In this manuscript, practitioners and students who are concerned
with sports and rehabilitation medicine, kinesiology, as well as
coaches and athletes, are introduced to numerous concepts,
including mechanotransduction, inflammation, pro- and
anti-inflammatory cytokines, calpains, the extracellular matrix,
neutrophils and macrophages, and their relevance to stretching,
particularly stretching intensity. Although the quantitative
parameters of training, duration, and frequency are important, it
is the qualitative criterion of intensity ("how much") that the
author suggests is ultimately of greater concern. Intensity, the
rate and magnitude of force, may be responsible for the proper
recovery, regeneration, and adaptation of the musculoskeletal
tissues from training, competition, or rehabilitation from
injuries. Research suggests that too much force results in the
stimulation of an inflammatory response, one associated with a
biochemical feedback emerging from a mechanical stimulus. The
intent of this manuscript is twofold: to initiate the discussion of
the importance of stretching intensity with regard to proper
recovery, regeneration, and adaptation, and to suggest that
researchers need to explore its potential role in addressing
numerous inflammatory (RA) and non-inflammatory (OA, recurrent
tendinitis etc.) musculoskeletal conditions as well.
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