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Module 1 Introduction to Human Movement Studies (Kinesiology) 20 Hours 1 Module 1 Aims: To provide a basic knowledge of the human body and how it works Objectives: • To identify the basic structures and functions of the human body • To describe the physiology of human performance, including energy metabolism and the physiological responses to exercise • To describe the mechanics of human locomotion 2 Continuous Assessment 2 Written assessments with the following weightings: 1. 2. Assessment 1 – 40% Assessment 2 – 60% Each assessment is 30 minute duration with 5 questions 3 Skeletal System 4 Classification of Bones by Shape 1. 2. 3. 4. LONG BONES: Bones whose length exceeds their width and thickness. SHORT BONES: Bones with approximately equal length and width. FLAT BONES: Thin bones that tend to be curved rather than flat. IRREGULAR BONES: Bones of various shapes that do not fit into the other three categories. 5 Classification of Bones by Shape 6 Functions of the Skeleton • PROTECTION for many of the vital organs e.g. heart, brain, kidneys, spinal cord • SUPPORT for the soft tissue so that erect posture and the form of the body can be maintained. • MOVEMENT: The skeleton forms joints to allow a wide range of movement. All movement is caused by the contraction of muscles acting on the bones. 7 Functions of the Skeleton • BLOOD PRODUCTION: Red blood cells (erythrocytes) and some white blood cells are formed in the marrow cavities of some large bones. • STORAGE: Bones serve as key storage areas for minerals such as calcium, phosphorus, potassium and sodium. 8 Compact Bone looks like solid bone. Found on outside of most bones and in the shaft of long bones. Cancellous Bone Spongy bone – found at ends of long bones & in irregular, flat and sesamoid. Bone marrow only exists in cancellous bone. 9 The Spine 10 Functions of the Spine 1. Cervical Vertebrae: Allow movement of the head and bending and twisting of the neck. 2. Thoracic Vertebrae: Support the rib cage and allow some bending and rotation of the trunk. 3. Lumbar Vertebrae: Allow bending and rotation of the trunk. 4. Sacral Vertebrae: Transmit weight of body to hips and legs. 11 Joints A JOINT is the place of union between two or more bones. Joints are the functional units that permit body movement. Movement occurs when muscles contract, pulling on the bones. There are 3 types of Joint Fibrous Cartilagenous Synovial 12 Fibrous Joints FIBROUS JOINTS: These joints, which are classified as SYNARTHROSES (syn = together, arthro = joint; “an immovable joint”), occur where bones are united by intervening fibrous tissue. Examples include the skull and pelvic bones. 13 Cartilagenous Joints CARTILAGENOUS JOINTS: These joints, which are classified as AMPHIARTHROSES (amphi) on both sides, arthro = joint; “cartilage on both sides of the joint”), occur where bones are united by intervening cartilage, such as in the vertebral column and the pubic bones. 14 Synovial Joints SYNOVIAL JOINTS: These are freely moving joints. They are classified as DIARTHRODIAL (di = apart, arthro = joint; “apart joint”). In terms of human movement, synovial joints are the most important. Synovial joints are defined based upon the movements they allow. 15 Types of Synovial Joints 16 Types of Synovial Joints 17 Types of Synovial Joints 18 Synovial Joints - Knee 19 Components of Synovial Joint • Cartilage – Hyaline Cartilage – at ends of long bones, prevents friction, add cushion. – Fibrocartilage – intervertebral disc, minisci, fills spaces and crevices. • Synovial Fluid – Clear fluid, consistency of egg white – Provides nutrients to joint, removes debris • Synovial Membrane – Contains synovial fluid • Fat Pads – Provide extra cushion where needed 20 Factors Affecting Joint Mobility (ROM) and Stability Range of Motion refers to the range, measured in degrees of a circle through which the bones can be moved. 1. 2. 3. 4. 5. 6. Structure/shape of the joint/bones Tension exerted by ligaments Muscle tension Disease Age Injury 21 Factors Affecting Joint Mobility and Stability Structure/shape of the joint/bones (Hinge, ball & socket, etc) ● How close they fit together. Eg., Head of Femur fits in the depression of the pelvis, allowing rotational movement. ● Contact with other body parts, eg., when you flex your elbow, the biceps is in the way and prevents us fully flexing the arm. Tension exerted by ligaments ● Ligament tension changes depending on position of the joint. Eg., when standing, the ligaments in the hip joint become taut. When ligaments remain taut, the result is lack of ROM at that joint. 