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Results for “Muscle Stretching Exercises”

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PubMed2005

Muscular mechanical hyperalgesia revealed by behavioural pain test and c-Fos expression in the spinal dorsal horn after eccentric contraction in rats.

Delayed onset muscle soreness (DOMS) is quite common, but the mechanism for this phenomenon is still not understood; even the existence of muscle tenderness (mechanical hyperalgesia) has not been demonstrated in experimental models. We developed an animal model of DOMS by inducing eccentric contraction (lengthening contraction, ECC) to the extensor digitorum longus muscle (EDL), and investigated the existence of mechanical hyperalgesia in the EDL by means of behavioural pain tests (Randall-Selitto test and von Frey hair test, applied to/through the skin on the EDL muscle) and c-Fos expression in the spinal dorsal horn. We found that the mechanical withdrawal threshold measured with the Randall-Selitto apparatus decreased significantly between 1 and 3 days after ECC, while that measured by von Frey hairs did not. The group that underwent stretching of the muscle only (SHAM group) showed no change in mechanical pain threshold in either test. These results demonstrated that the pain threshold of deep tissues (possibly of the muscle) decreased after ECC. c-Fos immunoreactivity in the dorsal horn (examined 2 days after ECC/SHAM exercise) was not changed by either ECC or compression (1568 mN) to the EDL muscle by itself, but it was significantly increased by applying compression to the EDL muscle 2 days after ECC. This increase was observed in the superficial dorsal horn of the L4 segment of the ipsilateral side, and was clearly suppressed by morphine treatment (10 mg kg(-1), i.p.). These results demonstrated the existence of mechanical hyperalgesia in the muscle subjected to ECC. This model could be used for future study of the neural mechanism of muscle soreness.

Animals↗

PubMed2000

Physiotherapy for anterior knee pain: a randomised controlled trial.

OBJECTIVE: To determine the efficacy of the individual components of physiotherapy in subjects with anterior knee pain. METHODS: An observer blind, prospective, factorial design randomised controlled trial. 81 young adults with anterior knee pain were randomly allocated to one of four treatment groups: (1) exercise, taping, and education; (2) exercise and education; (3) taping and education; and (4) education alone. Each group received six physiotherapist-led treatments over three months. Follow up took place at three months using the following outcome measures: patient satisfaction (discharge/refer for further treatment); a visual analogue pain score; the WOMAC lower limb function score; the Hospital Anxiety and Depression scale (HAD); and quadriceps strength. At 12 months the WOMAC and HAD were assessed by postal questionnaire. RESULTS: All groups showed significant improvements in WOMAC, visual analogue, and HAD scores; these improvements did not vary significantly between the four groups or between exercising/non-exercising and taped/non-taped patients at three and 12 months. However, patients who exercised were significantly more likely to be discharged at three months than non-exercising patients (chi(2), p<0.001). Taping was not significantly associated with discharge. Significantly greater improvements in WOMAC, visual analogue, and the anxiety score (but not the depression score) were seen in patients who were discharged than in those who were referred. CONCLUSIONS: The proprioceptive muscle stretching and strengthening aspects of physiotherapy have a beneficial effect at three months sufficient to permit discharge from physiotherapy. These benefits are maintained at one year. Taping does not influence the outcome.

Adolescent↗

PubMed1986

Group III and IV receptors of skeletal muscle.

The single largest group of sensory fibres leaving skeletal muscles are small myelinated or unmyelinated (groups III and IV) fibres. The receptors served by these small fibres have not been subjected to the same intensive study that receptors served by group I and II fibres have received. The evidence so far available suggests that receptors with group III and IV axons play a particular role in nociception and also subserve a wide range of sensory modalities. Despite their role in nociception, the primary afferent fibres from these receptors do not project to the substantia gelatinosa. A significant percentage of group III receptors are sensitive to stretch and have been thought to be the receptor source that initiates the clasp-knife reflex. Other group III receptors respond to chemical change within the muscle and have been implicated in the initiation of cardiovascular reflexes and the changes in muscle blood flow that accompany exercise. Group IV receptors also include high threshold mechanoreceptors and nociceptors. It is well known that encapsulated receptors are quite unevenly distributed within skeletal muscles and in different skeletal muscles. Preliminary evidence suggests that the variation in receptor content is not confined to encapsulated receptors, but that the receptors served by group III and IV afferents may have receptive properties that vary from muscle to muscle.

