Inhibition of maximal voluntary isometric torque production by acute stretching is joint-angle specific

Revisiting the stretch-induced force deficit: A systematic review with multilevel meta-analysis of acute effects

BACKGROUND

When recommending avoidance of static stretching prior to athletic performance, authors and practitioners commonly refer to available systematic reviews. However, effect sizes (ES) in previous reviews were extracted in major part from studies lacking control conditions and/or pre-post testing designs. Also, currently available reviews conducted calculations without accounting for multiple study outcomes, with ES: -0.03 to 0.10, which would commonly be classified as trivial.

METHODS

Since new meta-analytical software and controlled research articles have appeared since 2013, we revisited the available literature and performed a multilevel meta-analysis using robust variance estimation of controlled pre-post trials to provide updated evidence. Furthermore, previous research described reduced electromyography activity-also attributable to fatiguing training routines-as being responsible for decreased subsequent performance. The second part of this study opposed stretching and alternative interventions sufficient to induce general fatigue to examine whether static stretching induces higher performance losses compared to other exercise routines.

RESULTS

Including 83 studies with more than 400 ES from 2012 participants, our results indicate a significant, small ES for a static stretch-induced maximal strength loss (ES = -0.21, p = 0.003), with high magnitude ES (ES = -0.84, p = 0.004) for stretching durations ≥60 s per bout when compared to passive controls. When opposed to active controls, the maximal strength loss ranges between ES: -0.17 to -0.28, p < 0.001 and 0.040 with mostly no to small heterogeneity. However, stretching did not negatively influence athletic performance in general (when compared to both passive and active controls); in fact, a positive effect on subsequent jumping performance (ES = 0.15, p = 0.006) was found in adults.

CONCLUSION

Regarding strength testing of isolated muscles (e.g., leg extensions or calf raises), our results confirm previous findings. Nevertheless, since no (or even positive) effects could be found for athletic performance, our results do not support previous recommendations to exclude static stretching from warm-up routines prior to, for example, jumping or sprinting.

Dynamic Stretching Increases the Eccentric Rate of Force Development, but not Jump Height in Female Volleyball Players

The present study aimed to analyze the effect of static and dynamic stretching exercises on the rate of force development (RFD) during the eccentric braking phase and jump height in a countermovement jump (CMJ) in female volleyball players. Thirty female volleyball players were randomly distributed in a static stretching (n = 10; SG), a dynamic stretching, and (n = 10; DG) a control group (n = 10; CG). A force plate and a 3D analysis system were employed to detect the eccentric braking phase during the CMJ. The RFD was analyzed in RFD (RFDi) intervals and the accumulated RFD (RFDa), and normalized to body mass. The SG experienced a likely small decrease in the RFDa (mean difference −17.4 N/s/kg) and a likely small decrease in the RFDi (mean difference −19.1 N/s/kg). Contrarily, the DG showed a likely small increase in the RFDa (mean difference 31.2 N/s/kg) and a most likely small increase in the RFDi (mean difference 34.8 N/s/kg). The effect of both static and dynamic stretching on jump height was trivial. Practitioners should consider utilizing dynamic stretching exercises instead of static stretching before a competition in female volleyball players. Further research is needed in order to find complementary strategies during the warm-up that could increase jump height.

Time-based effects of different duration stretching on calf muscle strength

BACKGROUND: There are conflicting reports on the acute effects of stretching on muscle strength. Some studies report reduction in muscle strength however others report no change following stretching. OBJECTIVE: To assess the acute effects of static stretching (SS) of different durations on the isometric maximum voluntary contraction force (MVCF) of the calf muscle. METHODS: Pretest-posttest experimental design was used. Ten male participants (mean age 25.4 ± 2.11 years) participated in three experimental trials: SS for 2-minutes (SS2), 4-minutes (SS4), and 8-minutes (SS8). MVCF was measured before, immediately after, at 10- and 20-minutes post-stretch intervals. Each SS trial involved varied repetitions of 30-seconds stretches and 20-seconds relaxation periods. The isometric maximum voluntary contraction force (MVCF) was the outcome measure. RESULTS: SS2, SS4, and SS8 did not change the MVCF at 0-, 10- and 20-minutes post stretching intervals (p> 0.05). CONCLUSIONS: 2-, 4-, and 8-minutes intermittent SS did not change the isometric muscle strength in the Calf muscle up to 20 minutes after stretching and thus can safely be performed before those sporting events that require significant muscle strength.

Non-local Acute Passive Stretching Effects on Range of Motion in Healthy Adults: A Systematic Review with Meta-analysis

BACKGROUND

Stretching a muscle not only increases the extensibility or range of motion (ROM) of the stretched muscle or joint but there is growing evidence of increased ROM of contralateral and other non-local muscles and joints.

OBJECTIVE

The objective of this meta-analysis was to quantify crossover or non-local changes in passive ROM following an acute bout of unilateral stretching and to examine potential dose-response relations.

METHODS

Eleven studies involving 14 independent measures met the inclusion criteria. The meta-analysis included moderating variables such as sex, trained state, stretching intensity and duration.

RESULTS

The analysis revealed that unilateral passive static stretching induced moderate magnitude (standard mean difference within studies: SMD: 0.86) increases in passive ROM with non-local, non-stretched joints. Moderating variables such as sex, trained state, stretching intensity, and duration did not moderate the results. Although stretching duration did not present statistically significant differences, greater than 240-s of stretching (SMD: 1.24) exhibited large magnitude increases in non-local ROM compared to moderate magnitude improvements with shorter (< 120-s: SMD: 0.72) durations of stretching.

CONCLUSION

Passive static stretching of one muscle group can induce moderate magnitude, global increases in ROM. Stretching durations greater than 240 s may have larger effects compared with shorter stretching durations.

How to Improve the Standing Long Jump Performance? A Mininarrative Review

Standing long jump (SLJ) is complicated by the challenge of motor coordination in both the upper and lower segments. This movement is also considered to be a fundamental skill in a variety of sports. In particular, SLJ is an important test index for middle school students for assessing their physical fitness levels. This assessment takes the form of a physical fitness test high school entrance examination in some countries such as China. This minireview summarizes recent studies that have investigated how to improve the standing long jump performance from different aspects which include arm motion, takeoff angle, standing posture, warming-up exercise, and handheld weight. The common study limitations, controversial knowledge, and future research direction are also discussed in detail.