22 Factors Affecting Joint Mobility and Stability Muscle tension ● Muscle tension reinforces the tension exerted by ligaments on the joint. In some cases where muscles are overworked, this can have a negative effect on ROM at that joint. Disease (arthritis) ● Effects of arthritis include joint inflammation, worn cartilage and spur growth. All of these effects can hinder ROM at an effected joint. 23 Factors Affecting Joint Mobility and Stability Age ● Soft tissue loses elasticity with aging, negative effect on ROM. ● Reduction in Synovial Fluid and thickening of the Synovial Capsule can have a negative effect on ROM Injury ● Fractures/Sprains. Following a fracture/sprain, when the cast/splint is removed, there will be limited mobility due to lack of flexibility of the ligaments & tendons. 24 Anatomical Directional and Regional Terms of the Human Body Used to describe regions of the body in relation to other parts of the body 25 Anatomical, Directional and Regional Terms Anterior (ventral): Towards/on the front of the body eg Pectorals are on anterior aspect/ Posterior (dorsal): Towards/on the back of the body eg Rhomboids are posterior to the Pectorals Superior: Towards the head, upper part or above eg humerous is superior to radius 26 Anatomical, Directional and Regional Terms Inferior: Medial: Lateral: Away from the head, lower part or below eg the tibia is inferior to the femur Towards or at the midline of the body,inner side eg adductors are medial to the abductors. Away from the midline of the body, outer side eg Abductors are on the lateral aspect of leg. 27 Anatomical, Directional and Regional Terms Proximal: Closer to the origin of a point of reference. eg the elbow is proximal to the wrist. Distal: Further from the origin or point of reference eg the foot is distal to the knee. Superficial: External, located near the surface eg Rectus Abdominus are superficial to the Obliques. 28 Anatomical, Directional and Regional Terms Deep: Cervical: Thoracic: Internal; located further beneath the body surface eg the obliques are deep to the Rectus Abdominus Regional term referring to the neck. C1-7 Regional term referring to the portion of body between the neck and the abdomen; T1 – T12 29 Anatomical, Directional and Regional Terms Lumbar: Plantar: Regional term referring to the portion of the back between the abdomen and the pelvis L1 – L5 The sole or bottom of the foot Dorsal: The top surface of the foot and hand Palmer: The anterior or ventral surface of the hands 30 Joint Action / Movements • • • • • • • Flexion Extension Lateral Flexion Rotation Circumduction Abduction Adduction 31 Joint Actions – Flexion/Extension 32 http://classroom.sdmesa.edu/eschmid/Chapter7-Zoo145.htm 33 34 Joint Actions – Abduction Adduction 35 36 Joint Actions Circumduction 37 The Muscular System 38 The Muscular System 39 3 Types of Muscular Tissue 1. Cardiac Muscle 2. Voluntary (Skeletal) Muscle 3. Involuntary (Smooth) Muscle 40 TYPES OF MUSCLE CARDIAC MUSCLE: forms the walls of the heart is involuntary SMOOTH or VISCERAL MUSCLE: forms the walls of internal organs, for example the stomach, intestines and blood vessels is involuntary 41 TYPES OF MUSCLE SKELETAL MUSCLE: is attached at both ends to bone (usually by a tendon) is voluntary is responsible for human movement 42 SKELETAL MUSCLE • is made up of: – muscle tissue so it can contract – connective tissue to bind it together – nerves so that messages can be sent from the brain and spinal cord – blood vessels to bring oxygen, remove waste products, supply energy and maintain fluid levels 43 Functions of Muscle Tissue • Produce motion (body movements) • Provide stabilisation • Generate heat 44 4 Characteristics of Muscle Tissue 1. 2. 3. 4. Excitability: reaction to nerve impulses Contractibility: ability to contract (shorten and thicken) Extensibility: ability to stretch or lengthen without damage Elasticity: ability to return to original length and shape after contraction or extension 45 Structure of Skeletal Muscle 46 Components of Skeletal Muscle • Skeletal muscle: Contractile tissue composed of bundles (fascicles) of muscle fibres. • Epimysium: Outermost layer of connective tissue, Surrounds entire muscle, blends to form tendon • Perimysium: Another layer of connective tissue. Surrounds each fascicle (bundles of muscles fibres. • Endomysium: Layer of connective tissue, surrounds & separates each muscle fibre and electrically insulates it from it’s neighbour. 