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Warneke K, Zechner M, Siegel SD, Jochum D, Brunssen L, Konrad A. Acute and Chronic Effects of Stretching on Running Economy: A Systematic Review with Meta-Analysis. SPORTS MEDICINE - OPEN 2025; 11:61. [PMID: 40442558 PMCID: PMC12122984 DOI: 10.1186/s40798-025-00859-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/08/2024] [Accepted: 04/25/2025] [Indexed: 06/02/2025]
Abstract
BACKGROUND Running economy (RE) determines the performance of endurance athletes. While stretching has been practised for decades, and is still one common integral component of warm-up routine, muscle stretching is also associated with decreased stiffness. For RE energy storage in the tendons which is accompanied with stiffness is of crucial importance. In turn, avoidance of pre-running stretching was frequently recommended. Although some studies supported this recommendation, the evidence is controversial. Nevertheless, yet, no systematic review on the effects of stretching on RE with effect size (ES) quantification was performed. Consequently, with this systematic review with meta-analysis, we aim to provide the first overview on this topic. METHODS In adherence to PRISMA 2020 guidelines, we meta-analyzed effect sizes from three databases using PICOS guidelines on stretching effects on RE in healthy participants using robust variance estimation. Heterogeneity was reduced using subgroup analyses while meta-regression evaluated whether running velocity potentially moderates results. Risk of Bias was assessed using the PEDro scale, certainty of evidence was classified via GRADE working group criteria. The study protocol was registered in Open Science Framework https://doi.org/10.17605/OSF.IO/MA8D4 ). RESULTS Overall, low certainty of evidence pooled from 15 studies with a total of 181 participants indicated that stretching did not significantly moderate RE acutely (p = 0.21-0.65), neither in general, nor were there any stretching types (dynamic, static and proprioceptive neuromuscular facilitation) that affected this result. Due to the limited number of chronic studies found in the literature, long-term stretching effects were exclusively evaluated qualitatively. Meaningful heterogeneity and reduced methodological quality (PEDro Score: 4.88, fair) contributed to certainty of evidence downgrading. CONCLUSIONS In contrast to common beliefs that stretching decreased stiffness parameters and would therefore hamper RE, current evidence does not support any effect of stretching on RE in running athletes. However, several flaws such as no investigation of the underlying mechanisms (e.g., stiffness), small sample sizes, determining RE at different velocities, and the implementation of unreasonable stretching durations strongly biased conclusions. Especially on chronic effects there is a large demand for improved evidence, including underlying mechanisms investigation. Yet, it seems unreasonable to avoid pre-running stretching to prevent RE decreases.
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Affiliation(s)
- Konstantin Warneke
- Institute of Human Movement Science, Sport and Health, University of Graz, Graz, Austria
- Department for Human Motion Science and Exercise Physiology, University of Jena, Jena, Germany
| | - Maximilian Zechner
- Institute of Human Movement Science, Sport and Health, University of Graz, Graz, Austria
| | - Stanislav D Siegel
- Department for Human Motion Science and Exercise Physiology, University of Jena, Jena, Germany
| | - Daniel Jochum
- Department of Health Sciences and Technology, ETH Zurich, Zurich, 8092, Switzerland
| | - Leefke Brunssen
- Department of Sport Science, Bielefeld University, Bielefeld, Germany
| | - Andreas Konrad
- Institute of Human Movement Science, Sport and Health, University of Graz, Graz, Austria.