Mechanisms underlying performance impairments following prolonged static stretching without a comprehensive warm-up

Whereas a variety of pre-exercise activities have been incorporated as part of a "warm-up" prior to work, combat, and athletic activities for millennia, the inclusion of static stretching (SS) within a warm-up has lost favor in the last 25 years. Research emphasized the possibility of SS-induced impairments in subsequent performance following prolonged stretching without proper dynamic warm-up activities. Proposed mechanisms underlying stretch-induced deficits include both neural (i.e., decreased voluntary activation, persistent inward current effects on motoneuron excitability) and morphological (i.e., changes in the force-length relationship, decreased Ca²⁺ sensitivity, alterations in parallel elastic component) factors. Psychological influences such as a mental energy deficit and nocebo effects could also adversely affect performance. However, significant practical limitations exist within published studies, e.g., long-stretching durations, stretching exercises with little task specificity, lack of warm-up before/after stretching, testing performed immediately after stretch completion, and risk of investigator and participant bias. Recent research indicates that appropriate durations of static stretching performed within a full warm-up (i.e., aerobic activities before and task-specific dynamic stretching and intense physical activities after SS) have trivial effects on subsequent performance with some evidence of improved force output at longer muscle lengths. For conditions in which muscular force production is compromised by stretching, knowledge of the underlying mechanisms would aid development of mitigation strategies. However, these mechanisms are yet to be perfectly defined. More information is needed to better understand both the warm-up components and mechanisms that contribute to performance enhancements or impairments when SS is incorporated within a pre-activity warm-up.

Different volumes and intensities of static stretching affect the range of motion and muscle force output in well-trained subjects

The manipulation of the volume and intensity of static stretching (SS) can affect the range of motion (ROM) and muscle force output. The purpose of this study was to investigate the effect of two different SS protocols with different intensities (50% and 85% POD) and volumes (120-s and 240-s) on ROM, peak force, and muscle activity during maximal isometric leg curl exercise in well-trained participants. Fifteen young males (age:27.5 ± 6.1years, height:175.6 ± 4.7cm, and body mass:81.5 ± 10.4kg, 6 ± 2 years of resistance training experience) performed passive hip flexion with two different SS protocols: six stretches of 40-s, with 15-sec rest between each stretch at 50% of the point of discomfort (POD) and three stretches of 40-s, with 15-sec rest between each stretch at 85%POD. The passive hip flexion ROM, biceps femoris muscle activation (integrated electromyography: IEMG), and knee flexors force were monitored during a 3-s maximal voluntary isometric leg curl exercise. ROM increased between pre- and post-intervention for both SS protocols (50%POD: p = 0.016, Δ% = 4.6% and 85%POD: p < 0.001, Δ% = 11.42%). Peak force decreased between pre- and post-intervention only for 85%POD (p = 0.004, Δ% = 23.6%). There were no significant IEMG differences. In conclusion, both SS protocols increased ROM, however, the high-intensity and short-duration SS protocol decreased peak force.

Dynamic stretching alone can impair slower velocity isokinetic performance of young male handball players for at least 24 hours

There are many adult studies reporting static stretch (SS)-induced deficits and dynamic stretch (DS) performance improvements shortly after the intervention. However, there is only a single study examining stretch-induced performance changes with youth at 24 hours' post-stretch. The objective of this study was to examine physiological responses of young trained athletes at 24-hours after experiencing SS or DS protocols. Eight young male, elite handball players (age: 16.1±5.1 years) were tested prior to-, 3-minutes and 24-hours following the three conditions (DS, SS, Control) in a randomized and counterbalanced order. Similar volumes of SS (2 repetitions of 75s for each leg) and DS (5 repetitions of 30s for each leg) involved one stretch each for the quadriceps and hamstrings. Tests included (i) two 4s maximal voluntary isometric contractions (MVC) at 60° of knee flexion with 2-min rest, (ii) two maximal isokinetic contractions each at 60°/sec and 300°/sec with 1-min rest, and (iii) two drop jumps with 30-sec rest. To simulate a full warm-up, dynamic activity including 5 minutes of aerobic cycling (70 rpm; 1 kilopond), 4 submaximal isometric contractions and 4 drop jumps were instituted before the pre-tests and following the interventions. Two-way repeated measures ANOVAs revealed that 1) both the SS and control conditions exhibited knee extensor 60°.s-1 (SS:-10.3%; p = 0.04, Control: -8.7%; p = 0.07) and 300°.s-1 (SS: -12.9%; p = 0.005, Control: -16.3%; p = 0.02) isokinetic deficits at post-test, 2) DS impaired knee flexor 60°.s-1 isokinetic work and power-related measures at post-test (Work: -10.1%; p = 0.0006; Power: -19.1%; p = 0.08) and at 24-hours' post-test (Work: 9.9%; p = 0.023; Power: -9.6%; p = 0.01), 3) DS (12.07% and 10.47%) and SS (13.7% and 14.6%) enhanced knee flexor 300°.s-1 isokinetic force and power-related measures compared to control. In conclusion, testing-induced knee extensor isokinetic impairments were counterbalanced by DS, however the hip flexion DS could have produced minor muscle damage for at least 24-hours decreasing knee flexor forces and power at 60°.s-1.

