scholarly journals The Comparison of Different Stretching Intensities on the Range of Motion and Muscle Stiffness of the Quadriceps Muscles

2021 ◽  
Vol 11 ◽  
Author(s):  
Masatoshi Nakamura ◽  
Shigeru Sato ◽  
Yuta Murakami ◽  
Ryosuke Kiyono ◽  
Kaoru Yahata ◽  
...  

Muscle strain is one of the most frequent sports injuries, having the rectus femoris (RF) muscle as the reported preferred site of quadriceps muscle strain. The decrease muscle stiffness could be an effective RF muscle strain prevention. In recent studies, a high-intensity static stretching intervention decreased passive stiffness, though no study has investigated on the effect of the different static stretching intervention intensities on quadriceps muscle stiffness. The purpose of this study was to investigate the three different quadriceps muscle stiffness intensities (120 vs. 100 vs. 80%). Eighteen healthy, sedentary male volunteers participated in the study and randomly performed three intensities. The static stretching intervention was performed in knee flexion with 30° hip extension. Three 60-second stretching intervention with a 30-second interval were performed at each stretching intensity. We measured knee flexion range of motion and shear elastic modulus of the RF muscle used by ultrasonic shear-wave elastography before and after the static stretching intervention. Our results showed that the knee flexion range of motion was increased after 100% (p < 0.01) and 120% intensities (p < 0.01) static stretching intervention, not in 80% intensity (p = 0.853). In addition, our results showed that the shear elastic modulus of the RF muscle was decreased only after 100% intensity static stretching intervention (p < 0.01), not after 80% (p = 0.365), and 120% intensities (p = 0.743). To prevent the quadriceps muscle strain, especially the RF muscle, 100%, not 120% (high) and 80% (low), intensity stretching could be beneficial in sports setting application.

2021 ◽  
Vol 28 (10) ◽  
pp. 1-10
Author(s):  
Masatoshi Nakamura ◽  
Shigeru Sato ◽  
Futaba Sanuki ◽  
Yuta Murakami ◽  
Ryosuke Kiyono ◽  
...  

Background/aims High-intensity static stretching is assumed to increase the range of motion and/or decrease muscle stiffness; however, the effects of high-intensity static stretching on the quadriceps muscle have been debated. Hot pack application before high-intensity static stretching was assumed to decrease stretching pain, which is the main problem in high-intensity static stretching, and decrease quadriceps muscle stiffness. This study aimed to examine hot pack application before high-intensity static stretching on stretching pain, knee flexion range of motion, and quadriceps muscle stiffness. Methods In total, 21 healthy sedentary male participants randomly performed two interventions: high-intensity static stretching and hot pack application before stretching. Static stretching was performed at three 60-second stretching interventions with a 30-second interval. Then, a 20-minute hot pack was applied before high-intensity static stretching. The knee flexion range of motion and shear elastic modulus of the quadriceps muscle were measured by ultrasonic shear-wave elastography before and after the static stretching intervention. Results Stretching pain after hot pack application before stretching was lower than high-intensity static stretching alone. Significant increases were also found in knee flexion range of motion after both stretching interventions, but no significant difference was noted in the increase in the knee flexion range of motion with or without hot pack application. No significant change was found in quadriceps muscle stiffness in either intervention. Conclusions The results suggest that hot pack application before high-intensity static stretching could decrease stretching pain, but no significant difference in knee flexion range of motion increase was found.


2020 ◽  
Vol 29 (5) ◽  
pp. 578-582
Author(s):  
Masatoshi Nakamura ◽  
Shigeru Sato ◽  
Ryosuke Kiyono ◽  
Nobushige Takahashi ◽  
Tomoichi Yoshida