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Nguyen AP, Bosquet L, Belaoued R, Detrembleur C, Mahaudens P. Impact of Achilles Tendon and Ankle Plantar Flexor Stiffness on the Net Metabolic Cost of Running. Int J Sports Physiol Perform 2025; 20:653-658. [PMID: 40043722 DOI: 10.1123/ijspp.2024-0375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2024] [Revised: 01/16/2025] [Accepted: 01/18/2025] [Indexed: 04/30/2025]
Abstract
OBJECTIVES This study aimed to report (1) the correlation between net metabolic cost (NMC) of running and Achilles tendon (AT) and ankle plantar flexor passive stiffness and (2) explore the relationship between passive stiffness and key running biomechanics. METHODS Twenty-two male recreational runners participated in this study. The runners performed a 5-minute run at 50% of their maximal aerobic speed as a warm-up on an instrumented treadmill, followed by a 6-minute run at 65% of their maximal aerobic speed wherein NMC was recorded. Passive stiffness was measured using a myotonometry device both before and after the run. RESULTS There was a negative linear relationship between NMC and AT stiffness. NMC and prerun AT stiffness demonstrated a significant negative correlation between leg stiffness and a significant positive correlation with braking peak force and step length. Moreover, we observed an increase in stiffness between prerun and postrun measurements at rest for the AT and both gastrocnemius muscles. CONCLUSION Greater AT stiffness measured at rest is correlated with lower NMC.
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Affiliation(s)
- Anh Phong Nguyen
- Neuromusculoskeletal Lab, Institut de Recherche Expérimentale et Clinique, Université Catholique de Louvain, Brussels, Belgium
- The Running Clinic, Lac Beauport, QC, Canada
| | - Laurent Bosquet
- Laboratoire MOVE, UFR-STAPS, Université de Poitiers, Poitiers, France
| | - Rayan Belaoued
- Neuromusculoskeletal Lab, Institut de Recherche Expérimentale et Clinique, Université Catholique de Louvain, Brussels, Belgium
| | - Christine Detrembleur
- Neuromusculoskeletal Lab, Institut de Recherche Expérimentale et Clinique, Université Catholique de Louvain, Brussels, Belgium
| | - Philippe Mahaudens
- Neuromusculoskeletal Lab, Institut de Recherche Expérimentale et Clinique, Université Catholique de Louvain, Brussels, Belgium
- Service D'orthopédie et Traumatologie, Clinique Universitaire Saint Luc, Brussels, Belgium
- Service de Médecine Physique, Clinique Universitaire Saint Luc, Brussels, Belgium
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Van Hooren B, Aagaard P, Blazevich AJ. Optimizing Resistance Training for Sprint and Endurance Athletes: Balancing Positive and Negative Adaptations. Sports Med 2024; 54:3019-3050. [PMID: 39373864 PMCID: PMC11608172 DOI: 10.1007/s40279-024-02110-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/19/2024] [Indexed: 10/08/2024]
Abstract
Resistance training (RT) triggers diverse morphological and physiological adaptations that are broadly considered beneficial for performance enhancement as well as injury risk reduction. Some athletes and coaches therefore engage in, or prescribe, substantial amounts of RT under the assumption that continued increments in maximal strength capacity and/or muscle mass will lead to improved sports performance. In contrast, others employ minimal or no RT under the assumption that RT may impair endurance or sprint performances. However, the morphological and physiological adaptations by which RT might impair physical performance, the likelihood of these being evoked, and the training program specifications that might promote such impairments, remain largely undefined. Here, we discuss how selected adaptations to RT may enhance or impair speed and endurance performances while also addressing the RT program variables under which these adaptations are likely to occur. Specifically, we argue that while some myofibrillar (muscle) hypertrophy can be beneficial for increasing maximum strength, substantial hypertrophy can lead to macro- and microscopic adaptations such as increases in body (or limb) mass and internal moment arms that might, under some conditions, impair both sprint and endurance performances. Further, we discuss how changes in muscle architecture, fiber typology, microscopic muscle structure, and intra- and intermuscular coordination with RT may maximize speed at the expense of endurance, or maximize strength at the expense of speed. The beneficial effect of RT for sprint and endurance sports can be further improved by considering the adaptive trade-offs and practical implications discussed in this review.