Stretch Could Reduce Hamstring Injury Risk During Sprinting by Right Shifting the Length-Torque Curve

Ruan, M, Li, L, Chen, C, and Wu, X. Stretch could reduce hamstring injury risk during sprinting by right shifting the length-torque curve. J Strength Cond Res 32(8): 2190-2198, 2018-It was hypothesized that static stretch would shift the length-torque curve to the right, which may reduce the risk of muscle strain injuries. The purpose of this study was to evaluate the acute effects of static stretching of hamstring (SSH) on the risk of hamstring injury during sprinting indicated by the shift of the length-torque relationship. Twelve female college athletes (age: 20.8 ± 0.7 years; height: 1.61 ± 0.05 m; body mass: 54.25 ± 4.22 kg) participated in this study. Subjects performed overground sprinting under 2 conditions: after warm-up with 4 × 30 seconds SSH or after warm-up without SSH. Three-dimensional kinematic and kinetic data and electromyography of biceps femoris long head (BFlh), rectus femoris, and vastus medialis were collected during testing. The maximum length of BFlh during late swing phase increased after SSH with large effect size and close to statistically significant (p = 0.05, d = 1.22), but the knee flexion torque at the peak length did not change significantly. Static stretching of hamstring significantly reduced peak values of both horizontal (d = 1.46) and vertical (d = 1.79) ground reaction forces, and BFlh's activation level during the preactivation (late swing) phase (p = 0.05, d = 2.16). The results indicated that the length of BFlh-knee torque relationship and the length of BFlh-hip torque relationships during the late swing phase and initial stance phase were shifted to the right after SSH, which may reduce risk of hamstring strain injuries. We suggest that preactivity static stretching should not be simply removed and participators should give priority to stretch muscles that are vulnerable to strain injuries.

Electromyographic patterns of the rat hindlimb in response to muscle stretch after spinal cord injury

Study Design

Experimental Study

Objectives

To characterize the specific hindlimb electromyographic (EMG) patterns in response to muscle stretch and to measure the applied forces during stretching in the rat model of moderate SCI.

Setting

Kentucky Spinal Cord Injury Research Center, Louisville, KY, USA

Methods

Female Sprague Dawley rats (n=4) were instrumented for telemetry-based EMG recording (right Rectus Femoris and Biceps Femoris) and received a moderate T10 spinal cord injury (SCI). The major hindlimb muscle groups were stretched using our clinically modeled protocol. The EMG responses were recorded biweekly for 8 weeks. The forces applied during stretching were measured using a custom-designed glove. Locomotor function was assessed using the BBB Open Field Locomotor Scale, 3D kinematics and gait analysis.

Results

Three main EMG patterns in response to stretch were identified: clonic-like, air-stepping and spasms. Torques applied during stretching ranged from 0.8–6 N*cm, and did not change significantly over the weeks of stretching. Two stretching sessions a week did not result in a significant disruption to locomotor function.

Conclusions

Stretching evokes EMG patterns in rats similar to those reported in humans including clonus and spasms. The torques used during stretching are comparable, based on the ratio of torque to body weight, to the few previously published studies that measured the forces and/or torques applied by physical therapists when stretching patients. Future studies are warranted to fully explore the impact of muscle stretch on spinal cord function after injury.

Sponsorship

DoD, KSCHIRT, NIH

No significant correlation between the intensity of static stretching and subject's perception of pain

[Purpose] The purpose of this study was to determine whether the intensity of static stretching measured quantitatively is related to subjects’ perception of pain. [Subjects and Methods] Sixty-eight participants were recruited. Static stretching was performed once for 30 seconds while maintaining the knee at 0° flexion and was continued to the point where pain was recognized. The intensity of stretching exerted by the practitioner was quantitatively measured by using a handheld dynamometer (HHD). A subject’s pain scaled on one’s perception was measured by using the visual analog scale (VAS). [Results] No significant correlation was found between the intensity of stretching and the VAS score representing the subject’s pain scaled on one’s perception. In this study, the most frequent VAS score was 7, and the mean VAS score was 5.57 ± 1.77. The stretching intensity measured by using a HHD ranged from 28.4 to 133.0 N (mean, 72.04 ± 22.37 N). [Conclusion] This study showed that the intensity of stretching quantitatively measured by using HHD did not correlate with the degree of pain reported by the subjects. Therefore, subjective responses cannot guarantee a consistent application of intensity.

Acute Effects of Static Stretching of Hamstring on Performance and Anterior Cruciate Ligament Injury Risk During Stop-Jump and Cutting Tasks in Female Athletes

Ruan, M, Zhang, Q, and Wu, X. Acute effects of static stretching of hamstring on performance and anterior cruciate ligament injury risk during stop-jump and cutting tasks in female athletes. J Strength Cond Res 31(5): 1241–1250, 2017—There is limited research investigating antagonist stretch. The purpose of this study was to evaluate the influence of static stretching of hamstrings (SSH) on performance and anterior cruciate ligament (ACL) injury risk during stop-jump and 180° cutting tasks. Twelve female college athletes (age 20.8 ± 0.7 years; height 1.61 ± 0.05 m; mass 54.25 ± 4.22 kg) participated in this study. Subjects performed stop-jump and 180° cutting tasks under 2 conditions: after warm-up with 4 × 30 seconds SSH or after warm-up without SSH. Three-dimensional kinematic and kinetic data as well as electromyography of biceps femoris, rectus femoris, vastus medialis, and gastrocnemius medialis were collected during testing. Static stretching of hamstrings significantly enhanced jump height by 5.1% (p = 0.009) but did not change the takeoff speed of cutting. No significant changes in peak knee adduction moment or peak anterior tibia shear force were observed with SSH regardless of the task. The peak lateral tibia shear force during cutting was significantly (p = 0.036) reduced with SSH. The co-contraction of hamstring and quadriceps during the preactivation (stop-jump: p = 0.04; cutting: p = 0.05) and downward phases (stop-jump: p = 0.04; cutting: p = 0.05) was significantly reduced after SSH regardless of the task. The results suggest that SSH enhanced the performance of stop-jump because of decreased co-contraction of hamstring and quadriceps but did not change the performance of cutting. In addition, SSH did not increase ACL injury risk during stop-jump and cutting tasks and even reduced medial-lateral knee loading during cutting.

