Laroche 2006
Laroche 2006
Background: Stretching is used in an attempt to improve performance and reduce the risk of muscle injury, with little evidence
to support its effectiveness.
Hypothesis: Four weeks of static or ballistic stretching can attenuate the increased soreness and decreased flexibility seen after
eccentric exercise.
Study Design: Controlled laboratory study.
Methods: Twenty-nine male subjects were randomly assigned to a static stretching, ballistic stretching, or control group. On
each of 4 consecutive days, they completed 4 maximal range of motion stretches using a Cybex isokinetic dynamometer to pas-
sively stretch the hamstrings at 0.087 rad s1 (5 deg s1). Stiffness from 0.87 to 1.48 rad (50-85), peak range of motion, work
absorption, peak resistive torque, and soreness were measured. Participants then completed 4 weeks of either static or ballistic
stretching for a total stretching duration of 3600 seconds. After training, the 4 days of testing were repeated with an eccentric
exercise task added after day 1.
Results: Stretching groups had an increase in range of motion and stretch tolerance after 4 weeks of stretching, with no change
in muscle stiffness, work absorption, or delayed onset muscle soreness. After eccentric exercise, they also had greater range of
motion and stretch tolerance than did controls.
Conclusion: Both static stretching and ballistic stretching increase range of motion, most likely as a result of enhanced stretch
tolerance rather than changes in muscle elasticity. Four weeks of stretching maintain range of motion and stretch tolerance in
the days after eccentric exercise.
Keywords: flexibility; stiffness; soreness; ballistic; static
Stretching is common in athletic populations in an attempt stretching process and explain little about how the muscle
to improve muscle flexibility, reduce the risk of skeletal accommodates changes in length. In contrast, stiffness and
muscle injury, and improve performance. Although stretch- work absorption are measures of the amount of resistive
ing is widely accepted by coaches, athletes, and recreation- force the muscle exerts as it is stretched and can provide
alists, there is little evidence to support the relationship information about the nature of muscle compliance. The
between muscle stretching and a reduction in injury risk.5 stiffness and work-absorbing capacity of a muscle during
Furthermore, how the muscle changes to elicit improve- passive stretching can be determined by monitoring the
ments in range of motion (ROM) is not clear. change in muscle length and the concurrent change in resis-
There are a number of measures that can be used to assess tive force. The ability to measure these elastic properties of
flexibility and monitor the effectiveness of stretching pro- muscle in vivo is a useful tool in the attempt to quantify the
grams. Peak ROM is defined as the highest angle achieved response of passively stretched skeletal muscle.10
during the passive stretching process, and peak passive Most data indicate that static stretching increases a
torque is the highest torque achieved and is an indicator of persons stretch tolerance but does not affect the long-
stretch tolerance. These measures are the end product of the term passive properties of the muscle.3,7,12 Magnusson et al12
reported that the 30% reduction in resistance to stretch after
*Address correspondence to Dain P. LaRoche, PhD, Department of an acute bout of static stretching disappeared 1 hour after
Environmental and Health Sciences, Johnson State College, 337 College stretching. These data suggest that acute changes in mus-
Hill, Johnson, VT 05656 (e-mail: [email protected]). cle stiffness and work absorption are transient.
No potential conflict of interest declared. Eccentric exercise involves active lengthening of the
The American Journal of Sports Medicine, Vol. 34, No. 6
muscle, which leads to disrupted sarcomeres and membrane
DOI: 10.1177/0363546505284238 damage in the muscle if force levels are high enough.18
2006 American Orthopaedic Society for Sports Medicine A single bout of eccentric exercise and the associated delayed
1000
Vol. 34, No. 6, 2006 Effects of Stretching on Passive Muscle Tension 1001
TABLE 1
Participant Descriptive Characteristics by Group at Beginning of Studya
Age, y 31.6 15.2 35.1 17.4 31.0 16.4 28.2 11.9 0.47 .62
Mass, kg 81.1 15.0 80.1 10.1 77.0 9.2 86.3 22.5 0.90 .42
Height, m 1.76 0.06 1.76 0.07 1.78 0.18 1.77 0.08 0.14 .86
Minutes of stretching week1 17.5 23.7 17.7 26.5 16.3 15.7 18.5 29.4 0.04 .96
Initial range of motion, rad 1.71 0.19 1.77 0.22 1.69 0.16 1.66 0.17 1.08 .36
Initial peak torque, Nm 117.0 36.6 131.1 41.9 113.1 30.3 105.3 34.3 1.42 .26
Initial stiffness, Nm rad1 94.7 27.6 84.4 30.0 97.2 23.1 101.6 29.5 0.79 .46
Initial work absorption, Nm s 423.4 74.9 401.9 2.8 440.4 54.0 428.5 97.1 0.67 .52
a
Data are means SD.