Afferent Pathways↗

PubMed1983

Myofascial origins of low back pain. 1. Principles of diagnosis and treatment.

Myofascial trigger points (TPs) are frequently overlooked sources of acute and chronic low back pain. An active myofascial TP is suspected by its focal tenderness to palpation and by restricted stretch range of motion. The restricted lengthening of the muscle is due to the tense band of muscle fibers in which the TP is located. The presence of a TP is confirmed by a local twitch response and by reproduction of its known pattern of referred pain, which matches the distribution of the patient's pain. Only an active TP causes a clinical pain complaint; a latent TP does not. The pain can be relieved by the stretch-and-spray procedure, ischemic compression, or precise injection of the TP with procaine solution. Relief is usually long lasting only if mechanical and systemic perpetuating factors are corrected.

Back Pain↗

PubMed2006

A stretching program increases the dynamic passive length and passive resistive properties of the calf muscle-tendon unit of unconditioned younger women.

This study examined the effects of a 6-week stretching program on the dynamic passive elastic properties of the calf muscle-tendon unit (MTU) of unconditioned younger women. After random assignment of 12 women (age 18-31 years) to a stretching group (SG) or to a control group (CG), six subjects in the SG and four subjects in the CG completed the study. For the initial tests, a Kin-Com dynamometer moved the ankle from plantarflexion to maximal dorsiflexion (DF) with negligible surface EMG activity in the soleus, gastrocnemius and tibialis anterior muscles. Angular displacement, passive resistive torque, area under the curve (passive elastic energy) and stiffness variables were reduced from the passive DF torque curves. The SG then completed ten static wall stretches held 15 s each, five times a week for 6 weeks, the CG did not. The tests were repeated and the changes between the tests and retests were examined for group differences (Mann-Whitney U). The SG had significant increases in the maximal passive DF angle (7 degrees +/- 4 degrees ), maximal passive DF torque (11.2 +/- 8.3 N m), full stretch range of motion (23 degrees +/- 24 degrees ), full stretch mean torque (3.4 +/- 2.1 N m), and area under the full stretch curve (22.7 +/- 23.5 degrees N m) compared to the CG (P < or = 0.019). The passive stiffness did not change significantly. The results showed that a stretching program for unconditioned calf MTUs increased the maximal DF angle and length extensibility, as well as the passive resistive properties throughout the full stretch range of motion. The adaptations within the calf MTU provide evidence that stretching enhances the dynamic passive length and passive resistive properties in unconditioned younger women.

Adaptation, Physiological↗

PubMed1975

Rehabilitation in extremity fractures.

General principles in the rehabilitation of a patient with an extremity fracture include: treat the patient, not the x-ray; move all joints not immobilized; prevent disuse atrophy; use gravity to assist in mobilizing a joint; stabilize proximal joints to avoid reverse action of biarticular muscles; permit early protected weight bearing until adequate joint mobility is achieved; appropriately instruct the patient in a home program, and avoid all stretching.

Age Factors↗

PubMedDate not supplied

"Growing pains" in childhood--a proposal for treatment.

"Growing pains" is a benign clinical entity of unknown etiology. This study examines a muscle stretching treatment based on a theory that the etiology of these pains is related to fatigue. The experimental group (18 children) showed a more rapid resolution of their symptoms over an 18 month period when compared to the control group (16 children).

Adolescent↗

PubMed2000

Stretch-activated ion channels contribute to membrane depolarization after eccentric contractions.