Dynamic "Range of Motion" Hindlimb Stretching Disrupts Locomotor Function in Rats with Moderate Subacute Spinal Cord Injuries

Joint contractures and spasticity are two common secondary complications of a severe spinal cord injury (SCI), which can significantly reduce quality of life, and stretching is one of the top strategies for rehabilitation of these complications. We have previously shown that a daily static stretching protocol administered to rats at either acute or chronic time points after a moderate or moderate-severe T10 SCI significantly disrupts their hindlimb locomotor function. The objective of the current study was to examine the effects of dynamic range of motion (ROM) stretching on the locomotor function of rats with SCI as an alternative to static stretching. Starting at 6 weeks post-injury (T10 moderate contusion) eight adult Sprague-Dawley rats were subjected to hindlimb stretching for 4 weeks. Our standard stretching protocol (six maneuvers to stretch the major hindlimb muscle groups) was modified from 1 min static stretch-and-hold at the end ROM of each stretch position to a dynamic 2 sec hold, 1 sec release rhythm repeated for a duration of 1 min. Four weeks of daily (5 days/week) dynamic stretching led to significant disruption of locomotor function as assessed by the Basso, Beattie, Bresnahan (BBB) Open Field Locomotor Scale and three-dimensional (3D) kinematic and gait analyses. In addition, we identified and analyzed an apparently novel hindlimb response to dynamic stretch that resembles human clonus. The results of the current study extend the observation of the stretching phenomenon to a new modality of stretching that is also commonly used in SCI rehabilitation. Although mechanisms and clinical relevance still need to be established, our findings continue to raise concerns that stretching as a therapy can potentially hinder aspects of locomotor recovery.

The effects of a combined static-dynamic stretching protocol on athletic performance in elite Gaelic footballers: A randomised controlled crossover trial

OBJECTIVES

To determine the effect of three different static-dynamic stretching protocols on sprint and jump performance in Gaelic footballers.

DESIGN

Double-blind, controlled, crossover trial.

SETTING

Sports Institute research environment.

PARTICIPANTS

Seventeen male elite level Gaelic footballers, aged 18-30 years, completed three stretching protocols.

MAIN OUTCOME MEASURES

Athletic performance was measured by countermovement jump height and power, and timed 10 m, 20 m, and 40 m sprints.

RESULTS

Static stretching reduced sprint speed by 1.1% over 40 m and 1.0% over 20 m. Static stretching also reduced countermovement jump height by 10.6% and jump power by 6.4%. When static stretching was followed by dynamic stretching, sprint speed improved by 1.0% over 20 m and 0.7% over 40 m (p < 0.05). The static - dynamic stretching protocol also improved countermovement jump height by 8.7% (p < 0.01) and power by 6.7% (p < 0.01).

CONCLUSIONS

Static stretching reduces sprint speed and jump performance. Static stretching should be followed by dynamic stretching during warm-up to nullify any performance deficits caused by static stretching.

The effects of passive stretching plus vibration on strength and activation of the plantar flexors

This study examined the effects of passive stretching only (PS+CON) and passive stretching with the addition of continuous vibration (VIB) during post-passive stretching tests (PS+VIB) on peak torque (PT), percent voluntary inactivation (%VI), single stimulus twitch torque (TTSINGLE), and doublet stimuli twitch torque (TTDOUBLET) of the plantar flexors at a short (20° plantar flexion (PF)) and long muscle length (15° dorsiflexion (DF)). Fourteen healthy men (age = 22 ± 3 years) performed isometric maximal voluntary contractions at PF and DF, and passive range of motion (PROM) assessments before and after 8 × 30-s passive stretches without (PS+CON) or with VIB (PS+VIB) administered continuously throughout post-passive stretching tests. The passive properties of the muscle tendon unit were assessed pre- and post-passive stretching via PROM, passive torque (PASSTQ), and musculotendinous stiffness (MTS) measurements. PT, TTSINGLE, and TTDOUBLET decreased, whereas, %VI increased following passive stretching at PF and DF (P < 0.05) with no significant differences between PS+CON and PS+VIB. PASSTQ and MTS decreased while PROM increased post-passive stretching during both trials (P < 0.05). The stretching-induced force/torque deficit and increases in %VI were evident following passive stretching at short and long muscle lengths. Although not statistically significant, effect size calculations suggested large and moderate differences in the absolute changes in PT (Cohen’s d = 1.14) and %VI (Cohen’s d = 0.54) from pre- to post-passive stretching between treatments, with PS+VIB having greater decreases of PT and higher %VI than PS+CON. The decrement in PT following passive stretching may be primarily neural in origin.

Acute Effect of Different Combined Stretching Methods on Acceleration and Speed in Soccer Players

The purpose of this study was to investigate the acute effect of different stretching methods, during a warm-up, on the acceleration and speed of soccer players. The acceleration performance of 20 collegiate soccer players (body height: 177.25 ± 5.31 cm; body mass: 65.10 ± 5.62 kg; age: 16.85 ± 0.87 years; BMI: 20.70 ± 5.54; experience: 8.46 ± 1.49 years) was evaluated after different warm-up procedures, using 10 and 20 m tests. Subjects performed five types of a warm-up: static, dynamic, combined static + dynamic, combined dynamic + static, and no-stretching. Subjects were divided into five groups. Each group performed five different warm-up protocols in five non-consecutive days. The warm-up protocol used for each group was randomly assigned. The protocols consisted of 4 min jogging, a 1 min stretching program (except for the no-stretching protocol), and 2 min rest periods, followed by the 10 and 20 m sprint test, on the same day. The current findings showed significant differences in the 10 and 20 m tests after dynamic stretching compared with static, combined, and no-stretching protocols. There were also significant differences between the combined stretching compared with static and no-stretching protocols. We concluded that soccer players performed better with respect to acceleration and speed, after dynamic and combined stretching, as they were able to produce more force for a faster execution.

Acute Effects of Different Agonist and Antagonist Stretching Arrangements on Static and Dynamic Range of Motion

BACKGROUND

Traditionally, stretching exercises are considered as basic components of warm up aiming to prepare the musculoskeletal system for performance and to prevent injuries.

OBJECTIVES

The purpose of this study was to examine the effects of different agonist and antagonist stretching arrangements within a pre-exercise warm-up on hip static (SROM) and dynamic range of motion (DROM).

MATERIALS AND METHODS

Sixty trained male subjects (Mean ± SD: height, 177.38 ± 6.92 cm; body mass, 68.4 ± 10.22 kg; age, 21.52 ± 1.17 years) volunteered to participate in this study. SROM was measured by V-sit test and DROM captured by a motion analysis system before and after (i) static stretching for both hip flexor and extensor muscles (SFSE), (ii) dynamic stretching for both hip flexor and extensor muscles (DFDE), (iii) static stretching for the hip flexors and dynamic stretching for hip extensors (SFDE), and (iv) dynamic stretching for the hip flexors and static stretching for hip extensors (DFSE).