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Affiliation(s)
- Bas Van Hooren
- Department of Nutrition and Movement Sciences, NUTRIM Institute of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre+, Universiteitssingel 50, Maastricht, NL, 6229 ER, The Netherlands.
| | - Per Aagaard
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
| | - Anthony J Blazevich
- Centre for Human Performance, School of Medical and Health Sciences, Edith Cowan University, Joondalup, Australia
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Abdullah, Saeed H, Ahmad MH. Enhancing clarity and methodological rigor in umbrella reviews. Ann Med Surg (Lond) 2024; 86:6352-6354. [PMID: 39359834 PMCID: PMC11444639 DOI: 10.1097/ms9.0000000000002536] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2024] [Accepted: 08/25/2024] [Indexed: 10/04/2024] Open
Affiliation(s)
- Abdullah
- Rawalpindi Medical University, Rawalpindi, Punjab, Pakistan
| | - Humza Saeed
- Rawalpindi Medical University, Rawalpindi, Punjab, Pakistan
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Llanos-Lagos C, Ramirez-Campillo R, Moran J, Sáez de Villarreal E. The Effect of Strength Training Methods on Middle-Distance and Long-Distance Runners' Athletic Performance: A Systematic Review with Meta-analysis. Sports Med 2024; 54:1801-1833. [PMID: 38627351 PMCID: PMC11258194 DOI: 10.1007/s40279-024-02018-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/10/2024] [Indexed: 07/19/2024]
Abstract
BACKGROUND The running performance of middle-distance and long-distance runners is determined by factors such as maximal oxygen uptake (VO2max), velocity at VO2max (vVO2max), maximum metabolic steady state (MMSS), running economy, and sprint capacity. Strength training is a proven strategy for improving running performance in endurance runners. However, the effects of different strength training methods on the determinants of running performance are unclear. OBJECTIVE The aim of this systematic review with meta-analysis was to compare the effect of different strength training methods (e.g., high load, submaximal load, plyometric, combined) on performance (i.e., time trial and time until exhaustion) and its determinants (i.e., VO2max, vVO2max, MMSS, sprint capacity) in middle-distance and long-distance runners. METHODS A systematic search was conducted across electronic databases (Web of Science, PubMed, SPORTDiscus, SCOPUS). The search included articles indexed up to November 2022, using various keywords combined with Boolean operators. The eligibility criteria were: (1) middle- and long-distance runners, without restriction on sex or training/competitive level; (2) application of a strength training method for ≥ 3 weeks, including high load training (≥ 80% of one repetition maximum), submaximal load training (40-79% of one repetition maximum), plyometric training, and combined training (i.e., two or more methods); (3) endurance running training control group under no strength training or under strength training with low loads (< 40% of one repetition maximum); (4) running performance, VO2max, vVO2max, MMSS and/or sprint capacity measured before and after a strength training intervention program; (5) randomized and non-randomized controlled studies. The certainty of evidence was assessed using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach. A random-effects meta-analysis and moderator analysis were performed using Comprehensive meta-analysis (version 3.3.0.70). RESULTS The certainty of the evidence was very low to moderate. The studies included 324 moderately trained, 272 well trained, and 298 highly trained athletes. The strength training programs were between 6 and 40 weeks duration, with one to four intervention sessions per week. High load and combined training methods induced moderate (effect size = - 0.469, p = 0.029) and large effect (effect size = - 1.035, p = 0.036) on running performance, respectively. While plyometric training was not found to have a significant effect (effect size = - 0.210, p = 0.064). None of the training methods improved VO2max, vVO2max, MMSS, or sprint capacity (all p > 0.072). Moderators related to subject (i.e., sex, age, body mass, height, VO2max, performance level, and strength training experience) and intervention (i.e., weeks, sessions per week and total sessions) characteristics had no effect on running performance variables or its determinants (all p > 0.166). CONCLUSIONS Strength training with high loads can improve performance (i.e., time trial, time to exhaustion) in middle-distance and long-distance runners. A greater improvement may be obtained when two or more strength training methods (i.e., high load training, submaximal load training and/or plyometric training) are combined, although with trivial effects on VO2max, vVO2max, MMSS, or sprint capacity.