4 Weeks
Flexibility Training
Eccentric Exercise
T1 T2 T3 T4 T5 T6 T7 T8
Statistical Methods
RESULTS
TABLE 2
Change in Passive Resistance to Stretch After 4 Weeks of Stretching
Condition (Valid n) Range of Motion, rad Peak Torque, Nm Stiffness, Nm rad1 Work, N s
Control (10)
Prestretching 1.81 0.18 134.7 38.7 86.1 33.3 394.0 76.9
Poststretching 1.83 0.22 135.4 54.1 81.6 31.0 338.6 80.3
Percentage 1.2 4.4 0.04 26.4 2.0 27.8 14.0 11.7
Static (9)
Prestretching 1.67 0.15 118.2 35.1 99.2 30.9 424.1 62.2
Poststretching 1.82 0.13 148.9 51.3 89.0 17.7 388.9 69.6
Percentage 9.5 6.7a 30.1 38.7a 10.3 9.5 8.0 11.8
Ballistic (10)
Prestretching 1.66 0.19 114.0 32.8 102.7 30.0 411.0 81.4
Poststretching 1.83 0.13 135.2 35.7 85.9 18.7 404.0 77.8
Percentage 9.3 9.3a 25.4 25.3 10.0 19.5 0.06 21.7
a
Different from control (P < .05).
40 15
10
Change (millimeters)
30
% Change
5 *
20 0
5
10
10
0 0 24 48 72
0 24 48 72 Hours after eccentric exericise
Hours after eccentric exercise
Control Static Ballistic
Control Static Ballistic
Figure 6. Range of motion after novel eccentric exercise.
Figure 5. Perceived soreness after novel eccentric exercise. *Different from control (P < .05).
there were no significant differences between groups for increase (P = .008). Observed power to detect statistical
change in ROM 24 or 48 hours after exercise, but a signifi- differences between groups during the 3 days after the
cant difference existed 72 hours postexercise (P = .01). eccentric task was .20 for soreness, .64 for ROM, .77 for peak
Seventy-two hours after exercise, the control group had passive torque, .30 for stiffness, and .08 for work absorption.
a 3.9% 6.3% decrease in ROM, and the static stretching
group had an increase of 7.9% 9.3%, which was different
from controls (P = .009). The change in ROM for the ballis- DISCUSSION
tic stretching group was not significantly different from
controls on any of the days after the eccentric task. The purpose of this study was to determine whether 4 weeks
Differences in peak passive torque existed between the con- of stretching could promote changes in the properties of
trol and stretching groups at 48 and 72 hours after exercise; passively stretched muscle and whether it could provide a
48 hours after exercise, the control group had a decrease in protective effect against the muscle impairment seen after
peak torque of 12.1% 12.2%, and at the same time, the eccentric exercise. Acute bouts of stretching have been
static and ballistic stretching groups were significantly shown to decrease stiffness, work absorption, and passive
higher than controls with increases in peak passive torque torque, but the adaptations are short lasting and generally
of 4.3% 12.8% (P = .02) and 2.0% 14.6% (P = .03), respec- subside within an hour.12 Neither acute nor chronic
tively. Seventy-two hours after exercise, the control group stretching has been associated with a reduction in nervous
had a 10.4% 11.5% decrease in passive torque, whereas activation of the muscle. A number of studies have docu-
the static stretching group experienced a 33.5% 50.8% mented no change in EMG after stretching while showing
Vol. 34, No. 6, 2006 Effects of Stretching on Passive Muscle Tension 1005
50
40
* 16
30
% Change
14
20
12
10 10
% Change
0 8
6
10
4
20 2
0 24 48 72 0
Hours after eccentric exercise 2
4
Control Static Ballistic 0 24 48 72
Figure 7. Peak passive torque after novel eccentric exercise. Hours after eccentric exercise
*Different from control (P < .05).