RESULTS

DFSE showed a significantly higher increase in DROM and SROM than the remainder of the stretching protocols (P < 0.05). There were significant differences between DFDE with SFSE and SFDE (P < 0.05) and SFSE showed significant increase as compared to SFDE (P < 0.05).

CONCLUSIONS

In conclusion, DFSE is probably the best stretching arrangement due to producing more post activation potentiation on agonist muscles and less muscle stiffness in antagonist muscles.

Acute effects of muscle stretching on physical performance, range of motion, and injury incidence in healthy active individuals: a systematic review

Recently, there has been a shift from static stretching (SS) or proprioceptive neuromuscular facilitation (PNF) stretching within a warm-up to a greater emphasis on dynamic stretching (DS). The objective of this review was to compare the effects of SS, DS, and PNF on performance, range of motion (ROM), and injury prevention. The data indicated that SS- (-3.7%), DS- (+1.3%), and PNF- (-4.4%) induced performance changes were small to moderate with testing performed immediately after stretching, possibly because of reduced muscle activation after SS and PNF. A dose-response relationship illustrated greater performance deficits with ≥60 s (-4.6%) than with <60 s (-1.1%) SS per muscle group. Conversely, SS demonstrated a moderate (2.2%) performance benefit at longer muscle lengths. Testing was performed on average 3-5 min after stretching, and most studies did not include poststretching dynamic activities; when these activities were included, no clear performance effect was observed. DS produced small-to-moderate performance improvements when completed within minutes of physical activity. SS and PNF stretching had no clear effect on all-cause or overuse injuries; no data are available for DS. All forms of training induced ROM improvements, typically lasting <30 min. Changes may result from acute reductions in muscle and tendon stiffness or from neural adaptations causing an improved stretch tolerance. Considering the small-to-moderate changes immediately after stretching and the study limitations, stretching within a warm-up that includes additional poststretching dynamic activity is recommended for reducing muscle injuries and increasing joint ROM with inconsequential effects on subsequent athletic performance.

Effects of static and dynamic stretching on sprint and jump performance in boys and girls

The aim of this study was to investigate the acute effects of static (SS) and dynamic stretching (DS) on explosive power, flexibility, and sprinting ability of adolescent boys and girls and to report possible gender interactions. Forty-seven active adolescent boys and girls were randomly tested after SS and DS of 40 seconds on quadriceps, hamstrings, hip extensors, and plantar flexors; no stretching was performed at the control condition. Pretreatment and posttreatment tests examined the effects of stretching on 20-m sprint run (20 m), countermovement jump (CMJ) height, and sit and reach flexibility test. In terms of performance, SS hindered 20 m and CMJ in boys and girls by 2.5 and 6.3%, respectively. Dynamic stretching had no effect on 20 m in boys and girls but impaired CMJ by 2.2%. In terms of flexibility, both SS and DS improved performance with SS being more beneficial (12.1%) compared with DS (6.5%). No gender interaction was found. It can therefore be concluded that SS significantly negates sprinting performance and explosive power in adolescent boys and girls, whereas DS deteriorates explosive power and has no effect on sprinting performance. This diversity of effects denotes that the mode of stretching used in adolescent boys and girls should be task specific.

Static vs. Dynamic Acute Stretching Effect on Quadriceps Muscle Activity during Soccer Instep Kicking

The purpose of this study was to compare the effects of static and dynamic stretching on quadriceps muscle activation during maximal soccer instep kicking. The kicking motion of twelve male college soccer players (body height: 174.66 ± 5.01 cm; body mass: 72.83 ± 4.83 kg; age: 18.83 ± 0.75 years) was captured using six synchronized high-speed infra-red cameras whilst electromyography (EMG) signals from vastus medialis (VM), lateralis (VL) and rectus femoris (RF) were recorded before and after static or dynamic stretching. Analysis of variance designs showed a higher increase in knee extension angular velocity (9.65% vs. −1.45%, p < 0.001), RF (37.5% vs. −8.33%, p < 0.001), VM (12% vs. −12%, p < 0.018), and VL EMG activity (20% vs. −6.67%, p < 0.001) after dynamic stretching exercises. Based on these results, it could be suggested that dynamic stretching is probably more effective in increasing quadriceps muscle activity and knee extension angular velocity during the final swing phase of a maximal soccer instep kick than static stretching.

Acute effects of a warm-up including active, passive, and dynamic stretching on vertical jump performance

The purpose of this study was to examine the acute effects of 3 different stretching methods combined with a warm-up protocol on vertical jump performance. Sixteen young tennis players (14.5 ± 2.8 years; 175 ± 5.6 cm; 64.0 ± 11.1 kg) were randomly assigned to 4 different experimental conditions on 4 successive days. Each session consisted of a general and specific warm-up, with 5 minutes of running followed by 10 jumps, accompanied by one of the subsequent conditions: (a) Control Condition (CC)-5 minutes of passive rest; (b) Passive Stretching Condition (PSC)-5 minutes of passive static stretching; (c) Active Stretching Condition (ASC)-5 minutes of active static stretching; and (d) Dynamic Stretching Condition (DC)-5 minutes of dynamic stretching. After each intervention, the subjects performed 3 squat jumps (SJs) and 3 countermovement jumps (CMJs), which were measured electronically. For the SJ, 1-way repeated measures analysis of variance (CC × PSC × ASC × DC) revealed significant decreases for ASC (28.7 ± 4.7 cm; p = 0.01) and PSC (28.7 ± 4.3 cm; p = 0.02) conditions when compared with CC (29.9 ± 5.0 cm). For CMJs, there were no significant decreases (p > 0.05) when all stretching conditions were compared with the CC. Significant increases in SJ performance were observed when comparing the DC (29.6 ± 4.9 cm; p = 0.02) with PSC (28.7 ± 4.3 cm). Significant increases in CMJ performance were observed when comparing the conditions ASC (34.0 ± 6.0 cm; p = 0.04) and DC (33.7 ± 5.5 cm; p = 0.03) with PSC (32.6 ± 5.5 cm). A dynamic stretching intervention appears to be more suitable for use as part of a warm-up in young athletes.

