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Comparison of the Duration of Maintained Calf Muscle Flexibility After Static Stretching, Eccentric Training on Stable Surface, and Eccentric Training on Unstable Surfaces in Young Adults With Calf Muscle Tightness

  • Jang, Hee-Jin (Dept. of Physical Therapy, Graduate School of Health and Medicine, Daejeon University) ;
  • Kim, Suhn-Yeop (Dept. of Physical Therapy, College of Natural Science, Daejeon University) ;
  • Jang, Hyun-Jeong (Dept. of Physical Therapy, College of Natural Science, Daejeon University)
  • Received : 2014.04.08
  • Accepted : 2014.05.08
  • Published : 2014.05.21

Abstract

The objective of this study was to determine the duration of maintained calf muscle flexibility gained in young adults with calf muscle tightness, as measured by increases in ankle active and passive dorsiflexion range of motion (DFROM) after three stretching interventions. Twenty subjects (5 men and 15 women) with calf muscle tightness received the following three stretching interventions in one leg (assigned at random): static stretching (SS), eccentric training on stable surface (ETS), and eccentric training on unstable surfaces (ETU). The subjects received all three interventions to the same leg, applied in a random order. Each intervention had a break of at least 24 h in-between, in order to minimize any carryover effect. Each intervention used two types of stretching: with the calf muscle stretched and both knees straight, and with the knee slightly bent in order to maximize the activation of the soleus muscle. All three interventions were performed for 200 seconds. We measured the duration of maintained calf muscle flexibility through active and passive ankle DFROM before intervention, immediately after intervention (time 0), and then 3, 6, 9, 15, and 30 min after intervention. We found a difference in the duration of maintained calf muscle flexibility between the three interventions. In the ETS and ETU interventions, a significant improvement in calf muscle flexibility, both ankle active and passive dorsiflexion ranges of motion (ADFROM and PDFROM), was maintained for 30 min. In the SS intervention, however, ADFROM before 9 min and PDFROM before 6 min were statistically different from the baseline. Our results suggest that ETS and ETU may be more effective than SS for maintaining calf muscle flexibility in young adults.

