I have recently been searching for some information on stretching the quadriceps, hamstrings and glutes for the obese client (BMI> 30). I am having trouble finding any specifics. Can someone please help with some suggestions? I know of the towel stretches for the hamstrings but am more concerned with glutes and quad stretches that can be done for someone who can’t reach their toes or pull their foot behind them to stretch the quads. Thank you for any help on this.
First off, I would suggest your client's muscle tightness should be assessed (either by yourself or someone who is qualified to do so) to see where your client is having issues. I say this because hamstring tightness is usually a secondary or tertiary effect of some other muscle group being weak or tight. The other thing that needs to be known is exactly how much mobility this client has. Can they get up and down off the floor with ease? This will help determine what stretches will be appropriate. You can have the client stand on an angled board or a stair to stretch the calves by slowly lowering the heels until a good stretch is felt. The quads can be done by first lying the client on their side and looping the towel around their ankle, making sure they have good form and gently pull the towel toward the glutes/hamstrings. You can access the glutes by having the client sit on the floor with one leg straight and the other leg bent, which then crosses the other leg. Then gently pull the knee in toward the chest to get a good glute stretch. If you are having a very difficult time, you may want to consider partner stretching with yourself or another qualified trainer or PNF stretching (again by a qualified person).