The rate of force development obtained at early contraction phase is not influenced by active static stretching

The objective of this study was to investigate the influence of active static stretching on the maximal isometric muscle strength (maximal voluntary contraction [MVC]) and rate of force development (RFD) determined within time intervals of 30, 50, 100, and 200 milliseconds relative to the onset of muscle contraction. Fifteen men (aged 21.3 ± 2.4 years) were submitted on different days to the following tests: (a) familiarization session to the isokinetic dynamometer; (b) 2 maximal isometric contractions for knee extensors in the isokinetic dynamometer to determine MVC and RFD (control); and (c) 2 active static stretching exercises for the dominant leg extensors (10 × 30 seconds for each exercise with a 20-second rest interval between bouts). After stretching, the isokinetic test was repeated (poststretching). Conditions 2 and 3 were performed in random order. The RFD was considered as the mean slope of the moment-time curve at time intervals of 0-30, 0-50, 0-100; 0-150; and 0200 milliseconds relative to the onset of muscle contraction. The MVC was reduced after stretching (285 ± 59 vs. 271 ± 56 N · m, p < 0.01). The RFD at intervals of 0-30, 0-50, and 0-100 milliseconds was unchanged after stretching (p > 0.05). However, the RFD measured at intervals of 0-150 and 0-200 milliseconds was significantly lower after stretching (p < 0.01). It can be concluded that explosive muscular actions of a very short duration (<100 milliseconds) seem less affected by active static stretching when compared with actions using maximal muscle strength.

The acute effects of static stretching on peak force, peak rate of force development and muscle activity during single- and multiple-joint actions in older women

The present study investigated the acute effects of static stretching on peak force, peak rate of force development and integrated electromyography (iEMG) in 27 older women (65 ± 4 years; 69 ± 9 kg; 157 ± 1 cm; 28 ± 4 kg · m(-2)). The participants were tested during two exercises (leg press and knee extension) after two conditions: stretching and control. The data were collected on four days (counterbalanced with a 24-hour rest period). In the stretching condition, the quadriceps muscle was stretched (knee flexion) for three sets of 30 s with 30 s rest intervals. No significant difference was detected for peak force and peak rate of force development during the single- and multiple-joint exercises, regardless of the following interactions: condition (stretching and control) vs. time (pre x post x 10 x 20 x 30 minutes post; P > 0.05) and exercise vs. time (P > 0.05). Additionally, no significant interaction was found for the iEMG activity (condition vs. time; P > 0.05) in the single- and multiple-joint exercises. In conclusion, a small amount of stretching of an agonist muscle (quadriceps) did not affect the peak force, peak rate of force development and EMG activity in older women during single- and multiple-joint exercises.

Acute Effects of Passive Stretching on the Electromechanical Delay and Evoked Twitch Properties: A Gender Comparison

This study examined the acute effects of passive stretching on electromechanical delay (EMD), peak twitch force (PTF), rate of force development (RFD), and peak-to-peak M-wave (PPM) for the soleus muscle during evoked isometric plantar flexion muscle actions. Fourteen men (mean age ± SD = 21.2 ± 2.4 years; body mass = 80.0 ± 14.9 kg; height = 176.9 ± 7.2 cm) and 20 women (20.9 ± 2.5 years; 61.3 ± 8.9 kg; 165.3 ± 7.5 cm) volunteered for the study. Five single-square, supramaximal transcutaneous electrical stimuli (each separated by 5 s) were delivered to the tibial nerve before and after passive stretching. A time × gender interaction was observed for EMD, and the post hoc dependent-samples t tests indicated that EMD increased 4% for the women (p = .023), but not for the men (p = .191). There were no other stretching-related changes for PTF, RFD, or p-p M-wave for either the men or women (p > .05). These findings tentatively suggested that mechanical factors related to the stiffness of the muscle-tendon unit may contribute to the explanation for why stretching caused an acute increase in the EMD during evoked twitches in the women, but not in the men.

A dynamic warm-up model increases quadriceps strength and hamstring flexibility

Research suggests that static stretching can negatively influence muscle strength and power and may result in decreased functional performance. The dynamic warm-up (DWU) is a common alternative to static stretching before physical activity, but there is limited research investigating the effects of a DWU. The purpose of this study was to compare the acute effects of a DWU and static stretching warm-up (SWU) on muscle flexibility, strength, and vertical jump using a randomized controlled trial design. Forty-five volunteers were randomly assigned into a control (CON), SWU, or DWU group. All participants rode a stationary bicycle for 5 minutes and completed a 10-minute warm-up protocol. During this protocol, the DWU group performed dynamic stretching and running, the SWU group performed static stretching, and the CON group rested. Dependent variables were measured immediately before and after the warm-up protocol. A digital inclinometer measured flexibility (degrees) for the hamstrings, quadriceps, and hip flexor muscles. An isokinetic dynamometer measured concentric and eccentric peak torque (N·m/kg) for the hamstrings and quadriceps. A force plate was used to measure vertical jump height (meters) and power (watts). In the DWU group, there was a significant increase in hamstring flexibility (pretest: 26.4 ± 13.5°, posttest: 16.9 ± 9.4°; p < .0001) and eccentric quadriceps peak torque (pretest: 2.49 ± 0.83 N·m/kg, posttest: 2.78 ± 0.69 N·m/kg; p = 0.04). The CON and SWU did not significantly affect any flexibility, strength, or vertical jump measures (p > 0.05). The DWU significantly improved eccentric quadriceps strength and hamstrings flexibility, whereas the SWU did not facilitate any positive or negative changes in muscle flexibility, strength, power, or vertical jump. Therefore, the DWU may be a better preactivity warm-up choice than an SWU.

Effect of acute static stretch on maximal muscle performance: a systematic review

INTRODUCTION

The benefits of preexercise muscle stretching have been recently questioned after reports of significant poststretch reductions in force and power production. However, methodological issues and equivocal findings have prevented a clear consensus being reached. As no detailed systematic review exists, the literature describing responses to acute static muscle stretch was comprehensively examined.