Keywords

References

  1. Alfredson H, Lorentzon R. Chronic achilles tendinosis: Recommendations for treatment and prevention. Sports Med. 2000;29(2):135-146. https://doi.org/10.2165/00007256-200029020-00005
  2. Anderson K, Behm DG. Trunk muscle activity increases with unstable squat movements. Can J Appl Physiol. 2005;30(1):33-45. https://doi.org/10.1139/h05-103
  3. Avela J, Kyrolainen H, Komi PV, et al. Reduced reflex sensitivity persists several days after long-lasting stretch-shortening cycle exercise. J Appl Physiol. 1999;86(4):1292-1300. https://doi.org/10.1063/1.370884
  4. Bandy WD, Irion JM, Briggler M. The effect of static stretch and dynamic range of motion training on the flexibility of the hamstring muscles. J Orthop Sports Phys Ther. 1998;27(4):295-300. https://doi.org/10.2519/jospt.1998.27.4.295
  5. Beedle B, Rytter SJ, Healy RC, et al. Pretesting static and dynamic stretching does not affect maximal strength. J Strength Cond Res. 2008;22(6):1838-1843. https://doi.org/10.1519/JSC.0b013e3181821bc9
  6. Biel A, Dorn R. Trail Guide to the Body. 3rd ed. Boulder, CO, Books of Discovery, 2005:566-567.
  7. Chodzko-Zajko WJ, Proctor DN, Fiatarone Singh MA, et al. American college of sports medicine position stand. Exercise and physical activity for older adults. Med Sci Sports Exerc. 2009;41(7): 1510-1530. https://doi.org/10.1249/MSS.0b013e3181a0c95c
  8. Depino GM, Webright WG, Arnold BL. Duration of maintained hamstring flexibility after cessation of an acute static stretching protocol. J Athl Train. 2000;35(1):56-59.
  9. Elveru RA, Rothstein JM, Lamb RL. Goniometric reliability in a clinical setting. Subtalar and ankle joint measurements. Phys Ther. 1988;68(5): 672-677.
  10. Fahlstrom M, Jonsson P, Lorentzon R, et al. Chronic achilles tendon pain treated with eccentric calf-muscle training. Knee Surg Sports Traumatol Arthrosc. 2003;11(5):327-333. https://doi.org/10.1007/s00167-003-0418-z
  11. Gajdosik RL. Relation of age and passive properties of an ankle dorsiflexion stretch to the timed one-leg stance test in older women. Percept Mot Skills. 2006;103(1):177-182.
  12. Hunter GR, McCarthy JP, Bamman MM. Effects of resistance training on older adults. Sports Med. 2004;34(5):329-348. https://doi.org/10.2165/00007256-200434050-00005
  13. Johnson E, Bradley B, Witkowski K, et al. Effect of a static calf muscle-tendon unit stretching program on ankle dorsiflexion range of motion of older women. J Geriatr Phys Ther. 2007;30(2): 49-52. https://doi.org/10.1519/00139143-200708000-00003
  14. Karas M, Hoy D. Compensatory midfoot dorsiflexion in the individual with heelcord tightness: Implications for orthotic device designs. Journal of Prosthet Orthot. 2002;14(2):82-93 https://doi.org/10.1097/00008526-200206000-00011
  15. Kisner C, Colby LA. Therapeutic Exercise: Foundations and techniques. 4th ed. Philadelphia, PA, F.A. Davis Co., 2002:171-179.
  16. Lakie M, Caplan N, Loram ID. Human balancing of an inverted pendulum with a compliant linkage: Neural control by anticipatory intermittent bias. J Physiol. 2003;551(Pt 1):357-370. https://doi.org/10.1113/jphysiol.2002.036939
  17. Lynn R, Morgan DL. Decline running produces more sarcomeres in rat vastus intermedius muscle fibers than does incline running. J Appl Physiol. 1994;77(3):1439-1444.
  18. Maffulli N, Walley G, Sayana MK, et al. Eccentric calf muscle training in athletic patients with achilles tendinopathy. Disabil Rehabil. 2008;30(20-22):1677-1684. https://doi.org/10.1080/09638280701786427
  19. Mahieu NN, McNair P, Cools A, et al. Effect of eccentric training on the plantar flexor muscle-tendon tissue properties. Med Sci Sports Exerc. 2008;40(1):117-123. https://doi.org/10.1249/mss.0b013e3181599254
  20. Middleton JA, Kolodin EL. Plantar fasciitis-heel pain in athletes. J Athl Train. 1992;27(1):70-75.
  21. Muir IW, Chesworth BM, Vandervoort AA. Effect of a static calf-stretching exercise on the resistive torque during passive ankle dorsiflexion in healthy subjects. J Orthop Sports Phys Ther. 1999;29(2):106-113. https://doi.org/10.2519/jospt.1999.29.2.106
  22. Nancy WD, Timothy AA, Floyd RT. Kinesiology for Manual Therapies. 1st ed. New York, McGraw-Hill Higher Education, 2010:32.
  23. Nelson RT. A comparison of the immediate effects of eccentric training vs static stretch on hamstring flexibility in high school and college athletes. N Am J Sports Phys Ther. 2006;1(2):56-61.
  24. Nelson RT, Bandy WD. Eccentric training and static stretching improve hamstring flexibility of high school males. J Athl Train. 2004;39(3):254-258.
  25. Neumann DA. Kinesiology of the Musculoskeletal System: Foundation for rehabilitation. 2nd ed. St Louis, Mosby, 2010:640-641.
  26. Novacheck TF. The biomechanics of running. Gait & Posture. 1998;7(1):77-95. https://doi.org/10.1016/S0966-6362(97)00038-6
  27. Paschalis V, Nikolaidis MG, Giakas G, et al. The effect of eccentric exercise on position sense and joint reaction angle of the lower limbs. Muscle & Nerve. 2007;35(4):496-503. https://doi.org/10.1002/mus.20723
  28. Power K, Behm D, Cahill F, et al. An acute bout of static stretching: Effects on force and jumping performance. Med Sci Sports Exerc. 2004;36(8): 1389-1396. https://doi.org/10.1249/01.MSS.0000135775.51937.53
  29. Proske U. Kinesthesia: The role of muscle receptors. Muscle Nerve. 2006;34(5):545-558. https://doi.org/10.1002/mus.20627
  30. Samukawa M, Hattori M, Sugama N, et al. The effects of dynamic stretching on plantar flexor muscle-tendon tissue properties. Man Ther. 2011;16(6):618-622. https://doi.org/10.1016/j.math.2011.07.003
  31. Smith CA. The warm-up procedure: To stretch or not to stretch. A brief review. J Orthop Sports Phys Ther. 1994;19(1):12-17. https://doi.org/10.2519/jospt.1994.19.1.12
  32. Thacker SB, Gilchrist J, Stroup DF, et al. The impact of stretching on sports injury risk: A systematic review of the literature. Med Sci Sports Exerc. 2004;36(3):371-378. https://doi.org/10.1249/01.MSS.0000117134.83018.F7
  33. Wahl MJ, Behm DG. Not all instability training devices enhance muscle activation in highly resistance-trained individuals. J Strength Cond Res. 2008;22(4):1360-1370. https://doi.org/10.1519/JSC.0b013e318175ca3c
  34. Yamaguchi T, Ishii K. Effects of static stretching for 30 seconds and dynamic stretching on leg extension power. J Strength Cond Res. 2005;19 (3):677-683.

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