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Core Concept Human Health Published: December 11, 2023

Keeping Your Joints Flexible Throughout Life

Abstract

People are built to move. To survive, not so long ago, we had to search for food every day as hunters or gatherers. In modern times, however, our way of life has changed drastically. We can buy our food at the supermarket and many people can do their work at a desk. As a result, we move less and sit for several hours every day. This is called a sedentary lifestyle. Sedentary activities can lead to a dramatic decrease in flexibility in the joints. To overcome those challenges, we can do a variety of activities such as performing sports that require the full range of motion of our joints, as well as doing stretch training, foam rolling, or resistance training.

Use It Or Lose It!

As a young child, it is possible to do a deep squat for hours while playing with toys. But have you ever wondered why most older people, such as your grandparents, cannot do such movements easily, and sometimes even have problems walking? One explanation is a loss of joint flexibility as we age [1]. Older people cannot run as fast as younger people and they may even need an elevator to get up to higher floors in a building. The proverb “use it or lose it” describes one possible reason for loss of flexibility as we age. As kids, we frequently use the flexibility of all of our joints when we run around to play, climb trees, or do our favorite sports such as soccer, football, tennis, and others. Additionally, as children, we have the urge to move our bodies. It is quite hard to just sit still, right? That is in our genes, since the people who lived thousands of years ago had to move all day to find food, for example. Nowadays, however, we can go to the supermarket to buy food and most of us do not even have to walk, since we can take a bus or go by car. Another major problem in our society is that the majority of adults and children sit around 8 h a day, on average, during their daily tasks [2]. I bet you have to sit all day long when you are in school. However, we are not built to sit—we are built to move like the hunters and gatherers we evolved from.

Sit Less and Move More!

Since people are not built to live sedentary lives, our first recommendation is to avoid sitting all day. While doing your homework, you might try using a standing desk. This allows you to have your muscles in a more natural position, rather than in the shortened position they are in while you are sitting. Additionally, try to reduce the time you spend seated in your free time, and instead do sports that require the whole range of motion of the joints. If you swim with the crawling technique, for example, you have to fully extend your arm so that you can catch as much water as possible to move yourself forward. Consequently, swimming frequently increases your flexibility, especially in your upper body. Other fun sports that require the full range of motion are climbing, gymnastics, or ballet dancing.

Frequent Flexibility Workouts

Our second recommendation is to include frequent flexibility training in your daily schedule, to increase your flexibility. The word “frequent” is the key to success. We recommend performing at least 3 flexibility workouts per week to develop or at least maintain your flexibility level. Now we will tell you about the three most efficient approaches for increasing flexibility in the long run, namely stretch training, foam rolling, and resistance training. You do not have to stick to one approach. Instead of performing one approach 3 times a week, it would be even better if you performed each of the 3 approaches once a week.

Stretch Training

Performing frequent stretch training is a very good way to improve flexibility. During stretching, you flex (bend) or extend (straighten) your joints to a position where you feel a gentle stretch in your muscles. You can hold that position for about 2 min. There is no need to stretch until you feel discomfort or pain, since a gentle stretch does the job [3]. If you want to stretch your front thigh muscle, for example, bring one heel up to your buttocks with the support of one hand. Try to keep your trunk upright while standing on the other leg, using your other hand to support your balance if necessary (Figure 1). You should also stretch other muscles, such as the back thigh, calf muscles, and shoulder muscles, as also seen in Figure 1. This technique is called static stretching, since you do not move while you are performing the stretching exercise. Static stretching is the easiest stretching technique as well as one of the best ways to increase flexibility.

Figure 1 - Static stretching exercises for the leg and shoulder muscles.
  • Figure 1 - Static stretching exercises for the leg and shoulder muscles.