METHODS

MEDLINE, ScienceDirect, SPORTDiscus, and Zetoc were searched with recursive reference checking. Selection criteria included randomized or quasi-randomized controlled trials and intervention-based trials published in peer-reviewed scientific journals examining the effect of an acute static stretch intervention on maximal muscular performance.

RESULTS

Searches revealed 4559 possible articles; 106 met the inclusion criteria. Study design was often poor because 30% of studies failed to provide appropriate reliability statistics. Clear evidence exists indicating that short-duration acute static stretch (<30 s) has no detrimental effect (pooled estimate = -1.1%), with overwhelming evidence that stretch durations of 30-45 s also imparted no significant effect (pooled estimate = -1.9%). A sigmoidal dose-response effect was evident between stretch duration and both the likelihood and magnitude of significant decrements, with a significant reduction likely to occur with stretches ≥ 60 s. This strong evidence for a dose-response effect was independent of performance task, contraction mode, or muscle group. Studies have only examined changes in eccentric strength when the stretch durations were >60 s, with limited evidence for an effect on eccentric strength.

CONCLUSIONS

The detrimental effects of static stretch are mainly limited to longer durations (≥ 60 s), which may not be typically used during preexercise routines in clinical, healthy, or athletic populations. Shorter durations of stretch (<60 s) can be performed in a preexercise routine without compromising maximal muscle performance.

Sex differences in proximal control of the knee joint

Following the onset of maturation, female athletes have a significantly higher risk for anterior cruciate ligament (ACL) injury compared with male athletes. While multiple sex differences in lower-extremity neuromuscular control and biomechanics have been identified as potential risk factors for ACL injury in females, the majority of these studies have focused specifically on the knee joint. However, increasing evidence in the literature indicates that lumbo-pelvic (core) control may have a large effect on knee-joint control and injury risk. This review examines the published evidence on the contributions of the trunk and hip to knee-joint control. Specifically, the sex differences in potential proximal controllers of the knee as risk factors for ACL injury are identified and discussed. Sex differences in trunk and hip biomechanics have been identified in all planes of motion (sagittal, coronal and transverse). Essentially, female athletes show greater lateral trunk displacement, altered trunk and hip flexion angles, greater ranges of trunk motion, and increased hip adduction and internal rotation during sport manoeuvres, compared with their male counterparts. These differences may increase the risk of ACL injury among female athletes. Prevention programmes targeted towards trunk and hip neuromuscular control may decrease the risk for ACL injuries.

Acute effect of static and dynamic stretching on hip dynamic range of motion during instep kicking in professional soccer players

The purpose of this study was to examine the effects of static and dynamic stretching within a pre-exercise warm-up on hip dynamic range of motion (DROM) during instep kicking in professional soccer players. The kicking motions of dominant legs were captured from 18 professional adult male soccer players (height: 180.38 ± 7.34 cm; mass: 69.77 ± 9.73 kg; age: 19.22 ± 1.83 years) using 4 3-dimensional digital video cameras at 50 Hz. Hip DROM at backward, forward, and follow-through phases (instep kick phases) after different warm-up protocols consisting of static, dynamic, and no-stretching on 3 nonconsecutive test days were captured for analysis. During the backswing phase, there was no difference in DROM after the dynamic stretching compared with the static stretching relative to the no-stretching method. There was a significant difference in DROM after the dynamic stretching compared with the static stretching relative to the no-stretching method during (a) the forward phase with p < 0.03, (b) the follow-through phase with p < 0.01, and (c) all phases with p < 0.01. We concluded that professional soccer players can perform a higher DROM of the hip joint during the instep kick after dynamic stretching incorporated in warm-ups, hence increasing the chances of scoring and injury prevention during soccer games.

A review of the acute effects of static and dynamic stretching on performance

An objective of a warm-up prior to an athletic event is to optimize performance. Warm-ups are typically composed of a submaximal aerobic activity, stretching and a sport-specific activity. The stretching portion traditionally incorporated static stretching. However, there are a myriad of studies demonstrating static stretch-induced performance impairments. More recently, there are a substantial number of articles with no detrimental effects associated with prior static stretching. The lack of impairment may be related to a number of factors. These include static stretching that is of short duration (<90 s total) with a stretch intensity less than the point of discomfort. Other factors include the type of performance test measured and implemented on an elite athletic or trained middle aged population. Static stretching may actually provide benefits in some cases such as slower velocity eccentric contractions, and contractions of a more prolonged duration or stretch-shortening cycle. Dynamic stretching has been shown to either have no effect or may augment subsequent performance, especially if the duration of the dynamic stretching is prolonged. Static stretching used in a separate training session can provide health related range of motion benefits. Generally, a warm-up to minimize impairments and enhance performance should be composed of a submaximal intensity aerobic activity followed by large amplitude dynamic stretching and then completed with sport-specific dynamic activities. Sports that necessitate a high degree of static flexibility should use short duration static stretches with lower intensity stretches in a trained population to minimize the possibilities of impairments.

Latent effect of passive static stretching on driver clubhead speed, distance, accuracy, and consistent ball contact in young male competitive golfers