We tested the hypothesis that eccentric contractions activate mechanosensitive or stretch-activated ion channels (SAC) in skeletal muscles, producing increased cation conductance. Resting membrane potentials and contractile function were measured in rat tibialis anterior muscles after single or multiple exposures to a series of eccentric contractions. Each exposure produced a significant and prolonged (>24 h) membrane depolarization in exercised muscle fibers. The magnitude and duration of the depolarization were related to the number of contractions. Membrane depolarization was due primarily to an increase in Na(+) influx, because the estimated Na(+)-to-K(+) permeability ratio was increased in exercised muscles and resting membrane potentials could be partially repolarized by substituting an impermeant cation for extracellular Na(+) concentration. Neither the Na(+)/H(+) antiport inhibitor amiloride nor the fast Na(+) channel blocker TTX had a significant effect on the depolarization. In contrast, addition of either of two nonselective SAC inhibitors, streptomycin or Gd(3+), produced significant membrane repolarization. The results suggest that muscle fibers experience prolonged depolarization after eccentric contractions due, principally, to the activation of Na(+)-selective SAC.

Amiloride↗

PubMed1995

A modified internal rotation stretching technique for overhand and throwing athletes.

Strength, stretching, and rehabilitation methods for the shoulder have been previously described and have been universally applied; nevertheless, many throwing athletes continue to develop overuse injuries. The pitching process tends to increase external rotation and limit internal rotation of the shoulder joint. Our technique involves a modified stretching method of the posterior shoulder musculature. The athlete lies prone with the elbow flexed 90 degrees. With the shoulder abducted 90 degrees, in neutral flexion/extension, and 90 degrees or more of internal rotation, the scapula protrudes posteriorly. By depressing the inferior angle of the scapula toward the thoracic wall, the infraspinatus muscle and posterior joint capsule are effectively isolated and stretched. Manual stabilization of the scapula onto the chest wall transfers the internal rotation movements to the glenohumeral joint, as opposed to sharing the movement with the scapulothoracic articulation. This method improves the efficacy of the internal rotation stretching exercise for the glenohumeral joint. Such an addition to traditional stretching methods may increase the efficiency of the least effective component. We conclude that this modification to traditional programs should be an integral part of the training and rehabilitation program of any athlete requiring near maximal performance of the shoulder.

Athletic Injuries↗

PubMed2003

Investigation of the effect of GaAs laser therapy on cervical myofascial pain syndrome.

Low-energy laser therapy has been applied in several rheumatoid and soft tissue disorders with varying rates of success. The objective of our study was to investigate the effect of laser therapy on cervical myofascial pain syndrome with a placebo-controlled double-blind prospective study model. It was performed with a total of 53 patients (35 females and 18 males) with cervical myofascial pain syndrome. In group 1 (n = 23), GaAs laser treatment was applied over three trigger points bilaterally and also one point in the taut bands in trapezius muscle bilaterally with a frequency of 1000 Hz for 2 min over each point once a day for 10 days during a period of 2 weeks. In group 2 (n = 25), the same treatment protocol was given, but the laser instrument was switched off during applications. All patients in both groups were instructed to perform daily isometric exercises and stretching just short of pain for 2 weeks at home. Evaluations were performed just before treatment (week 0), immediately after (week 2), and 12 weeks later (week 14). Evaluation parameters included pain, algometric measurements, and cervical lateral flexion. Statistical analysis was done on data collected from three evaluation stages. The results were evaluated in 48 patients (32 females, 16 males). Week 2 and week 14 results showed significant improvement in all parameters for both groups. However, comparison of the percentage changes both immediately and 12 weeks after treatment did not show a significant difference relative to pretreatment values. In conclusion, the results of our study have not shown the superiority of GaAs laser therapy over placebo in the treatment of cervical myofascial pain syndrome, but we suggest that further studies on this topic be done using different laser types and dosages in larger patient populations.

Arsenicals↗

PubMed2001

Hemodynamic effects of supervised calf muscle exercise in patients with venous leg ulceration: a prospective controlled study.

