weight training or skill training or

25:32

sport of some kind is going to be useful

25:34

because it's going to put us in a

25:36

position of greater safety and

25:37

confidence and performance overall, even

25:40

if it's adjusting down our speed or the

25:43

total amount of loads that we use. And

25:45

similarly,

25:47

there are a lot of data points in the

25:48

fact that doing some dynamic or even

25:50

ballistic stretching prior to skill

25:53

training or cardiovascular weight

25:54

training can be beneficial in part to

25:56

warm up the relevant neural circuits,

25:58

joints, and connective tissue, and

26:00

muscles, and as well to perhaps improve

26:03

range of motion or ability to perform

26:06

those movements more accurately,

26:08

with more stability, and therefore with

26:10

more confidence. Thus far, we've been

26:11

talking about stretching for sake of

26:13

increasing limb flexibility and range of

26:15

motion, but there are other reasons,

26:18

perhaps, to embark on a stretching

26:20

protocol that include both our ability

26:24

to relax and access deep relaxation

26:26

quickly. I'd like to return this to this

26:28

idea and this place, this real estate

26:31

within our brain that we call the

26:32

insular cortex, the insula.

26:34

As you recall, way back at the

26:37

beginning of this episode, we were

26:38

talking about the von Economo neurons

26:39

that Constantin von Economo, the

26:42

Austrian

26:43

uh scientist discovered. And the fact

26:45

that we are able to make

26:48

and perform interpretations of our

26:50

internal landscape, pain, our

26:53

dedication to a practice. For instance,

26:55

whether or not we are in pain because

26:58

it's a practice that we are doing

26:59

intentionally and want to improve

27:01

ourselves, or whether or not it's pain

27:03

that's arriving through some externally

27:04

imposed demands or situations. The

27:07

insula is handling all that. And

27:09

fortunately, there's a wonderful paper

27:12

that was published is a few years ago

27:13

now in the journal Cerebral Cortex

27:16

entitled Insular Cortex Mediates

27:17

Increased Pain Tolerance in Yoga

27:19

Practitioners. This study explored

27:22

the effects on brain structure volume in

27:27

yoga practitioners. And for those of you

27:30

out there that are aficionados in yoga,

27:31

they they pulled subjects from having

27:35

backgrounds in the Here I'm probably

27:37

going to mispronounce these different

27:38

things and for forgive me, the Vinyasa

27:40

yogas, the Ashtanga yogas, the younger

27:42

yogas, the Sivananda yogas. Okay, so

27:45

some people were new to these practices,

27:46

some were experienced. The The important

27:49

takeaways

27:50

were that they took these yoga

27:52

practitioners and they didn't explore

27:54

their brain structure in the context of

27:55

yoga itself. They looked at things like

27:58

pain tolerance. So they used thermal

28:00

stimulation. Basically, they put people

28:02

into conditions where they gave them

28:03

very hot or very cold stimuli and

28:05

compared those yoga practitioners of

28:08

varying levels of yoga experience to

28:10

those that had no experience with yoga,

28:12

so-called controls. And they found some

28:14

really interesting things.

28:16

There are a lot of data in this paper,

28:17

but

28:19

here's something I'd like to highlight.

28:20

The pain tolerance of yoga practitioners

28:24

was double or more to that of non-yoga

28:27

practitioners. They also found

28:30

significant increases in insular, again,

28:33

the insula, this brain region, gray

28:35

matter volume. Typically, when we talk

28:36

about gray matter, we're talking about

28:38

the so-called cell bodies, the

28:40

the location in neurons where the genome

28:43

is housed and where the kind of all the

28:45

housekeeping stuff is there, and then

28:48

white matter volume tends to be the

28:49

axons, the wires, because they're in

28:51

sheets with this stuff that appears

28:53

white in MRIs, and indeed is white under

28:55

the microscope, and indeed is white.

28:57

It's actually lipid, which is myelin.