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Affiliation(s)
- Cristian Llanos-Lagos
- Physical Performance Sports Research Center (PPSRC), Universidad Pablo de Olavide, 41704, Seville, Spain.
| | - Rodrigo Ramirez-Campillo
- Exercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago, 7591538, Chile
| | - Jason Moran
- School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Colchester, Essex, CO43SQ, UK
| | - Eduardo Sáez de Villarreal
- Physical Performance Sports Research Center (PPSRC), Universidad Pablo de Olavide, 41704, Seville, Spain
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Llanos-Lagos C, Ramirez-Campillo R, Moran J, Sáez de Villarreal E. Effect of Strength Training Programs in Middle- and Long-Distance Runners' Economy at Different Running Speeds: A Systematic Review with Meta-analysis. Sports Med 2024; 54:895-932. [PMID: 38165636 PMCID: PMC11052887 DOI: 10.1007/s40279-023-01978-y] [Citation(s) in RCA: 12] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/06/2023] [Indexed: 01/04/2024]
Abstract
BACKGROUND Running economy is defined as the energy demand at submaximal running speed, a key determinant of overall running performance. Strength training can improve running economy, although the magnitude of its effect may depend on factors such as the strength training method and the speed at which running economy is assessed. AIM To compare the effect of different strength training methods (e.g., high loads, plyometric, combined methods) on the running economy in middle- and long-distance runners, over different running speeds, through a systematic review with meta-analysis. METHODS A systematic search was conducted across several electronic databases including Web of Science, PubMed, SPORTDiscus, and SCOPUS. Using different keywords and Boolean operators for the search, all articles indexed up to November 2022 were considered for inclusion. In addition, the PICOS criteria were applied: Population: middle- and long-distance runners, without restriction on sex or training/competitive level; Intervention: application of a strength training method for ≥ 3 weeks (i.e., high loads (≥ 80% of one repetition maximum); submaximal loads [40-79% of one repetition maximum); plyometric; isometric; combined methods (i.e., two or more methods); Comparator: control group that performed endurance running training but did not receive strength training or received it with low loads (< 40% of one repetition maximum); Outcome: running economy, measured before and after a strength training intervention programme; Study design: randomized and non-randomized controlled studies. Certainty of evidence was assessed with the GRADE approach. A three-level random-effects meta-analysis and moderator analysis were performed using R software (version 4.2.1). RESULTS The certainty of the evidence was found to be moderate for high load training, submaximal load training, plyometric training and isometric training methods and low for combined methods. The studies included 195 moderately trained, 272 well trained, and 185 highly trained athletes. The strength training programmes were between 6 and 24 weeks' duration, with one to four sessions executed per week. The high load and combined methods induced small (ES = - 0.266, p = 0.039) and moderate (ES = - 0.426, p = 0.018) improvements in running economy at speeds from 8.64 to 17.85 km/h and 10.00 to 14.45 km/h, respectively. Plyometric training improved running economy at speeds ≤ 12.00 km/h (small effect, ES = - 0.307, p = 0.028, β1 = 0.470, p = 0.017). Compared to control groups, no improvement in running economy (assessed speed: 10.00 to 15.28 and 9.75 to 16.00 km/h, respectively) was noted after either submaximal or isometric strength training (all, p > 0.131). The moderator analyses showed that running speed (β1 = - 0.117, p = 0.027) and VO2max (β1 = - 0.040, p = 0.020) modulated the effect of high load strength training on running economy (i.e., greater improvements at higher speeds and higher VO2max). CONCLUSIONS Compared to a control condition, strength training with high loads, plyometric training, and a combination of strength training methods may improve running economy in middle- and long-distance runners. Other methods such as submaximal load training and isometric strength training seem less effective to improve running economy in this population. Of note, the data derived from this systematic review suggest that although both high load training and plyometric training may improve running economy, plyometric training might be effective at lower speeds (i.e., ≤ 12.00 km/h) and high load strength training might be particularly effective in improving running economy (i) in athletes with a high VO2max, and (ii) at high running speeds. PROTOCOL REGISTRATION The original protocol was registered ( https://osf.io/gyeku ) at the Open Science Framework.