Foam Rolling

A second approach to increase flexibility in the long term is performing frequent foam rolling. For foam rolling, you need a foam roller that looks like a cylinder and is made of a firm material. You can roll the foam roller over your muscles, which puts pressure on them. You should roll only soft tissues such as muscles; avoid rolling on bones. If you want to roll your front thigh muscle, for example, place the foam roller below you while lying on your stomach. Your elbows and the non-rolled leg should be on the ground. Move your body up and down on the foam roller to roll over the entire front thigh muscle, from the knee to the hip, which should take about 4 s (Figure 2). Keep rolling for about 2 min. As with stretching, a gentle pressure will do the trick [4]. Foam rolling exercises for other leg muscles are shown in Figure 2.

Figure 2 - Foam rolling exercises of the leg muscles.
  • Figure 2 - Foam rolling exercises of the leg muscles.

Resistance Training

Similar to stretching and foam rolling, resistance (weight) training can also improve your flexibility in the long term. However, resistance training must be performed throughout the whole range of motion of a joint to really increase flexibility [5]. That means if you do a squat, for example, you should stop only when your buttocks are at your heels (Figure 3). To start with resistance training, it is recommended to perform 15–25 repetitions for each exercise. After a short break of 60–90 s, the same exercise with 15–25 repetitions should be done for 2 more rounds. It should be challenging to perform these exercises, however, you do not have to do it until you cannot do it anymore. If it is too easy, we recommend using light weights. Two other resistance training exercises are shown in Figure 3. If you are performing these exercises for the first time, it is recommended that you have an experienced coach by your side to check the movement. Although resistance training is the most challenging compared to stretching and foam rolling, you will also increase your strength using this approach.

Figure 3 - Resistance training exercises that require full range of motion of the joints.
  • Figure 3 - Resistance training exercises that require full range of motion of the joints.
  • Please note that you can do the squat and deadlift exercise even without weight. If you do use weights, please start with low weights! If you cannot perform 15 push-ups, start with your knees down on the floor instead.

Please note that you can perform stretch training and foam rolling every day to improve your flexibility. Regarding resistance training, it is recommended to have at least one rest day before repeating resistance training of the same muscle groups. All the exercises presented are likely to improve your flexibility, as well as that of your younger or older siblings and your teachers, parents, and coaches.

Glossary

Joint Flexibility: The range of movement your joints can achieve. Joint flexibility can be restricted due to your muscles, tendons, and bones.

Sedentary: If you do most of your activities sitting down.

Static Stretching: Hold your joint and muscle in a slightly stretched position for a certain amount of time.

Conflict of Interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.


References

[1] Medeiros, H. B. de O., Araújo, D. S. M. S. de, and Araújo, C. G. S. de 2013. Age-related mobility loss is joint-specific: an analysis from 6,000 Flexitest results. AGE 35:2399–2407. doi: 10.1007/S11357-013-9525-Z

[2] Pate, R. R., Mitchell, J. A., Byun, W., and Dowda, M. 2011. Sedentary behaviour in youth. Br. J. Sports Med. 45:906–913. doi: 10.1136/bjsports-2011-090192

[3] Konrad, A., Alizadeh, S., Daneshjoo, A., Anvar, S. H., Graham, A., Zahiri, A., et al. 2023. Chronic effects of stretching on range of motion with consideration of potential moderating variables: a systematic review with meta-analysis. J. Sport Heal. Sci. doi: 10.1016/J.JSHS.2023.06.002

[4] Konrad, A., Nakamura, M., Tilp, M., Donti, O., and Behm, D. G. 2022. Foam rolling training effects on range of motion: a systematic review and meta-analysis. Sport. Med. 52:2523–2535. doi: 10.1007/s40279-022-01699-8

[5] Alizadeh, S., Daneshjoo, A., Zahiri, A., Anvar, S. H., Goudini, R., Hicks, J. P., et al. 2023. Resistance training induces improvements in range of motion: a systematic review and meta-analysis. Sport. Med. 53:707–722. doi: 10.1007/S40279-022-01804-X