Context: In clinical and sports settings, static stretching (SS) is usually performed to increase range of motion (ROM) and decrease passive muscle stiffness. Recently, the shear elastic modulus was measured by ultrasonic shear wave elastography as an index of muscle stiffness. Previous studies reported that the shear elastic modulus measured by ultrasound shear wave elastography decreased after SS, and the effects of SS on shear elastic modulus were likely affected by rest duration between sets of SS. Objective: To investigate the acute effects of SS with different rest durations on ROM and shear elastic modulus of gastrocnemius and to clarify whether the rest duration between sets of SS decreases the shear elastic modulus. Design: A randomized, repeated-measures experimental design. Setting: University laboratory. Participants: Sixteen healthy males volunteered to participate in the study (age 21.3 [0.8] y; height 171.8 [5.1] cm; weight 63.1 [4.5] kg). Main Outcome Measures: Each participant underwent 3 different rest interval durations during SS (ie, long rest duration: 90 s; normal rest duration: 30 s; and short rest duration: 10 s). This SS technique was repeated 10 times, thus lasting a total of 300 seconds with different rest durations in each protocol. The dorsiflexion ROM and shear elastic modulus were measured before and after SS. Results: Our results revealed that dorsiflexion ROM and shear elastic modulus were changed after 300-second SS; however, no effects of the rest duration between sets of SS were observed. Conclusions: In terms of decreasing the shear elastic modulus, clinicians and coaches should not focus on the rest duration when SS intervention is performed.


2020 ◽  
Vol 11 ◽  
Author(s):  
Taizan Fukaya ◽  
Ryosuke Kiyono ◽  
Shigeru Sato ◽  
Kaoru Yahata ◽  
Koki Yasaka ◽  
...  

This study investigated the effects of static stretching (SS) delivered with the same load but using two protocols – high-intensity and short-duration and low-intensity and long-duration – on range of motion (ROM) and muscle stiffness. A total of 18 healthy students participated in the study. They randomly performed high-intensity and short-duration (120% and 100 s) or low-intensity and long-duration (50% and 240 s) SS. Outcomes were assessed on ROM, passive torque at dorsiflexion ROM, and shear elastic modulus of the medial gastrocnemius before and after static stretching. The results showed that ROM increased significantly at post-stretching compared to that at pre-stretching in both high-intensity and short-duration [+6.1° ± 4.6° (Δ25.7 ± 19.9%)] and low-intensity and long-duration [+3.6° ± 2.3° (Δ16.0 ± 11.8%)]. Also, the ROM was significantly higher at post-stretching in high-intensity and short-duration conditions than that in low-intensity and long-duration. The passive torque at dorsiflexion ROM was significantly increased in both high-intensity and short-duration [+5.8 ± 12.8 Nm (Δ22.9 ± 40.5%)] and low-intensity and long-duration [+2.1 ± 3.4 Nm (Δ6.9 ± 10.8%)] conditions, but no significant differences were observed between both conditions. The shear elastic modulus was significantly decreased in both high-intensity and short-duration [−8.8 ± 6.1 kPa (Δ − 38.8 ± 14.5%)] and low-intensity and long-duration [−8.0 ± 12.8 kPa (Δ − 22.2 ± 33.8%)] conditions. Moreover, the relative change in shear elastic modulus in the high-intensity and short-duration SS was significantly greater than that in low-intensity and long-duration SS. Our results suggest that a higher intensity of the static stretching should be conducted to increase ROM and decrease muscle stiffness, even for a short time.


2021 ◽  
Vol 12 ◽  
Author(s):  
Kosuke Takeuchi ◽  
Shigeru Sato ◽  
Ryosuke Kiyono ◽  
Kaoru Yahata ◽  
Yuta Murakami ◽  
...  

A previous study reported that 3-min of high-intensity static stretching at an intensity of 120% of range of motion (ROM) did not change the muscle stiffness of the rectus femoris, because of the overly high stress of the stretching. The purpose of this study was to examine the effects of high-intensity static stretching of a shorter duration or lower intensity on the flexibility of the rectus femoris than that of the previous study. Two experiments were conducted (Experiment 1 and 2). In Experiment 1, eleven healthy men underwent static stretching at the intensity of 120% of ROM for two different durations (1 and 3 min). In Experiment 2, fifteen healthy men underwent 3-min of static stretching at the intensity of 110% of ROM. The shear elastic modulus of the quadriceps were measured. In Experiment 1, ROM increased in both interventions (p < 0.01), but the shear elastic modulus of the rectus femoris was not changed. In Experiment 2, ROM significantly increased (p < 0.01), and the shear elastic modulus of the rectus femoris significantly decreased (p < 0.05). It was suggested that the stretching intensity (110%) is more important than stretching duration to decrease the muscle stiffness of the rectus femoris.