47 Components of Skeletal Muscle • Myofibril: Threadlike parallel fibres that make up a muscle fibre, they are made up of Myofilaments. • Myofilaments: Within myofibrils are Actin (thin) and Myosin (thick) protein threads. These myofilaments do not extend the length of a muscle fibre, instead they are arranged in sections called a Sarcomere • Sarcomere: The basic functional unit of muscle contraction. Each muscle group will have many Sarcomeres and it is the combined action of these sarcomeres that cause muscle contraction and therefore movement. 48 Components of Skeletal Muscle • Tendon: Connective tissue (Epimysium) which extends beyond the muscle and becomes a ‘strap’ which Connects to the outermost covering of the bone (periosteum) • Muscle Fibre: is a muscle cell. It is called a muscle fibre due to its long thread like shape. 49 Sliding Filament Theory • In muscle contraction, myosin heads attach to and walk along the actin at both ends of the sarcomere, progressively pulling the thin filaments together until they meet at the middle of the sarcomere. • Shortening of the sarcomere causes shortening of the whole muscle fibre which leads to shortening of the entire muscle. • Crossbridges are formed when myosin heads bind to actin and hold the muscle in a shortened state. (Peak Contraction) 50 Sliding Filament Theory 51 Sliding Filament Theory of Muscle Contraction 1. Muscles work by contracting, shortening bringing the two ends of the muscle closer together. 2. The muscle fibre contains sarcomeres. 3. The sacromere contains myofilaments – actin (thin, & at each end) and Myosin (thick, & in the middle) 4. The myosin heads (thick filaments) attach to and walk along the actin (thin filaments). 5. This causes the actin to slide in towards the middle and they can overlap. 6. This shortens the length of the sarcomere and happens all along the length of the muscle fibre giving a muscle contraction. 52 Proprioceptors Proprioceptors are basically sensors that provide information to the body on muscle length, muscle tension and joint angle. The Muscle Spindle provides information on muscle length. The Golgi Tendon Organ (GTO) on muscle tension. The Joint Receptor on joint angle/position 53 Muscle Spindles Muscle Spindles are sensory receptors in muscle tissue. They primarily respond to any stretch of a muscle and, through reflex response, (efferent impulse, ie exiting the brain) initiate a stronger muscle action (forcibly contracts the overstretched muscle) to reduce this stretch. 54 Golgi Tendon Organ Golgi tendon organs are encapsulated sensory receptors through which a small bundle of muscle tendon fibres pass. Golgi Tendon Organs are sensitive to tension in the muscle/tendon complex and operate like a strain gauge, a device that senses changes in tension. 55 Joint Receptors • Located at all the synovial joints. • Sensitive to directional changes, velocity of joint movements, high tension in joint ligaments. • May act with a reflex effect to produce a braking mechanism against the overstress of a joint and help to protect the joint from injuries caused by potential injurious flexion or extension. 56 Posture & Ideal Alignment 57 Ideal Alignment Unbalanced postural lines can cause excessive tension in muscle groups, produce joint strain, stretch ligaments, damage joint cartilage. Neutral spine alignment viewed from the side 1. A plumb line would pass: 2. Through the mid-line of the ear 3. Through the centre of the shoulder 4. Through the centre of the hip joint 5. Just behind the kneecap 6. Just in front of the ankle joint 58 Kyphosis Kyphosis viewed from the side Excessive curvature of the thoracic curve with convexity to the rear May be a result of a weakness in the anterior neck and upper back muscles or metabolic disease 59 Lordosis Lordosis viewed from the side ● An increased curvature of the lower back ● Often accompanied by protruding abdomen and buttocks and kyphosis ● May be the result of weak abdominals, tight hip flexors or metabolic disease 60 Scoliosis Scoliosis viewed from the rear. Curvature of the spine may be: ● ( curve ● ) curve ● S curve All children are checked for this before leaving national school as surgical intervention at an early stage maybe needed for correction. 61 Other Posture Abnormalities • Bowlegs: When feet are together, if a space of 5 cm or more occurs between the knees, ‘bowlegs’ may be present: a banana-like curve of the tibia. • Knock knees: When the knees are together, if a space of 5 cm or more occurs between the feet, ‘knock knees’ may be present. 62 Other Postural Abnormalities • Rounded Shoulders • Flat Foot • Forward Head 63 Cardio Respiratory System 64 Main Components of the Cardio-respiratory System • Lungs and associated airways Mouth Throat Trachea Bronchi • Heart • Blood • Blood vessels 65 Functions of the Cardio-respiratory System • Transport oxygen and nutrients to the working muscles and the heart itself • Body uses oxygen and nutrients to fuel the body and generate energy • Remove the by-products of energy conversion and respiration (lactic acid & carbon dioxide). 