How to Perform Hold-Relax PNF Stretching | Hamstring Flexibility

In this video, Dr. Donald Ozello demonstrates the Hold-Relax (HR) technique of Proprioceptive Neuromuscular Facilitation (PNF) stretching. This foundational flexibility method utilizes Autogenic Inhibition to relax the target muscle and increase range of motion.

📋 Clinical Context: Hold-Relax vs. Static Stretching The Hold-Relax technique is designed to overcome the stretch reflex. By contracting the tight muscle isometrically before stretching it, you fatigue the motor units and trigger the Golgi Tendon Organs (GTOs) to relax the muscle.

Mechanism: Autogenic Inhibition (relaxing the muscle after high tension).

Best For: Patients who cannot tolerate the active contraction required in HRAC, or for acute muscle spasms.

Technique Breakdown:

Patient Position: Supine, leg passively raised to the point of mild resistance.

Step 1 (Isometric): Patient inhales and contracts the hamstrings (pushing down) against the doctor's resistance (75-90% effort) for 10 seconds.

Step 2 (Relax): Patient exhales and completely relaxes the leg.

Step 3 (Stretch): The doctor passively moves the leg into a deeper range of flexion.

Duration: Hold the new stretch for 15-60 seconds. Repeat 3-4 times.

🚀 Become a Flexibility Expert PNF is just one tool in the rehab arsenal. CCEDseminars offers comprehensive courses on soft tissue mobilization, stretching physiology, and functional rehab.

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Sports Medicine: Advanced stretching protocols for athletes.

Rehab Modules: Learn the difference between HR, CR, and HRAC techniques.

Physical Therapy: Evidence-based flexibility training.

🛠️ Recommended Rehabilitation Tools

1. Assisted Stretching: Stretch Out Strap For patients to perform this at home, a non-elastic strap is essential to provide the resistance needed for the "Hold" phase. 👉 https://amzn.to/4pTWmXo

2. Myofascial Release: High-Density Foam Roller Rolling out the hamstrings before PNF stretching can improve tissue compliance and results. 👉 https://amzn.to/4qsFHeF

👨‍⚕️ About Dr. Donald Ozello & CCEDseminars Dr. Donald Ozello is the owner of Championship Chiropractic in Las Vegas, NV. His mission is to provide high-quality, practical continuing education to the chiropractic community.

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⚖️ Disclaimers

Affiliate Disclaimer: This video description contains affiliate links. As an Amazon Associate, CCEDseminars earns from qualifying purchases. This comes at no extra cost to you.

Medical Disclaimer: This video is for educational purposes for healthcare professionals and students. It is not intended as medical advice. Always perform a thorough history and examination before applying manual therapy techniques.

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