DOI QR코드

DOI QR Code

The Immediate Effect of Static and Dynamic Stretching on Flexibility of Hamstring, Dynamic Balance Ability, Function of Lower Extremity: Randomized Controlled Trial

  • Ho Jin Shin (Department of Health Science, Gachon University Graduate School) ;
  • Eun-Ji Kim (Department of Physical Therapy, Ansan University) ;
  • Shin Young Kim (Department of Physical Therapy, Ansan University)
  • Received : 2023.09.15
  • Accepted : 2023.10.23
  • Published : 2023.10.31

Abstract

Purpose: This study examined the acute effects of static and dynamic stretching on the flexibility of the hamstring, dynamic balance ability, and function of the lower extremities in healthy adults. Methods: Thirty participants were assigned randomly to three groups: static stretching group (SSG), basic dynamic stretching group (BDSG), and 5 sec dynamic stretching group (5DSG). SSG performed three sets of 30 seconds of static stretching. BDSG performed a single-leg deadlift (SLD) at the same time as SSG, and 5DSG performed SLD held for five seconds. Hamstring flexibility, dynamic balance ability, and lower extremity function were evaluated before and after intervention. Results: The hamstring flexibility significantly improved in all groups (p<0.05). The dynamic balance ability improved significantly after intervention in all groups except BDSG in the anterior direction (p<0.05). There were significant differences in the posterolateral and posteromedial direction in all groups. The function of the lower extremity showed significant improvement over time only in BDSG (p<0.05). Conclusion: This study suggested that basic dynamic stretching and 5 sec dynamic stretching positively affect the hamstring flexibility, dynamic balance ability, and lower extremity function. Therefore, it is recommended to include dynamic stretching in a program for improving the hamstring flexibility, dynamic balance ability, and the lower extremity function. In addition, it is recommended to apply it at different times depending on the purpose.

