National Volunteer Fire Council – Heart-Healthy Firefighter Program Health and Wellness Advocate Instructor Guide Lesson Plan Course: NVFC Health and Wellness Training Modules Module: Flexibility Module Overview Instructor’s background Purpose of lesson Module objectives Length: 30 minutes Instructor Notes Advocate provides a quick introduction to his/her background including name and qualifications/experience. Include information about the health and wellness program, if applicable. Also introduce students to the NVFC and why this training is being offered. This module is designed to provide information about guidelines and factors of flexibility. The instruction covers the basic concepts of factors that influence flexibility, health and job benefits, and suggested guidelines for improving flexibility safely. Upon completion of the Flexibility module, the participants will be able to identify and describe basic concepts of flexibility and apply the health benefits to their activities of daily living and job duties.The student will be able to: 1. Outline factors that impact flexibility. 2. Discuss range of motion and pain-free degree of motion. 3. Identify health and job benefits to improving flexibility. 4. Describe guidelines for safe stretching. 5. Describe the impact that types of stretching have on flexibility. NVFC Health & Wellness Training Module: Flexibility Page 1 of 6 National Volunteer Fire Council – Heart-Healthy Firefighter Program Health and Wellness Advocate Instructor Guide Lesson Plan 6. Demonstrate basic safe stretching techniques. Lesson Content Flexibility Range of motion – the full range of motion of a joint should be able to move through The degree of motion of a joint is the pain-free range of motion a joint is actually able to move through, which may or may not be the FULL range of motion, and is directly related to injury prevention and agile body mobility Factors that Affect Flexibility Specificity Range of motion is joint specific. Heredity Some individuals are more flexible than others due to cellular make-up. Gender Women are more flexible than men. Body Composition Excess body fat can decrease flexibility. Benefits of Flexibility Muscle Relaxation Stress and Tension and Relief of Muscle Soreness The stretch reflex encourages a muscle to relax from a tightened state. Whether the muscle is tight from exercise or tension caused by stress, the relaxation of the muscle fibers allows the muscle to return to a rested state thus releasing discomfort. Improved Posture and Relief of Low Back Pain The training response to flexibility is that the muscles will naturally be in an elongated state during any activity, including sitting. This elongated state of the muscle allows for improvement in posture as opposing muscle groups will no longer be working against one another and pull the body into contorted postures. NVFC Health & Wellness Training Module: Flexibility Page 2 of 6 National Volunteer Fire Council – Heart-Healthy Firefighter Program Health and Wellness Advocate Instructor Guide Lesson Plan Example: If the hip flexors are tight and the extensors are not, then the response is for the body to be pulled into a kyphotic posture; if the reverse happens then the posture is traditionally lordotic. Both of these postures increase risk of injury and low back pain. If the muscles groups mentioned are both symmetric in the strength and flexibility, then the posture will improve toward normal and reduces the risk of injury and low back pain. Better Physical Agility and Heightened Job Performance Flexibility also increases one’s range of motion of the joints and allows the body to move in a fluid and instinctive motion with decreased risk of injury. Being able to move instinctively (i.e., lunging, squatting, stepping without thinking about the movement) increases one’s agility and coordination, which positively affects performance in physically demanding job duties. Injury Reduction Flexibility allows the body to move smoothly throughout a full pain-free range of motion specific to each joint. The ability to move naturally through the joint’s full range of motion depends on the degree of motion a person has at each joint. The closer the degree of motion is to the potential full range of motion of a joint, the more the risk of injury to the soft tissue (muscles, tendons, ligaments) of the joint decreases. Guidelines for Stretching Elevate Tissue Temperature Stretch only after the body is warmed up as this allows the muscle to be stretched at its entire length. Traditional stretch should be performed after 5-15 minutes of a light warm-up activity followed static stretching – hold the stretch for 15 -30 seconds. Post-workout is the best time to stretch. Specificity Posture Base your stretching program on your pain-free range of motion. Focus on proper spinal alignment. Always use proper support during forward flexion. Joints Stretch each joint to its own pain free limit (symmetry imbalances). NVFC Health & Wellness Training Module: Flexibility Page 3 of 6 National Volunteer Fire Council – Heart-Healthy Firefighter Program Health and Wellness Advocate Instructor Guide Lesson Plan Injuries Recently injured soft tissue should not be stretched. Be aware of previous injuries. Frequency 4-5 times per week (minimally) Stretching can be performed daily Intensity Light, non-vigorous Small increases for oxygen demand Time Hold each stretch 15-30 seconds. Repeat each stretch 2-4 times. Stretch all major muscle groups. Type Ballistic Bouncing, dynamic type of stretching High–risk of injury Static Preferred type Stationary type of stretching Low-risk of injury Safe Flexibility Exercises Basic Stretching Static – Stationary and safe Ballistic – Bouncing and “bad” Partner Stretching Static Passive – partners assist each other during the stretching Example: The supine straight leg hamstring stretch Peripheral Neuromuscular Facilitation (PNF) – partner stretch in which a 1530 second static stretch of a muscle is followed by a 15-30 second isometric contraction of the same muscle. This is repeated 2-4 times. Example: The passive supine straight leg hamstring stretch, followed by a static hamstring contraction (repeat) NVFC Health & Wellness Training Module: Flexibility Page 4 of 6 National Volunteer Fire Council – Heart-Healthy Firefighter Program Health and Wellness Advocate Instructor Guide Lesson Plan Foam Rolling Rolling muscle over the foam roller Increases myofacial release, helping to decrease the delayed onset muscle soreness experienced after strength workout Yoga Increases range of motion fluidity and instinctive movement. Incorporates rhythmic breathing into the joint motion. Increases the body’s ability for movement or circulation of fresh air. Assists in management of the stress response. Additional Resources American Council on Exercise – www.ACEfitness.org – ACE Personal Trainer Manual (3rd Edition) (ISBN 13:978-1-89072014-8; ISBN 10: 1-890720-14-3) National Volunteer Fire Council – www.nvfc.org – Heart-Healthy Firefighter Program – www.healthy-firefighter.org Module Review Instructor Notes Teaching strategies Suggestions to assist in getting the message across: 1. 2. 3. 4. Organize your notes and points. Ask your audience learner-centered questions. Encourage discussion during the teaching. Provide specific examples that impact the audience. 5. Ask for participation! For instance: 1. Ask your audience what they think flexibility means before beginning. 2. Ask about factors that affect flexibility. NVFC Health & Wellness Training Module: Flexibility Page 5 of 6 National Volunteer Fire Council – Heart-Healthy Firefighter Program Health and Wellness Advocate Instructor Guide Lesson Plan 3. Exhibit some proper flexibility exercises with proper form, then ask for participation. 4. Ask specific questions about how lack of flexibility may affect their work on the fire ground. Review Allow time to review the main points of the course and to answer participant questions. Administer evaluation The participant evaluation should be completed at the end of the module and returned to the instructor. Evaluations should be submitted to the NVFC. NVFC Health & Wellness Training Module: Flexibility Page 6 of 6
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