This investigation was conducted to determine the effect of 2 different warm-up treatments over time on driver clubhead speed, distance, accuracy, and consistent ball contact in young male competitive golfers. Two supervised warm-up treatments, an active dynamic warm-up with golf clubs (AD) and a 20-minute total body passive static stretching routine plus an identical AD warm-up (PSS), were applied before each performance testing session using a counterbalanced design on nonconsecutive days. Immediately after the AD treatment, subjects were instructed to hit 3 full swing golf shots with their driver with 1-minute rest between trials. Immediately after the PSS treatment, subjects were instructed to hit 3 full-swing golf shots with their driver at t0 and thereafter at t15, t30, t45, and t60 minutes with 1-minute rest between swing trials to determine any latent effects of PSS on golf driver performance measures. Results of paired t-tests revealed significant (p < 0.05) decreases in clubhead speed at t0 (-4.92%), t15 (-2.59%), and t30 (-2.19%) but not at t45 (-0.95) or t60 (-0.99). Significant differences were also observed in distance at t0 (-7.26%), t15 (-5.19%), t30 (-5.47%), t45 (-3.30%), and t60 (-3.53%). Accuracy was significantly impaired at t0 (61.99%), t15 (58.78%), t30 (59.46%), and t45 (61.32%) but not at t60 (36.82%). Finally, consistent ball contact was significantly reduced at t0 (-31.29%), t15 (-31.29%), t30 (-23.56%), t45 (-27.49%), and t60 (-15.70%). Plausible explanations for observed performance decrements include a more compliant muscle-tendon unit (MTU) and an altered neurological state because of the PSS treatment. Further, the findings of this study provide evidence supporting the theory that the mechanical properties of the MTU may recover at a faster rate than any associated neurological changes. The results of this inquiry strongly suggest that a total-body passive static stretching routine should be avoided before practice or competition in favor of a gradual AD. Athletes with poor mechanics because of lack of flexibility should perform these exercises after a conditioning session, practice, or competition.

Short-duration massage at the hamstrings musculotendinous junction induces greater range of motion

Massage for the purpose of health dates back to early civilization and more recently has been used in the management and prevention of sport injuries. Massage has also been used as part of a warm-up to help increase acute flexibility. However, the physiological benefits and mechanisms of massage are not well known. The purpose of the present study was to investigate the effectiveness of 3 massage conditions on hip flexion range of motion (ROM). This experimentation involved a novel massage technique, which focused the massage on the musculotendinous junction for a short duration. Ten recreationally active women ranging from 21 to 36 years in age participated in this study. Participants were subjected to 3 massage conditions (no massage, 10-second massage, and 30-second massage) in a random order on separate days. Hip flexion angle, passive leg tension, and electromyography (EMG) were measured thrice before and within 10 seconds after the intervention. A main effect for conditions was found with the 30-second massage providing a 7.2% increase in hip flexion ROM that was significantly greater than the control condition (p < 0.05). Significant interactions occurred with an increased ROM (p < 0.05) from pre to posttests of 5.9 and 7.2% for the 10- and 30-second massage conditions, respectively. There were no significant differences in passive tension or EMG for any conditions or time. With a significant increase in hip angle and no associated increase in passive tension or EMG, there is a suggestion that 10 and 30 seconds of musculotendinous massage induces greater ROM through a modified stretch perception, increased stretch tolerance, or increased compliance of the hamstrings. Musculotendinous massage may be used as an alternative or a complement to static stretching for increasing ROM.

Aerobic activity before and following short-duration static stretching improves range of motion and performance vs. a traditional warm-up

Many activities necessitate a high degree of static joint range of motion (ROM) for an extended duration. The objective of this study was to examine whether ROM could be improved with a short duration and volume of static stretching within a warm-up, without negatively impacting performance. Ten male recreationally active participants completed 2 separate protocols to examine changes in ROM and performance, respectively, with different warm-ups. The warm-up conditions for the ROM protocol were static stretching (SS), consisting of 6 repetitions of 6 s stretches; 10 min of running prior to the SS (AS); and 5 min of running before and after the SS (ASA). The performance protocol included a control condition of 10 min of running. Measures for the ROM protocol included hip flexion ROM, passive leg extensor tension, and hamstring electromyographic (EMG) activity at pre-warm-up, and at 1, 10, 20, and 30 min post-warm-up. Performance measures included countermovement jump (CMJ) height, reaction time (RT), movement time (MT), and balance at pre-warm-up and at 1 and 10 min post-warm-up. The ASA produced greater ROM overall than the SS and AS conditions (p < 0.0001), persisting for 30 min. There were no significant alterations in passive muscle tension or EMG. For the performance protocol, there were no main effects for condition, but there was a main effect for time, with CMJ height being greater at 1 and 10 min post-warm-up (p = 0.0004). Balance ratios and MT improved at 10 min post-warm-up (p < 0.0001). Results indicate that the ASA method can provide ROM improvements for 30 min with either facilitation or no impairment in performance. This may be especially important for athletes who substitute later into a game with minimal time for a full warm-up.

The effects of stretching on knee flexor fatigue and perceived exertion

The objective of this study was to examine the effects of acute static muscle stretch on hamstring muscle fatigue and perceived exertion between young adult men and women. Twenty volunteers participated in two experimental sessions, in which we assessed maximal-effort isokinetic knee flexor force (90 degrees x s(-1)) and the number of sub-maximal (50% maximal) knee flexor repetitions to the point of failure. Immediately before the sub-maximal contractions on one randomly selected session, participants received ten 30-s passive knee flexor muscle stretches. Perceived exertion was sampled with a modified Borg category-ratio scale following each sub-maximal repetition. Each participant's perceived exertion response was estimated every 10% across the sub-maximal repetitions, via linear interpolation and power-function modelling. The men generated significantly greater force than the women during both experimental sessions, while muscle stretching had no significant effect on the number of sub-maximal repetitions. When estimated via power-function modelling, perceived exertion increased at a significantly greater rate following muscle stretch. Perceived exertion was significantly greater for the women following muscle stretch than the men. The findings suggest that the elevation in perceived exertion following knee flexor muscle stretching may be greater in women than men, despite no significant alterations in mechanical measures of muscle fatigue.

To stretch or not to stretch: the role of stretching in injury prevention and performance

Stretching is commonly practiced before sports participation; however, effects on subsequent performance and injury prevention are not well understood. There is an abundance of literature demonstrating that a single bout of stretching acutely impairs muscle strength, with a lesser effect on power. The extent to which these effects are apparent when stretching is combined with other aspects of a pre-participation warm-up, such as practice drills and low intensity dynamic exercises, is not known. With respect to the effect of pre-participation stretching on injury prevention a limited number of studies of varying quality have shown mixed results. A general consensus is that stretching in addition to warm-up does not affect the incidence of overuse injuries. There is evidence that pre-participation stretching reduces the incidence of muscle strains but there is clearly a need for further work. Future prospective randomized studies should use stretching interventions that are effective at decreasing passive resistance to stretch and assess effects on subsequent injury incidence in sports with a high prevalence of muscle strains.