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Updated: Mar 28, 2026

A Novel Stretching Platform for Applications in Cell and Tissue Mechanobiology
Published on: June 3, 2014
If you've seen one construction worksite stretch and flex program … you've seen one construction worksite stretch and
Linda M Goldenhar1, Pete Stafford1
1CPWR: The Center for Construction Research and Training, 8484 Georgia Ave. Suite 1000, Silver Spring, MD 20910, USA.
Construction companies use stretch and flex (s/f) programs for work-related musculoskeletal disorders (WMSD) despite limited evidence. These programs foster camaraderie and communication, potentially improving safety outcomes when combined with daily safety huddles.
Area of Science:
- Occupational Health
- Ergonomics
- Construction Safety
Background:
- Work-related Musculoskeletal Disorders (WMSD) constitute a significant portion of injuries in the U.S. construction industry.
- Many construction companies implement stretch and flex (s/f) programs to mitigate WMSDs, despite a lack of robust scientific evidence supporting their effectiveness.
Purpose of the Study:
- To investigate employer motivations for continuing to invest in s/f programs.
- To document the variability in s/f program structures.
- To identify the actual and perceived benefits of s/f programs.
Main Methods:
- A mixed-methods study combining interviews with safety and health professionals and an online survey.
- Data collection from 19 professionals via interviews and 133 via survey (13.3% response rate).
Main Results:
- 56% of companies implemented s/f programs primarily to reduce WMSDs, but most did not track goal achievement.
- Program structures varied significantly in duration, frequency, and type of exercises.
- While attendance was often mandated, participation was not, primarily due to liability concerns.
- Cost influenced initial implementation but not program continuation.
- Many companies also initiated daily safety huddles, reporting increased worker camaraderie, communication, and collaboration, with some attributing WMSD reduction to these combined efforts rather than s/f alone.
Conclusions:
- Construction companies persist with s/f programs for WMSD reduction despite minimal scientific validation.
- The implementation of s/f programs has indirectly led to the adoption of daily safety huddles, enhancing team dynamics.
- While direct WMSD reduction linkage is weak, the ancillary benefits of camaraderie and communication may justify the resources invested in s/f programs as part of a comprehensive ergonomics strategy.
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