66 Exchange of Gases Exchange of gases Oxygen diffuses from the alveoli across the network of blood capillaries into the red blood cells. At the same time, carbon dioxide diffuses from the blood into the alveoli to be carried back to the bronchioles and eventually expired. 67 Breathing Mechanism The lungs are made of elastic tissue that while unable to contract, can change in size and shape as result of the changing shape of the chest cavity (by changes in the diaphragm muscle) and the position of the ribs (intercostals muscles) acting similar to that of a bellows. The diaphragm muscle is located under the lungs and is in a domed shape when relaxed. When instructed to contract, it flattens and increases the size of the chest cavity. 68 The heart and associated blood vessels 69 Definition of Terms • Arteries: are blood vessels which carry oxygenated blood away from the heart to the bodys tissues. • Veins: Blood vessels which carry deoxygenated blood back to the heart from the body tissues. • Coronary artery and vein: carry the heart muscles own blood supply, providing the heart with oxygen & nutrients and removing waste. • Capillaries: minute blood vessels, in all the bodies tissues, where all gas exchanges occur • Heart rate: number of times the heart beats in one minute • Cardiac cycle: all events that occur between two consecutive heartbeats; involves all chambers undergoing a relaxation and contraction phase. 70 Definition of Terms • Diastole: relaxation phase; blood flows into the heart, all chambers fill with blood • Systole: contraction phase; all chambers contract and expel blood • Stroke volume: amount of blood ejected or pumped in one contraction • Cardiac output: amount of blood pumped in one minute: HR x SV • Blood pressure: Force at which blood leaves the heart- refers to arterial blood pressure, expressed as systolic and diastolic pressure e.g. 120/80. When there is a constriction of blood vessels, B.P increases. When there is a dilation of blood vessels, B.P. decreases. 71 The Heart 72 Overview of Circulatory System 73 Composition of Blood • • • • • • • PLASMA: is a yellowish solution containing the following Water Nutrients, such as glucose, amino acids and fats Hormones Waste products, such as urea Fibrinogen protein which assists in clotting 74 Composition of Blood • • • • • RED BLOOD CELLS are biconcave discs give the red colour to blood are produced in bone marrow contain haemoglobin which transports oxygen • contains iron 75 Composition of Blood • • • • • WHITE BLOOD CELLS: are produced in the bone marrow and lymph tissue fight infection and disease PLATELETS: are responsible for clotting the blood. 76 Overview of the Circulatory System 77 The Energy Systems Workouts, training programmes and activities of daily living require different amounts of energy. Humans obtain energy from the food we ingest. The body can only use this food after it has been chemically broken down and absorbed into the bloodstream. In simple terms, Carbohydrates, Fats & proteins are broken down by our body to produce energy. Adenosine Triphosphate. (ATP) Energy in the form of Adenosine Tri Phosphate (ATP) is the end product of food ingestion. 78 Overview • • Energy: the capacity to do physical work Sources and Storage: – Energy enters the body in the form of carbohydrates, fats and proteins (food). – It is then converted into a fuel that can be used by the body. – Carbohydrates are stored in the muscles, liver and blood in the form of glycogen – Fats are stored as fatty acids in the adipose tissue and as triglycerides in the muscle 79 Overview • ATP – adenosine triphosphate – fuels all muscle activity. • ATP is a chemical structure made up of adenosine and three phosphate atoms. • The high energy in the two bonds connecting the three phosphate atoms is released when the bonds are broken; it can be used for muscular contraction. • ATP is stored in the myosin heads. • Due to its unstable nature, only enough ATP to complete a few seconds of muscular work can be stored. • ATP must be continuously resynthesised (reformed) from adenosine diphosphate (ADP). 80 Energy The body cannot use food directly so it has to be broken down........ Protein Fats Carbohydrates Amino Acids FattyAcids & Triglycerides Glucose Glycogen Growth & Repair Stored in Adipose Tissue & Muscle Stored in muscles & Liver Energy Source Energy source 81 Oxygen Consumption during Aerobic exercise 82 Oxygen Consumption during Anaerobic exercise 83 Systems used by the body to re-synthesise (remake) ATP Anaerobically (Without Oxygen) 1. Phosphagen System: (ATP-CP system) Used at 95 – 100% of max effort* 2. Lactate System. (Anaerobic Glycolysis) Used at 60 – 90% of max effort* Aerobically (With Oxygen) 3. Aerobic Glycolysis Used below 60% of max effort* 4. Fatty Acid Oxidation Used below 60% of max effort* * NB The above percentages are approximate and will vary with fitness levels and individual differences 84 Characteristics of Phosphagen System (CP System) ● Anaerobic ● Very rapid rate of ATP production ● Fuel source: creatine phosphate (CP) ● Limited stores of creatine phosphate in the muscle ● Very limited ATP production ● Predominates during high-intensity, short duration activities of 1 - 10 seconds ● Creatine phosphate and ATP stores are replenished after about two minute’s rest ● Very responsive to training: up to 300% more CP in store after training. 85 Characteristics of the Lactate System Anaerobic ● Rapid ATP production ● Fuel source: blood glucose or glycogen ● Lactic acid is a by-product that causes rapid fatigue ● Limited ATP production ● Incomplete breakdown of glycogen ● Will only release enough energy from one molecule of glycogen to resynthesise three ATP molecules ● Predominates during high-intensity, short duration activities of one to three minutes 86 Characteristics of Aerobic Energy System Aerobic ● Slow rate of ATP production ● Fuel source: blood glucose and glycogen ● Limited by the relatively slow delivery of oxygen to cells so can only provide energy for up to 60% of maximum efforts ● Will release enough energy from one molecule of glycogen to resynthesise 38 ATP molecules ● Glycogen stores will eventually run out ● Predominates during activities of lower intensity and of greater than three minutes 87 Characteristics of Fatty Acid Oxidation Aerobic ● Fuel source: fatty acids ● Slow rate of ATP production ● Limited by the relatively slow delivery of oxygen to the cells; can only provide energy at low intensity and long duration ● Large amounts of oxygen are needed ● Well-trained athletes will burn a greater percentage of fat, thus allowing them to work harder and longer ● Will release enough energy from one molecule of fatty acid to resynthesise 100 ATP molecules. (Fat yields just over 50% more energy per gram than glucose) 88 Role of Energy Systems in Programme Planning In most cases, although all energy systems are ‘switched on’, one or two energy systems will predominate depending on the intensity and duration of the activity, together with the fitness level of the individual. Considerations ● Available Fuel (diet & glycogen stores) ● Work/Rest intervals – Muscle Fatigue ● Intensity & duration of the session ● Rest/recovery/repair ● Individual Muscle Fibre Types 89 Muscle Fibre Types 90 Muscle Fibres Distribution of fibre types is largely genetic. ● There are no gender differences with respect to fibre type distribution. ● About 20% of muscle fibres are neither true fast nor true slow twitch fibres. These display characteristics of both fibre types and will adapt with training. ● Endurance training will not cause fast twitch fibres to become slow twitch fibres. ● Speed or power training will not cause slow twitch fibres to become fast twitch fibres. ● If you want to become an Olympic athlete, choose your parents wisely! 91 Muscle Fibres • The characteristics of muscle fibres can change to some extend. • Endurance training will not cause fast twitch fibres to become slow twitch fibres. • Speed or power training will not cause slow twitch fibres to become fast twitch fibres. • If you want to become an Olympic athlete, choose your parents well! 92 Predominant Energy System (%) Sport Phosphagen Lactate Aerobic Basketball 80 10 10 Golf swing 100 - - Gymnastics 90 10 - Dive/Swim 98 2 - 50 m swim 95 5 - 200 m swim 95 5 - 1500 m swim 10 20 70 Tennis 70 20 10 100/200 m run 98 2 - 1500 m run 5 35 60 Volleyball 90 10 - 93 Physiological Effects of Warm up & Cool Down Warm-up The purpose of the warm-up is to: ● Increase body temperature ● Increase respiration and heart rate ● Help protect against muscle, tendon and ligament strains ● Prepare the body for more strenuous exercise ● It ‘kickstarts’ the aerobic energy systems ● Stimulates the neural pathways and muscle metabolism leading to a more efficient performance 94 Physiological Effects of Warm up & Cool Down Cool-down ● The purpose of the cool-down is to: ● Remove excess norepinephrine (which can cause irregular heart beats) ● Lower body temperature ● Continue the pumping action of muscles on veins, helping the circulation in the removal of metabolic wastes Dangers of not cooling down ● Pooling of the blood ● Sluggish circulation ● Slow removal of waste products ● Cramping or soreness 95 D.O.M.S Delayed Onset Muscle Soreness (DOMS) When a previously sedentary person takes up an exercise programme, it is normal to feel muscle soreness and stiffness afterwards. When an athlete or regular exerciser experiences muscle soreness, 12 to 48 hours after intense exercise, it is referred to as Delayed Onset Muscle Soreness (DOMS). 