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Objective: The purpose of the study was to investigate the effect of static stretching on the active
stiffness and damping characteristics of the ankle joint plantar ¯exors. Design: The study was an
experimental design. Background: Flexibility has static and active components. Little information is
available regarding the effect of static stretching on the active stiffness of the muscle tendon unit.
This may have relevance in relation to muscle tendon unit injury and the assessment of ¯exibility.
Methods: Pre- and post-intervention free oscillation data representing active stiffness was obtained
D.Glenn Hunter MSc
MCSP SRP CertEd FE, in 30 subjects using applied masses equivalent to 30% of the subject's maximal voluntary
Department of contraction (MVC). The control group (n 15) rested between measurements, the experimental
Allied Health
Sciences, Faculty of group performed 10 30 second static stretches for the ankle joint plantar-¯exors. Results: No
Health and Social statistically signi®cant differences were found for stiffness values (P 0.71 95%; CI ÿ 1503±2172)
Care, Glenside
Campus, University
and damping values (P 0.94 95%; CI ÿ 0.0272±0.0195) between the control and stretching group.
of the West of The trend was an increase in both parameters following stretching. Conclusions: The results imply
England, Bristol, UK
that static stretching had no statistically signi®cant effect on the active stiffness or damping
Dr Vince Coveney, characteristics of the muscle tendon unit as measured with applied masses equating to 30%
Department of
Engineering, maximal voluntary contraction. The low statistical power of the study should be considered in
University of the evaluating the results. Relevance: Flexibility is a construct with different components of
West of England,
Coldharbour Lane, measurement. Studies typically relate static ¯exibility measurements or exercises to injury with
Frenchay, Bristol, UK con¯icting outcomes. This study suggests that static stretching may have no effect on active stiffness
Jonathon Spriggs of the ankle plantar-¯exors and that these ®ndings may have value in the design of stretching
BEng (hon.), Faculty programs and in aetiological studies pertaining to ¯exibility. * c 2001 Harcourt Publishers Ltd
of Health and Social
Care, Glenside
Campus, University
of the West of
England, Bristol, UK
Introduction 1995). The assumption is that stretching
Correspondence to: produces a more compliant muscle, which can
D. Glenn Hunter,
Stretching is used almost universally as a be stretched to a higher ultimate strain and is
Department of
Allied Health precursor to sporting activity, with the therefore less susceptible to injury (Safran et al.
Sciences, Faculty of literature suggesting many positive, though 1998). Owing to the complex nature of sporting
Health and Social
Care, Glenside
mainly unsubstantiated, effects of this practice injury, such claims are dif®cult to substantiate
Campus, University (Gleim & McHugh 1997). A frequently claimed from the available literature, however a number
of the West of bene®t relates to injury prevention with the of prospective studies suggest that a
England, Blackberry
Hill, Bristol BS15 ubiquitous notion that `tight' muscles are more relationship may exist (Pope et al. 1998,
1DD, UK likely to be strained (Worrell & Perrin 1992, Best Ekstrand & Gillquist 1983, Lysens et al. 1991).
*
c 2001 Harcourt Publishers Ltd Physical Therapy In Sport (2001) 2, 15±22 15
doi : 10.1054/ptsp.2000.0040, available online at http://www.idealibrary.com on
Physical Therapy In Sport
Of note is the work of Pope et al. (1998) who stiffness determines the effectiveness of force
studied 1093 army recruits and found that a transmission through the MTU.
simple measure of ankle dorsi¯exion was a McNair & Stanley (1996) used this approach
strong predictor of injury (P 0.03), with poor to investigate the effect of static stretching,
¯exibility being associated with 2.5 times the running, and stretching plus running on the
risk of injury in relation to average ¯exibility, active stiffness of the ankle plantar ¯exors. They
and up to 8 times the risk when associated with found that the active stiffness values decreased
high ¯exibility. for both the running and stretching plus
The methodological dif®culties of exploring running group, but increased from 15212 N/m
any potential relationship between stretching to 15432 N/m in the stretching group. Though
and injury prevention lie in the multifactorial this increase is small, these results are
nature of the aetiology of injury, the use of surprising in that they are contrary to the
differing stretching regimes, and the common assumption that stretching decreases
measurement of the effects of these exercises on muscle stiffness. Also, McNair et al. (1996)
the properties of the muscle tendon unit (MTU). found that though the active stiffness
With regards to the latter, measurements increased the static ¯exibility measured via the
involve assessing the ability of the MTU to angle of ankle dorsi-¯exion also increased,
lengthen and this property is referred to as implying decreased passive stiffness. These
muscle ¯exibility. The majority of published results, if valid, suggest that static
studies assess the effect of stretching protocols stretching may decrease the stiffness of the
by using measurements of static ¯exibility with MTU thus increasing the static ¯exibility, but
increase the stiffness of the MTU during
the joint range of motion or angle being
dynamic activity.