HYPOTHESIS: Because more than two thirds of patients with venous ulcer have an impaired calf muscle pump, enhancement of its ejecting ability with physical training may generate an improved hemodynamic milieu sufficient to promoting ulcer healing. This study evaluated the effects of short-term supervised calf exercise on calf muscle pump function and venous hemodynamics in limbs with venous ulceration. DESIGN: Prospective controlled study. SETTINGS: University-associated tertiary care hospital. PATIENTS: The study consisted of 2 groups. An exercise group comprised 10 patients (median age, 72 years) receiving supervised isotonic calf muscle exercise for 7 consecutive days. A control group comprised 11 patients matched with those in the exercise group for age, sex, ulcer size, and ulcer duration (all, P>.09). Patients in both groups had perimalleolar venous leg ulcers, impaired calf muscle function (ejection fraction, <60%), and full ankle joint movement. INTERVENTIONS: After providing a complete clinical history, both groups underwent a physical examination, venous duplex scanning, and air plethysmography. The venous filling index, venous volume, residual venous volume, and residual volume fraction of the calf on standing were measured plethysmographically at baseline and on day 8, in addition to calf muscle endurance as determined by the maximal number of plantar flexions performed against a fixed 4-kg resistance during 6 minutes (1 flexion/s). Operators were blinded to the subject's group. Exercise in the first group entailed consecutive active plantar flexions using a standardized 4-kg resistance pedal ergometer. Subjects daily completed 3 sets of flexions of 6 minutes each. All patients had short-stretched compression bandaging. MAIN OUTCOME MEASURES: The ejected venous volume and ejection fraction were evaluated in both groups at baseline and on day 8. RESULTS: Both groups had a similar hemodynamic performance at baseline for all the variables evaluated (P>.10). After 7 days of exercise, patients in the exercise group improved their ejected venous volume by 67.5%, ejection fraction by 62.5%, residual venous volume by 25% (all 3, P =.006), and their residual volume fraction by 28.6% (P =.008). Changes in the control group within the same period were small (all, P>.10). By day 8, the exercise group had a significantly better ejected venous volume (P<.001) and ejection fraction (P<.001) than the control group. The venous filling index and the venous volume did not change (P>.50) in either study group. Calf muscular endurance in the exercise group increased 135%, from a median 153 plantar flexions at baseline to 360 on day 7 (P<.001). CONCLUSIONS: By increasing the muscular endurance, efficacy, and power of the calf muscle, isotonic exercise improves its ejecting ability and the global hemodynamic status in limbs with venous ulceration. Prospective evaluations of the clinical effects of calf muscle pump strengthening for the treatment of venous leg ulceration are indicated by the results of this study.

Aged↗

PubMedDate not supplied

The effect of strength and flexibility training on skeletal muscle electromyographic activity, stiffness, and viscoelastic stress relaxation response.

The present study examined whether isometric strength training alone or isometric strength training combined with flexibility training of the hamstring muscles altered the viscoelastic response during stretch. Twelve male subjects performed isometric training (strength) on one side and isometric and flexibility training (strength and flexibility) on the other side for 13 weeks; 10 other subjects served as controls. Passive torque offered by the hamstring muscle group was measure during passive knee extension using a dynamometer. The knee was passively extended to a predetermined final position at 0.0875 rad/sec (dynamic phase), where it remained stationary for 90 seconds (static phase). The slope of the line (stiffness) and the area under the curve (energy) in the dynamic phase, and the decline in passive torque (viscoelastic stress relaxation) in the static phase were analyzed. Isometric strength was determined with a dynamometer. A strength test and a stretch maneuver were administered before and after the training period. All variables were unchanged in the control group. Isometric strength increased similarly on both training sides by 43%. The stretch maneuver showed that energy, stiffness, and passive torque increased on both training sides while low-level electromyographic recordings remained constant. Furthermore, the viscoelastic stress relaxation response (31% to 33%) was unaffected by the training. The addition of flexibility exercise had no significant effect on these strength training responses. These data suggest that an increase in isometric strength is accompanied by changes in the material properties of the muscle that are unaffected by flexibility exercises.

Adult↗

PubMed2004

Physiologic profile of recreational male and female novice and experienced Tae Kwon Do practitioners.