Keywords

References

  1. Jonhagen S, Nemeth G, Eriksson E. Hamstring injuries in sprinters: the role of concentric and eccentric hamstring muscle strength and flexibility. Am J Sports Med. 1994;22(2):262-6. https://doi.org/10.1177/036354659402200218
  2. Hartig DE, Henderson JM. Increasing hamstring flexibility decreases lower extremity overuse injuries in military basic trainees. Am J Sports Med. 1999;27:173-6. https://doi.org/10.1177/03635465990270021001
  3. Kang TW, Kim BR. The effects of stretching and strengthening exercise on the pain, pelvic tilt, functional disability index, and balance ability of patients with chronic lower back pain. J Kor Phys Ther. 2019;31(1):7-12. https://doi.org/10.18857/jkpt.2019.31.1.7
  4. Worrell TW, Smith TL, Winegardner J. Effect of hamstring stretching on hamstring muscle performance. J Orthop Sports Phys Ther. 1994;20:154-9. https://doi.org/10.2519/jospt.1994.20.3.154
  5. Ji YR, Hong YS, Lee D et al. The immediate effects of dynamic stretching and static stretching using a wedge board on the balance ability and jump function of healthy adult. J Kor Phys Ther. 2021;33(6):286-91. https://doi.org/10.18857/jkpt.2021.33.6.286
  6. Song JY, Kim JH. Effects of ankle invertor and plantar flexor stretching on balance and walking ability of stroke patients. J Kor Phys Ther. 2022;34(4):181-6. https://doi.org/10.18857/jkpt.2022.34.4.181
  7. Anderson B, Burke ER. Scientific, medical, and practical aspects of stretching. Clin Sports Med. 1991;10:63-86. https://doi.org/10.1016/S0278-5919(20)30658-X
  8. Cramer JT, Housh TJ, Johnson GO et al. Acute effects of static stretching on peak torque in women. J Strength Cond Res. 2004;18(2):236-41.
  9. Witvrouw E, Lysens R, Bellemans J et al. Intrinsic risk factors for the development of anterior knee pain in an athletic population. A two-year prospective study. Am J Sports Med. 2000;28(4):480-9. https://doi.org/10.1177/03635465000280040701
  10. Choi JE, Lee YH, Lee DY et al. Immediate effects of foam rolling and proprioceptive neuromuscular facilitation stretching on hamstring flexibility. J Kor Phys Ther. 2020;34(3):116-20. https://doi.org/10.18857/jkpt.2022.34.3.116
  11. Kim JH, Kim TH. Immediate effects of stretching on hamstring stiffness. J Kor Phys Ther. 2010;22(1):1-7.
  12. Nelson RT, Bandy WD. Eccentric training and static stretching improve hamstring flexibility of high school males. J Athl Train. 2004;39(3):254-8.
  13. Hwang HS. The effect of stretching type on hamstring flexibility. J Int Acad Phys Ther Res. 2018;9(2):1461-7. https://doi.org/10.20540/JIAPTR.2018.9.2.1461
  14. Borges MO, Medeiros DM, Minotto BB et al. Comparison between static stretching and proprioceptive neuromuscular facilitation on hamstring flexibility: systematic review and meta-analysis. Eur J Physiother. 2018;20(1):12-9. https://doi.org/10.1080/21679169.2017.1347708
  15. Linek P, Sikora D, Wolny T et al. Reliability and number of trials of Y balance test in adolescent athletes. Musculoskelet Sci Pract. 2017;31:72-5. https://doi.org/10.1016/j.msksp.2017.03.011
  16. Houel N, Faury A, Seyfried D. Accuracy and reliability of the Myotest Pro system to evaluate a squat jump. Procedia Engineering. 2011;13:434-8. https://doi.org/10.1016/j.proeng.2011.05.110
  17. Yang DJ, Jeong YS. The acute effects of dynamic and static stretching on jump height and muscle activity. Journal of Digital Convergence. 2013;11(8):265-72. https://doi.org/10.14400/JDPM.2013.11.8.265
  18. Behm DG, Chaouachi A. A review of the acute effects of static and dynamic stretching on performance. Eur J Appl Physiol. 2011;111(11):2633-51. https://doi.org/10.1007/s00421-011-1879-2
  19. Yoon SH, Lee JW, Lee D et al. Immediately effects of static stretching of the ankle plantar flexor for 5 minutes on balance control and muscle activity in healthy young adults. J Kor Phys Ther. 2021;33(6):272-7. https://doi.org/10.18857/jkpt.2021.33.6.272
  20. Kim MK, Ji HJ, Kong YS et al. Comparative study on muscle activity and torque value of quadriceps of healthy adults. J Kor Phys Ther. 2016;28(3):212-6. https://doi.org/10.18857/jkpt.2016.28.3.212
  21. Lee JH, Kim JY, Kim HS et al. Comparison of sit and reach test, straight leg raise test and visual analogue scale when applying static stretching and mulligan's two leg rotation in young adults with hamstring shortness. J Kor Phys Ther. 2019;31(5):266-72. https://doi.org/10.18857/jkpt.2019.31.5.266