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Affiliation(s)
- Cristian Llanos-Lagos
- Physical Performance Sports Research Center (PPSRC), Universidad Pablo de Olavide, 41704, Seville, Spain
| | - Rodrigo Ramirez-Campillo
- Exercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, 7591538, Santiago, Chile
| | - Jason Moran
- School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Colchester, Essex, CO43SQ, UK
| | - Eduardo Sáez de Villarreal
- Physical Performance Sports Research Center (PPSRC), Universidad Pablo de Olavide, 41704, Seville, Spain.
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Smith JAB, Murach KA, Dyar KA, Zierath JR. Exercise metabolism and adaptation in skeletal muscle. Nat Rev Mol Cell Biol 2023; 24:607-632. [PMID: 37225892 PMCID: PMC10527431 DOI: 10.1038/s41580-023-00606-x] [Citation(s) in RCA: 101] [Impact Index Per Article: 50.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/30/2023] [Indexed: 05/26/2023]
Abstract
Viewing metabolism through the lens of exercise biology has proven an accessible and practical strategy to gain new insights into local and systemic metabolic regulation. Recent methodological developments have advanced understanding of the central role of skeletal muscle in many exercise-associated health benefits and have uncovered the molecular underpinnings driving adaptive responses to training regimens. In this Review, we provide a contemporary view of the metabolic flexibility and functional plasticity of skeletal muscle in response to exercise. First, we provide background on the macrostructure and ultrastructure of skeletal muscle fibres, highlighting the current understanding of sarcomeric networks and mitochondrial subpopulations. Next, we discuss acute exercise skeletal muscle metabolism and the signalling, transcriptional and epigenetic regulation of adaptations to exercise training. We address knowledge gaps throughout and propose future directions for the field. This Review contextualizes recent research of skeletal muscle exercise metabolism, framing further advances and translation into practice.
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Affiliation(s)
- Jonathon A B Smith
- Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden
| | - Kevin A Murach
- Molecular Mass Regulation Laboratory, Exercise Science Research Center, Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR, USA
| | - Kenneth A Dyar
- Metabolic Physiology, Institute for Diabetes and Cancer, Helmholtz Diabetes Center, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany
- German Center for Diabetes Research (DZD), Neuherberg, Germany
| | - Juleen R Zierath
- Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden.
- Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
- Novo Nordisk Foundation Center for Basic Metabolic Research, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
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Ramirez-Campillo R, Afonso J, Moran J, Behm DG, Granacher U. Comment on: "Effects of Plyometric Training on Physical Performance: An Umbrella Review". SPORTS MEDICINE - OPEN 2023; 9:73. [PMID: 37574512 PMCID: PMC10423709 DOI: 10.1186/s40798-023-00595-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Accepted: 06/12/2023] [Indexed: 08/15/2023]
Affiliation(s)
- Rodrigo Ramirez-Campillo
- Exercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, 7591538, Santiago, Chile
| | - José Afonso
- Faculty of Sport, Centre for Research, Education, Innovation, and Intervention in Sport (CIFI2D), The University of Porto, Rua Dr. Plácido Costa, 91, 4200-450, Porto, Portugal
| | - Jason Moran
- School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Colchester, Essex, CO43SQ, UK
| | - David G Behm
- School of Human Kinetics and Recreation, Memorial University of Newfoundland,, St. John's, NL, Canada
| | - Urs Granacher
- Department of Sport and Sport Science, Exercise and Human Movement Science, University of Freiburg, Sandfangweg 4, 79102, Freiburg i. Br., Germany.
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