AIM: Subjects, 28 recreational male and female novice and experienced Tae Kwon Do practitioners (age 19-42 years), were examined on 6 physiological parameters: body composition (BF%, skinfold measures), flexibility (sit-and-reach and leg-splits tests), lower and upper-body dynamic muscular strength (leg press and bench press), abdominal strength and endurance (1-minute timed, bent-knee sit-ups test), lower extremity explosive power (vertical jump-and-reach test), and cardiovascular endurance (graded exercise treadmill test). METHODS: Subjects were assigned to 1 of the 4 following groups: Tae Kwon Do experienced and trained men (MT), Tae Kwon Do experienced and trained women (FT), novice Tae Kwon Do men (MN), and novice Tae Kwon Do women (FN). RESULTS: Results of multiple testing procedures and comparison across groups indicated that Tae Kwon Do black belts were more athletically fit as compared with that of novice Tae Kwon Do practitioners of the same sex in spite of the fact that male and female black belts were older than their novice counterparts. Experienced Tae Kwon Do subjects were stronger as measured by lower body strength and showed better aerobic performance capacity as well as lower percent body fat. Additionally, MT subjects demonstrated higher flexibility. CONCLUSION: The highly diverse training, repeated and continuous use of the legs and arms alone or combined with maximal stretching, and high intensity exercise may account for observed differences among groups.

Adaptation, Physiological↗

PubMedDate not supplied

Passive tension of the ankle before and after stretching.

The passive tension resulting from dorsiflexion of the ankle was measured in relation to stretching in six handball players and six soccer players. Corresponding values of ankle angle and passive tension were measured by a strain gauge and a potentiometer connected to a pedal system. The passive tension versus ankle angle was measured before and 90 minutes after a single contract-relax stretching program of the plantar flexors. Stretching lowered the passive tension by up to 18%. Contract-relax stretching performed twice a day for 3 weeks lowered the passive tension in the plantar flexors by up to 36%. Before the last measurements, no stretching was performed for 20 hours or more. Stretching thus had both a short-term effect, matching the length of a training session, and a long-term effect, shown in a reduction of passive tension after 3 weeks. The relative decrease in passive tension after stretching exercises was constant from a neutral position of the ankle to maximal dorsiflexion. There was no correlation between 1) flexibility and the short-term effect of stretching, 2) flexibility and the long-term effect of stretching, or 3) the short-term and long-term effects of stretching. This indicates that passive tension was decreased in all subjects irrespective of their flexibility, and that subjects who had short-term effects after stretching did not necessarily demonstrate a long-term effect.

Adult↗

PubMed1992

Neural compensation for fatigue-induced changes in muscle stiffness during perturbations of elbow angle in human.

1. The contribution to muscle force regulation provided by reflex pathways was studied in the elbow flexor muscles of seven normal human subjects, with the use of voluntary fatigue to induce a deficit in the force-generating capability of these muscles. To estimate the changes in the mechanical state of the muscle and the compensatory actions taken by reflex pathways to minimize the impact of fatigue, stochastic and "step" angular perturbations were applied to the joint, and the resulting joint stiffness and electromyographic (EMG) responses were compared before and after fatigue. 2. The magnitude of contractile fatigue, induced by repeatedly lifting a weight via a pulley system, was quantified by comparing the slope of the isometric torque-EMG relationship before and after fatigue. The exercise routine was quite effective in producing severe and long-lasting fatigue, with average percentage changes in the isometric torque-EMG slope of 210-306% for biceps and 129-205% for brachioradialis, depending on the point in time examined. 3. The torque response to a rapid step stretch of the elbow joint was quite similar before and after fatigue for the time interval before reflex action (less than 20 ms after stretch onset), suggesting that intrinsic muscle stiffness for a given mean torque level was not changed by fatigue. The steady-state torque level attained after completion of the stretch was always decreased after fatigue, indicating a decrease in the reflex component of joint stiffness, but this decrease was small compared with the change in the isometric torque-EMG relationship and was accompanied by a significantly larger incremental EMG response after fatigue. This increase in incremental EMG after fatigue was found to be of reflex origin, with activation-related reflex gain changes apparently playing a significant role only at low contraction levels. 4. Torque and angle responses recorded during stochastic perturbations were used to identify elbow joint compliance impulse responses. A second-order mechanical model was fit to each impulse response, and the parameters representing joint inertia, elastic stiffness, and viscous stiffness were used to summarize changes in joint mechanical properties as the mean contraction level was varied. For a perturbation with a relatively wide bandwidth (0-25 Hz), fatigue had little or no effect on the form of the compliance impulse response, apparently because the stimulus disabled reflex force generation in elbow flexor muscles, whereas a perturbation with a more restricted bandwidth (0-10 Hz) demonstrated consistent decreases in joint stiffness after fatigue.(ABSTRACT TRUNCATED AT 400 WORDS)

Adolescent↗

PubMed1985

Activation of nuclear chromatin in stretch-dependent growth of tissues.