assumed to equate to muscle length. These
Because the work of McNair et al. (1996)
measurements may not be valid as the
is the only published study the authors
measured joint angle may not accurately
could ®nd to identify this effect, and of the
represent the ultimate MTU length, and passive
potential implications that these results may
elongation of the MTU fails to represent the
have on stretching protocols, the authors
state of the MTU during dynamic activity. A
decided to replicate part of this study to
more functional measurement may be that of
contribute to the assessment of the validity
dynamic ¯exibility where the stiffness of the
of these ®ndings. It was also decided to
MTU can be measured passively or actively.
extend the analysis to include the effects of
Passive stiffness is measured by quantifying stretching on the damping (energy
the joint angle at the same time as passive absorption) ratio of the MTU, as a change
torque generation with the slope of the torque in damping may provide a plausible
angle being proportional to the stiffness. mechanism for stretching reducing the risk of
(Gadjosik 1991). Active stiffness may be injury. Thus the aim of this study was to
measured in vivo by using a free oscillation investigate the effect of static stretching on the
technique where the loaded MTU is gently active stiffness and damping characteristics of
perturbed and the damped free response of the the ankle joint plantar-¯exors.
system is recorded (Shorten 1987). This
technique has been used in vivo by a number of
authors (Oatis 1993, Jennings & Seedholm 1998, Method
McNair et al. 1992, Wilson et al. 1994) who have
observed stiffness load characteristics similar to Subjects
that observed in isolated muscle preparations Thirty subjects were recruited from an
(Cavagna 1970). Walshe et al. (1996) have advertisement. Their mean age, height and
shown the method to be valid and reliable. In weight are presented in Table 1. At the time
relation to injury, the measurement of active of the study, all subjects were healthy and
stiffness may be a more valid measure than without injury. The University of the West of
passive ¯exibility because the MTU is active England Ethics committee granted ethical
during the measurement, and the active clearance for this study, and all subjects
3. Intervention
Between each pair of measurements, the
Applied mass control group remained sitting for 10 min with
Lever/platform
support system the ankle in plantar grade and the plantar ¯exor
muscles relaxed. The stretch group performed
Pivot
10 30 seconds static stretches as in Figure 2.
The stretches were held at the point of mild to
moderate discomfort and each stretch was
followed by a 30 second rest period.
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c 2001 Harcourt Publishers Ltd Physical Therapy In Sport (2001) 2, 15±22 17
doi : 10.1054/ptsp.2000.0040, available online at http://www.idealibrary.com on
Physical Therapy In Sport
Comparison of pre and post therefore male and female data were
stiffness vaues for control and aggregated for the purpose of the analysis.
experimental groups Stiffness and damping values pre and post
20000 intervention are presented in Tables 2 and 3
and Figures 3 and 4.
Unpaired t-tests (alpha 0.05, 2-tail) were used
Stiffness (N/m)
Damping co-efficient
0.3
Damping:
Pre control vs pre stretch gp 0.60 ÿ0.072±0.042
Post control vs post stretch gp 0.94 ÿ0.0272±0.0295 0.2
0.1
Table 5 Reliability analysis for stiffness values measured
in N/m
0.0
Pre cont. Post cont. Pre exp. Post exp.
Measurement Mean SD P r
Group
Test 1
Test 2
14280
22730
21916
71412 g 00001 071
Fig. 4 Pre and post damping coef®cient values for
control and experimental groups.
*
c 2001 Harcourt Publishers Ltd Physical Therapy In Sport (2001) 2, 15±22 19
doi : 10.1054/ptsp.2000.0040, available online at http://www.idealibrary.com on
Physical Therapy In Sport
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c 2001 Harcourt Publishers Ltd Physical Therapy In Sport (2001) 2, 15±22 21
doi : 10.1054/ptsp.2000.0040, available online at http://www.idealibrary.com on
Physical Therapy In Sport
mdx2 cdx
Force (N)
kx 0 1 600
dt2 dt