28:59

So, increased gray matter volume of the

29:01

insula is a significant finding

29:04

because what it suggests is that people

29:06

that are doing yoga have an increased

29:08

volume of these areas of the brain that

29:10

are associated with interoceptive

29:12

awareness and for being able to make

29:14

judgments about pain and why one is

29:17

experiencing pain. Not just to lean away

29:18

from pain, but to utilize or leverage or

29:20

even overcome pain. And I find this

29:23

interesting because there are a lot of

29:24

activities out there that don't create

29:27

these kind of changes in brain volume,

29:29

especially within the insula. So, it

29:31

appears that it's not just the

29:32

performance of the yogic movements, but

29:35

the overcoming or the kind of pushing

29:37

into the end ranges of motion and to

29:40

push through discomfort to some extent.

29:42

Of course, we want people doing that in

29:44

a in a healthy, safe way, but that

29:46

allows yoga practitioners to build up

29:49

the structure and function of these

29:52

brain areas that allow them to cope with

29:54

pain better than other individuals and

29:56

to cope with other kinds of

29:58

interoceptive challenges, if you will.

30:00

Not just pain, but cold.

30:03

Not just pain, but discomfort of being

30:04

in a particular position to do that. And

30:07

again, we wouldn't want people placing

30:09

themselves into a compromised position,

30:11

literally, that would harm them,

30:13

especially given that earlier we heard

30:15

that micro-stretching of the kind of

30:17

non-painful sort, low-intensity sort, is

30:19

actually going to be more effective for

30:20

increasing end range of motion. But this

30:22

study really emphasized the extent to

30:24

which practitioners of yoga don't just

30:27

learn movements, they learn how to

30:29

control their nervous system in ways

30:31

that really reshapes their relationship

30:33

to pain, to flexibility, and to the

30:37

kinds of things that the neuromuscular

30:39

system was designed to do. So, if ever

30:41

there was a practice that one could

30:43

embark on that would not only increase

30:45

flexibility and limb range of motion,

30:47

but would also allow one to cultivate

30:49

some improved mental functioning as it

30:52

relates to pain tolerance and other

30:54

features of stress management that no

30:56

doubt wick out into other areas of life,

30:58

appears that yoga is a quite useful

31:01

practice. But, of course, yoga isn't the

31:04

only way to increase limb range of

31:05

motion and flexibility. Up until now,

31:08

we've described a number of different

31:09

ways to do that and we've arrived at

31:11

some general themes and protocols.

31:12

Again, we can revisit a couple of them

31:14

now just in summary and synthesis.

31:17

Static stretching appears to be at least

31:19

among the more useful forms of

31:20

stretching. It really does appear that

31:22

getting

31:24

at least 5 minutes per week total of

31:26

stretching for a given muscle group is

31:28

important for creating meaningful

31:30

lasting changes in limb range of motion

31:33

and that is best achieved by 5-day week

31:36

or 6-day week or even 7-day week

31:38

protocols, but those can be very short

31:39

protocols limited to, say, three sets of

31:42

30, maybe even 45 or 60 seconds of

31:46

static hold, although 30 seconds seems

31:48

to be

31:49

a key threshold there

31:51

um that can get you maximum benefit.

31:53

And, of course, to always warm up or to

31:56

arrive at the stretching session warm.

31:57

Thank you once again for joining me

31:59

today for a discussion about the neural

32:01

and neuromuscular and connective tissue

32:04

and skeletal aspects of flexibility and

32:07

stretching. And as always, thank [music]

32:09

you for your interest in science.

Interactive Summary

This episode provides a comprehensive overview of the science and practice of flexibility and stretching, highlighting the roles of the nervous system, muscles, and connective tissue. It details the neural loops involving motor neurons for contraction and sensory receptors like muscle spindles and Golgi tendon organs. Furthermore, it discusses the role of the brain, specifically the insula and von Economo neurons, in processing interoception and pain. Practical guidelines are provided, favoring static stretching over ballistic methods, with a recommended protocol of at least 5 minutes per muscle group per week, ideally split into sessions, and emphasizing low-intensity stretching for best results.

Suggested questions

4 ready-made prompts