The growth of connective tissue cells can be controlled both by mechanical extension and by diffusion gradients. We have used nuclear fluorescence with acridine orange (AO) as a measure of nuclear activation, to study growth control in vivo in rat mesometrium and mouse spine. Frozen sections of spinal muscle taken from animals after two h exercise, revealed nuclear activation in peripheral cells. The number of active muscle nuclei decreased drastically with age. During mesometrial growth in pregnancy, AO fluorescence showed that activated cell nuclei occurred mainly near the capillaries. The width of the zone of activated nuclei was within 20 microns from the capillary walls. AO appears to be a sensitive stain for tracing gradients of growth in intact connective tissue.

Acridine Orange↗

PubMed2001

Neural influences on sprint running: training adaptations and acute responses.

Performance in sprint exercise is determined by the ability to accelerate, the magnitude of maximal velocity and the ability to maintain velocity against the onset of fatigue. These factors are strongly influenced by metabolic and anthropometric components. Improved temporal sequencing of muscle activation and/or improved fast twitch fibre recruitment may contribute to superior sprint performance. Speed of impulse transmission along the motor axon may also have implications on sprint performance. Nerve conduction velocity (NCV) has been shown to increase in response to a period of sprint training. However, it is difficult to determine if increased NCV is likely to contribute to improved sprint performance. An increase in motoneuron excitability, as measured by the Hoffman reflex (H-reflex), has been reported to produce a more powerful muscular contraction, hence maximising motoneuron excitability would be expected to benefit sprint performance. Motoneuron excitability can be raised acutely by an appropriate stimulus with obvious implications for sprint performance. However, at rest H-reflex has been reported to be lower in athletes trained for explosive events compared with endurance-trained athletes. This may be caused by the relatively high, fast twitch fibre percentage and the consequent high activation thresholds of such motor units in power-trained populations. In contrast, stretch reflexes appear to be enhanced in sprint athletes possibly because of increased muscle spindle sensitivity as a result of sprint training. With muscle in a contracted state, however, there is evidence to suggest greater reflex potentiation among both sprint and resistance-trained populations compared with controls. Again this may be indicative of the predominant types of motor units in these populations, but may also mean an enhanced reflex contribution to force production during running in sprint-trained athletes. Fatigue of neural origin both during and following sprint exercise has implications with respect to optimising training frequency and volume. Research suggests athletes are unable to maintain maximal firing frequencies for the full duration of, for example, a 100m sprint. Fatigue after a single training session may also have a neural manifestation with some athletes unable to voluntarily fully activate muscle or experiencing stretch reflex inhibition after heavy training. This may occur in conjunction with muscle damage. Research investigating the neural influences on sprint performance is limited. Further longitudinal research is necessary to improve our understanding of neural factors that contribute to training-induced improvements in sprint performance.

Adaptation, Physiological↗

PubMed2003

The role of flexibility in injury prevention and athletic performance: have we stretched the truth?

The use of stretching to prevent injury, off-set muscle soreness, and improve performance has been widely accepted and promoted in sports. However, little or no scientific evidence supports the practice, and recent research suggests that stretching, which increases flexibility beyond that needed for sport-specific movements, may cause injury. This article presents studies that have looked at the effects of stretching on injury and performance. Many earlier studies that showed benefits of stretching did not look at the effects of stretching alone; they also involved general cardiovascular workouts in the experimental but not control groups. More recent research shows that general fitness, rather than stretching, is a more important risk factor in injury prevention. This article also discusses studies of the relationship between joint laxity and injury and the role that stiffness may play in enhancing performance and preventing injury. Overall, the evidence suggests that increasing range of motion beyond function through stretching is not beneficial and can actually cause injury and decrease performance. These findings should be used to challenge common warm-up practices in athletics.

Athletic Injuries↗