IJABAHTHERAPEUTIC COURSE
LEVEL 3 · LESSON 04

Therapeutic
Stretching

Stretching bukan wajib untuk semua complaint. Gunakan apabila ia menyokong movement objective, sesuai dengan assessment dan boleh didose tanpa memaksa symptom.

BY THE END OF THIS LESSONChoose stretch by objectiveDifferentiate active & assisted approachesDose intensity, duration & repsProgress safely by response
POSITION
→
TENSION
→
HOLD / MOVE
→
RETEST
01 · LEARN

First ask: why stretch?

MOVEMENT GOAL

Support a relevant direction or task identified during assessment.

TOLERANCE

Provide controlled exposure to a comfortable sensation of stretch.

PREPARATION

Sometimes used before a movement or exercise when it helps the session objective.

HOME STRATEGY

A simple, repeatable option when client can perform it safely and independently.

02 · SEE

Stretching can take different forms.

ACTIVEClient creates the movement

Useful when control and self-management are priorities.

STATIC / HELDPosition is held comfortably

Dose by sensation, time and response rather than forcing end-range.

DYNAMICControlled movement through range

Useful when repeated movement better matches the objective.

ASSISTEDExternal assistance adds support

Requires clear consent, control and appropriate practitioner skill.

Nama stretching kurang penting daripada objective, positioning, dose dan response client.

03 · UNDERSTAND

Control four dosage variables.

01INTENSITY

Mild/moderate stretch sensation is not the same as sharp or concerning pain.

02DURATION

Hold or movement time should match tolerance and objective.

03REPETITIONS

Enough exposure to practise; not automatic high volume.

04FREQUENCY

Home frequency must be realistic and adjusted by response.

NO UNIVERSAL NUMBER

Course ini tidak mengajar satu angka hold/reps sebagai “dos wajib” untuk semua orang. Start conservatively, observe response dan progress based on objective and tolerance.

04 · TRY

Stretch prescription drill

Pilih satu low-risk stretch dalam supervised practice. Student mesti boleh explain kenapa ia dipilih dan apa yang akan diretest.

05 · CHECK

A stretch should feel appropriate — not threatening.

CONTINUE / PROGRESS

Comfortable sensation, good control, no concerning response.

MODIFY

Excess guarding, symptom escalation or poor position → reduce intensity/range or change approach.

STOP / SCREEN

Sharp severe pain, new neurological symptoms, dizziness or other concerning response.

06 · TEST

Quick Knowledge Check

Apakah prinsip paling tepat bila menentukan stretch dosage?

07 · APPLYMINI CASE

Client mahu lebih mudah mencapai kasut. Assessment menunjukkan relevant posterior-chain movement terasa limited tetapi safety screen clear.

Apa approach terbaik?

STRETCHING SAFETY

Do not force stretching through acute significant injury, suspected instability, severe/unusual pain, neurological or vascular symptoms, or other contraindications. Respect surgical/medical precautions and only use assisted techniques within training and competence.

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