96 Acute Physiological Responses to Exercise Acute (immediate) physiological responses to exercise: Heart rate (HR): increases as the working muscles demand a higher blood supply Stroke volume (SV): increases Cardiac output: increases as a result of increased HR and SV Respiration: increases as demands for oxygen increase and carbon dioxide levels increase Redistribution: of blood from the organs of the body to the working muscles Blood pressure: systolic increases. However, little change occurs in diastolic because of exercise-induced vasodilation (increase in size) of arterioles supplying blood to the working muscles 97 Acute Physiological Responses to Exercise Venous return: the heart can only pump as much blood as it receives. Venous return is achieved through the pumping action of muscles as they contract Body temperature: increases Elasticity of muscles: increases Viscosity of synovial fluid: decreases 98 Chronic (long-term) effects of exercise The heart: may increase in size and strength, particularly in the area of the left ventricle. Stroke volume: the increase in size and strength allows more blood to be pumped per beat. Heart rate: will decrease as the heart becomes more efficient and able to pump larger volumes per beat Decreases the amount of work to be done by the heart muscle. Cardiac output: training improvements lead to an overall increase in cardiac output. Blood composition: levels of haemoglobin increase, which increases the blood’s capacity to carry oxygen. 99 Chronic (long-term) effects of exercise VO2 max: increases with regular exercise. Blood pressure (BP): systolic and diastolic BP can be lowered by 6-10 mm Hg for many previously sedentary people. Increased/Improved muscle strength: Over time muscles will become stronger and more efficient for training and activities of daily living. Improved Body Composition: A regular exercise regime will result in a favourable 100 High Risk Exercises • • • • • • • Hurdlers stretch Full deep knee squats Full neck circles Straight leg sit-ups Straight leg raises Plough High Hip Extension 101 Full Neck Rotations Inefficient /dangerous if not done correctly Safer Alternative Rationale/Risk : If carried out too quick, particularly the posterior, hyperextends neck and causes potential damage to cervical spine. Safer Alternative: Turn head to left and right in a controlled manner Straight Leg Sit Ups Potentially dangerous Safer Alternative Rationale/Risk: (a) Lower back risk due to compression of discs. (B) Abs may not be strong enough and can cause disc and ligament damage. (C) uses hip flexors which has been known to cause lower back problems due to muscle imbalance. Safer Alternative: Abdominal Curl per NCEF Straight Leg Raises Potentially very dangerous. Safer Alternative Rationale/Risk: Lower back risk due to compression of discs. (B) Abs may not be strong enough and can cause disc and ligament damage. (C) uses hip flexors which has been known to cause lower back problems due to muscle imbalance. Risk is higher. Safer Alternative: Reverse Curl per NCEF Dorsal Raises Potentially very dangerous. Safer Alternative Rationale/ Risk: Compression and pressure on lumbar vertebra and discs. Safer Alternative: Back Extension per NCEF Rapid toe touching with Bounce Potentially very dangerous. Safer Alternative Rationale/ Risk: Lower back damage by excessive strain on lumbar muscles & ligaments. Safer Alternative: Supine Hamstring stretch per NCEF High hip extension on hands Potentially very dangerous. Safer Alternative Rationale/ Risk: Spine is hyperextended, compressing intervetebral discs Safer Alternative: Controlled leg extension on Elbows. Deep Squats Inefficient /dangerous if not done correctly Safer Alternative Rationale/ Risk: Ligament damage in knee. Compresses the patella against the knee joint will full weight of body. Safer Alternative: Squat to legs parallel to floor. Hurdlers Stretch Potentially very dangerous. Safer Alternative Rationale/ Risk: Supporting leg knee ligaments are twisted unnaturally, high risk of damage Safer Alternative: Calf stretch per NCEF The Plough Potentially dangerous Safer Alternative Rationale/ Risk: Cervical vertebrae have to support weight of bodyabnormal stress. Safer Alternative: Supine Lower Back Stretch.