  22. Song WM, Seo HJ, Shin WS. Effects of electric stimulation with static stretching on hamstrings flexibility. J Kor Phys Ther. 2015;27(3):164-8. https://doi.org/10.18857/jkpt.2015.27.3.164
  23. Craig Liebenson DC. Learning the single leg dead lift. J Bodyw Mov Ther. 2015;19:732-5. https://doi.org/10.1016/j.jbmt.2015.08.004
  24. Norris CM, Matthews M. Inter-tester reliability of a self-monitored active knee extension test. J Bodyw Mov Ther. 2005;9(4):256-9. https://doi.org/10.1016/j.jbmt.2005.06.002
  25. Gribble PA, Hertel J, Plisky P. Using the star excursion balance test to assess dynamic postural-control deficits and outcomes in lower extremity injury: a literature and systematic review. J Athl Train. 2012;47(3):339-57. https://doi.org/10.4085/1062-6050-47.3.08
  26. Robinson RH, Gribble PA. Support for a reduction in the number of trials needed for the star excursion balance test. Arch Phys Med Rehabil. 2008;89(2):364-70. https://doi.org/10.1016/j.apmr.2007.08.139
  27. Pierce CA, Block RA, Aguinis H. Cautoinary note on reporting etasquared values from multifactor anova designs. Edu Psychol Measur. 2004;64(6):916-24. https://doi.org/10.1177/0013164404264848
  28. Bandy WD, Sanders B. Therapeutic exercise: techniques for intervention. Philadelphia, Lippincott Williams and Wilkins. 2001.
  29. Magnusson SP, Simonsen EB, Aagaard P et al. Biomechanical responses to repeated stretches in human hamstring muscle in vivo. Am J Sports Med. 1996;24(5):622-8. https://doi.org/10.1177/036354659602400510
  30. Ben M, Harvey LA. Regular stretch does not increase muscle extensibility: a randomized controlled trial. Scand J Med Sci Sports. 2010;20(1):136-44. https://doi.org/10.1111/j.1600-0838.2009.00926.x
  31. Konrad A, Tilp M. Increased range of motion after static stretching is not due to changes in muscle and tendon structures. Clin Biomech (Bristol, Avon). 2014;29(6):636-42. https://doi.org/10.1016/j.clinbiomech.2014.04.013
  32. Delvaux F, Schwartz C, Decrequy T et al. Influence of a field hamstring eccentric training on muscle strength and flexibility. Int J Sports Med. 2020;41(4):233-41. https://doi.org/10.1055/a-1073-7809
  33. Cohen H, Blatchly CA, Gombash LL. A study of the clinical test of sensory interaction and balance. Phys Ther. 1993;73(6):346-54. https://doi.org/10.1093/ptj/73.6.346
  34. Walsh GS. Effect of static and dynamic muscle stretching as part of war m up procedures on knee joint proprioception and strength. Hum Mov Sci. 2017;55;189-95. https://doi.org/10.1016/j.humov.2017.08.014
  35. Costa PB, Graves BS, Whitehurst M et al. The acute effects of different durations of static stretching on dynamic balance performance. J Strength Cond Res. 2009;23(1):141-7. https://doi.org/10.1519/JSC.0b013e31818eb052
  36. Nelson AG, Kokkonen J, Arnall DA et al. Acute stretching increases postural stability in nonbalance trained individuals. J Strength Cond Res. 2012;26(11):3095-100. https://doi.org/10.1519/JSC.0b013e3182430185
  37. Behm DG, Bambury A, Cahill F et al. Effect of acute static stretching on force, balance, reaction time, and movement time. Med Sci Sports Exerc. 2004;36(8):1397-402. https://doi.org/10.1249/01.MSS.0000135788.23012.5F
  38. Faigenbaum AD, Bellucci M, Bernieri A et al. Acute effects of different warm-up protocols on fitness performance in children. J Strength Cond Res. 2005;19(2):376-81.
  39. Jung M, Kim N, Lee Y. Immediate effect of hip hinge exercise stretching on flexibility of lower limb, pelvic tilting angle, proprioception and dynamic balance in individual with hamstring tightness. Phys Ther Rehabil Sci. 2022;11(2):259-68. https://doi.org/10.14474/ptrs.2022.11.2.259
  40. Clark R, Bryant A, Culgan JP et al. The effects of eccentric hamstring strength training on dynamic jumping performance and isokinetic strength parameters: a pilot study on the implications for the prevention of hamstring injuries. Phys Ther Sport. 2005;6(2):67-73. https://doi.org/10.1016/j.ptsp.2005.02.003
  41. Carvalho FL, Carvalho MC, Simao R et al. Acute effects of a warm-up including active, passive, and dynamic stretching on vertical jump performance. J Strength Cond Res. 2012;26(9):2447-52. https://doi.org/10.1519/JSC.0b013e31823f2b36
  42. Pinto MD, Wilhelm EN, Tricoli V et al. Differential effects of 30-vs. 60-second static muscle stretching on vertical jump performance. J Strength Cond Res. 2014;28(12):3440-6. https://doi.org/10.1519/JSC.0000000000000569