2018 ◽  
Vol 02 (05) ◽  
pp. E142-E147 ◽  
Author(s):  
Masatoshi Nakamura ◽  
Ryo Hirabayashi ◽  
Shuhei Ohya ◽  
Takafumi Aoki ◽  
Daichi Suzuki ◽  
...  

AbstractThis study aimed to clarify the acute effect of static stretching (SS) with superficial cooling on dorsiflexion range of motion (DF ROM) and muscle stiffness. Sixteen healthy males participated in the cooling condition and a control condition in a random order. The DF ROM and the shear elastic modulus of medial gastrocnemius (MG) in the dominant leg were measured during passive dorsiflexion. All measurements were performed prior to (PRE) and immediately after 20 min of cooling or rested for 20 min (POST), followed by 2 min SS (POST SS). In cooling condition, DF ROM at POST and POST SS were significantly higher than that at PRE and DF ROM at POST SS was significantly higher than that at POST. In addition, the shear elastic modulus at POST was significantly higher than that at PRE and the shear elastic modulus at POST SS was significantly lower than those at PRE and POST. However, there were no significant differences in the percentage changes between PRE and POST SS between the cooling and control conditions. Our results showed that effects of SS with superficial cooling on increases in ROM and decrease in muscle stiffness were no more beneficial than those of SS alone.


2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Jun Zhang ◽  
Jiafeng Yu ◽  
Chunlong Liu ◽  
Chunzhi Tang ◽  
Zhijie Zhang

Background. Neck and shoulder complaints caused by poor posture may influence upper trapezius stiffness. The relationship between the shear elastic modulus of the upper trapezius and cervical flexion angles is unknown. Therefore, it is essential to assess upper trapezius stiffness during cervical flexion. The objectives of this study were to (1) determine the intra- and interoperator reliabilities of evaluating upper trapezius stiffness and calculate the minimal detectable change (MDC); (2) examine the elastic modulus alterations of the upper trapezius during cervical flexion; and (3) explore the difference of upper trapezius stiffness between the dominant and nondominant sides. Methods. Twenty healthy male participants were recruited in this study. The shear modulus of the upper trapezius was evaluated by two independent investigators using shear wave elastography (SWE) during cervical flexion at 0° and 50°. Findings. The intraoperator (intraclass correlation coefficient ICC=0.85–0.86) and interoperator (ICC=0.94–0.98) reliabilities for measuring the shear elastic modulus of the upper trapezius during the cervical flexion ranged from good to excellent. An increase of 35.58% in upper trapezius stiffness was found at 0° to 50° of cervical flexion, and the MDC was 7.04 kPa. In addition, a significant difference was obtained in the elastic modulus of the upper trapezius muscle between the dominant and nondominant sides (P<0.05). Conclusions. Our findings revealed that SWE could quantify the elastic modulus of the upper trapezius and monitor its changes. Therefore, further studies are required to delineate the modulation in upper trapezius muscle stiffness among subjects with neck and shoulder pain.


Healthcare ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 80
Author(s):  
Masatoshi Nakamura ◽  
Ryosuke Kiyono ◽  
Shigeru Sato ◽  
Kaoru Yahata ◽  
Taizan Fukaya ◽  
...  

Background: Previous studies suggest that the capacity for rapid force production of ankle plantar flexors is essential for the prevention of falls in the elderly. In healthy young adults, there were significant associations between rate of force development and muscle stiffness measured by shear wave elastography. However, there has been no study investigating the association of rate of force development with shear elastic modulus in older adults. Methods: The muscle strength and shear elastic modulus of the medial gastrocnemius muscle in both legs were measured in 17 elderly men and 10 elderly women (mean ± SD; 70.7 ± 4.1 years; 160.6 ± 8.0 cm; 58.7 ± 9.5 kg). We investigated the rate of force development of plantar flexors and shear elastic modulus of medial gastrocnemius muscle using by shear wave elastography. Results: Our results showed that there were no significant associations between normalized rate of force development and shear elastic modulus of medial gastrocnemius muscle. Conclusion: This suggests that the capacity of rapid force production could be related not to muscle stiffness of the medial gastrocnemius muscle, but to neuromuscular function in older individuals.