Control Static Ballistic
and decreased peak passive torque compared with those improvements in these measures across 4 days of the test
who are more flexible. Therefore, more flexible persons protocol.8 This response shows that stretching can attenu-
have reduced submaximal stiffness and work absorption, ate the loss of stretch tolerance seen in the muscle after
increased ROM, and greater stretch tolerance than do their novel eccentric exercise. Because of the lack of differences in
less flexible counterparts.10 So, a decrease in submaximal stiffness and work absorption, these data indicate that
stiffness and work absorption appears to be related to chronic stretching helps preserve the end measures of flex-
increased ROM, but the ability of training to elicit these ibility but does not affect submaximal passive muscle prop-
changes has not been demonstrated longitudinally. Perhaps erties in the days after eccentric exercise. Furthermore, it is
similarities can be drawn between gains in strength over likely that a structured resistance training program would
time and improvements in muscle flexibility. In the first provide a greater protective effect than that seen from
few weeks of a strength training program in untrained stretching.
persons, strength increases occur rapidly in the absence of In the current study, both static stretching and ballistic
muscle hypertrophy up until about 4 weeks of training.14 It stretching were used. Ballistic stretching is generally not
is quite possible that improvements in flexibility follow a advocated, as many believe it is more likely to cause injury,
similar pattern with neurologic adaptations accounting for although this has not been documented. In fact, a study
early gains and histologic adaptations accounting for long- by Smith et al20 indicated that although both static and
term gains. ballistic stretching elicited DOMS, persons participating in
Many persons participate in stretching in the hope of static stretching had significantly more soreness than did
reducing the risk of skeletal muscle strain during exercise. those completing ballistic stretching. No participants in
Although there is some evidence suggesting that those who either the static or ballistic stretching group experienced
are more flexible have a reduced injury risk, there is little any muscle strain other than DOMS, but with only 19
information demonstrating a prophylactic effect of stretch- subjects participating in stretching, this finding should not
ing on injury prevention.4,5,17 McHugh et al13 demonstrated indicate that either stretching technique is without risk.
that inflexible participants experienced increased symp- To attenuate injury risk, the participants in this study
toms of DOMS after eccentric exercise. Specifically, less completed a mandatory warm-up and were closely super-
flexible participants experienced more pain, muscle ten- vised during stretching. The likelihood of recreationalists
derness, strength loss, and serum creatine kinase activity taking such precautions is doubtful and may increase the
than did their more flexible counterparts. Other studies risk of muscle strain. Also, the speed of movement of bal-
have attempted to reduce muscle impairment after eccen- listic stretching increases the tensile forces placed on the
tric exercise through acute bouts of stretching with little muscle and should therefore be used with caution. Given
success.6,9 In the current study, all groups showed an increase the dynamic nature of sport, the improvements seen in
in soreness at 24, 48, and 72 hours after exercise, with sore- ROM and peak passive torque with ballistic stretching,
ness peaking 48 hours after the eccentric task. Although not and the lack of documented injury, the investigators
statistically significant, the control group had a greater believe that ballistic stretching may be efficacious when
increase in soreness than did the stretching groups 1, 2, performed correctly. However, further research is needed to
and 3 days after the muscle-damaging task. The data study the usefulness, safety, and effects of ballistic stretch-
appear to indicate an attenuation of muscle soreness in the ing on skeletal muscle.
stretching groups, which might be statistically significant This study is consistent with the work of others showing
with a greater number of subjects, longer duration of training, that improvements in ROM after a moderate-duration
or a more sensitive indicator of soreness. stretching program are not related to changes in the elastic
Those who participated in 4 weeks of stretching had properties of muscle but are due to enhanced stretch
reduced impairments in ROM and peak passive torque com- tolerance.3,7,12 This study is also important in that it indi-
pared with controls after unaccustomed eccentric exercise. cates a protective effect of stretching on the loss of ROM
After stretching, ROM was significantly higher in the static and stretch tolerance seen after eccentric exercise. This
group than in the control group 3 days after the eccentric finding supports the use of a regular stretching program
exercise task. Although the mean for the ballistic group was by those looking to reduce the muscle impairment nor-
higher than that for the control group on each of the 3 days mally seen after vigorous exercise. Finally, it demonstrated
after eccentric exercise, the differences were not statis- that ballistic stretching appears to elicit similar changes in
tically significant. These data indicate that stretching flexibility to static stretching without apparent negative
may have the ability to mitigate the loss in ROM normally effects.
seen after novel eccentric exercise. In conjunction with an
increased ROM in the stretching groups, peak passive
torque was maintained at significantly higher levels in the ACKNOWLEDGMENT
stretching groups than in the control group. Twenty-four,
48, and 72 hours after exercise, the static and ballistic This publication was made possible by the Vermont
stretching groups were able to maintain and increase peak Genetics Network through National Institutes of Health
resistive torque, whereas the control group experienced a grant number 1 P20 RR16462 from the BRIN Program of
decrease in this measure across the 3 days. The increases in the National Center for Research Resources. The authors
ROM and peak torque seen in the stretching groups after thank Lindsay Bilodeau, Justin Crowe, and Shane Lynch
the exercise task resemble the previously documented for their help with data collection.
Vol. 34, No. 6, 2006 Effects of Stretching on Passive Muscle Tension 1007
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