Author(s):  
Masatoshi Nakamura ◽  
Remi Onuma ◽  
Ryosuke Kiyono ◽  
Koki Yasaka ◽  
Shigeru Sato ◽  
...  

“Foam Rolling” has been used in sports settings to increase range of motion and decrease muscle stiffness without decreasing muscle strength and athletic performance. However, there has been no study investigating the acute and prolonged effect of different durations of foam rolling intervention on muscle stiffness, and the minimum foam rolling intervention duration required to decrease muscle stiffness is unclear. Therefore, the purpose of this study was to investigate the acute and prolonged effect of different durations of foam rolling intervention on ROM, muscle stiffness, and muscle strength. The 45 participants were randomly allocated to 1 of 3 groups (30 s × 1 times group vs 30 s × 3 times group vs 30 s× 10 times group). The outcome measures were dorsiflexion range of motion, shear elastic modulus of medial gastrocnemius, and muscle strength before, 2 min and 30 min after foam rolling intervention. There were no significant differences before and 2 min after foam rolling intervention in 30 s×1 time group, whereas dorsiflexion range of motion was increased in both 30 s×3 times group (p = 0.042, d = 0.26) and 30 s× 10 times group (p < 0.01, d = 0.33). However, the increase in dorsiflexion range of motion was returned to baseline value after 30 minutes in both 30 s × 3 times group and 30 s × 10 times group. In addition, there were no significant changes in shear elastic modulus and muscle strength in all groups. This study suggested that foam rolling for more than 90 s or more of foam rolling was effective in order to increase the range of motion immediately without changing muscle stiffness and muscle strength.


2014 ◽  
Vol 111 (4) ◽  
pp. 768-776 ◽  
Author(s):  
Killian Bouillard ◽  
Marc Jubeau ◽  
Antoine Nordez ◽  
François Hug

The present study aimed to investigate the effects of selective fatigue (i.e., one muscle of the quadriceps) on load sharing strategies during submaximal knee extensions. Shear wave elastography was used to measure muscle shear elastic modulus, as this is considered to be an index of individual muscle force. Sixteen participants attended two experimental sessions that each involved six 10-s knee extensions at 20% of maximal voluntary contraction (MVC) followed by a sustained submaximal isometric knee extension at 20% of MVC, until task failure (Tlim). Between the 10-s contractions and Tlim, participants were required to rest (5 min) for the control session or underwent 5 min of electromyostimulation (EMS) on vastus lateralis (EMS session). Compared with the control session, vastus lateralis shear elastic modulus values were significantly lower after EMS considering both the start of Tlim (54.6 ± 11.8 vs. 68.4 ± 19.2 kPa; P = 0.011) and the entire Tlim contraction (59.0 ± 14.0 vs. 74.4 ± 20.3 kPa; P = 0.019). However, no significant differences were observed for the other recorded muscles (vastus medialis and rectus femoris; both P = 1), i.e., different patterns of changes were found between participants. In conclusion, this study demonstrates that prefatiguing a single agonist muscle does not lead to a consistent redistribution of load sharing among the quadriceps muscles between individuals. These results suggest that the central nervous system does not use a common principle among individuals to control load sharing when neuromuscular fatigue occurs.


2014 ◽  
Vol 117 (10) ◽  
pp. 1132-1140 ◽  
Author(s):  
François Hug ◽  
Paul W. Hodges ◽  
Wolbert van den Hoorn ◽  
Kylie Tucker

This study aimed to determine whether muscle stress (force per unit area) can be redistributed between individual heads of the quadriceps muscle when pain is induced into one of these heads. Elastography was used to measure muscle shear elastic modulus (an index of muscle stress). Electromyography (EMG) was recorded from vastus lateralis (VL), vastus medialis (VM), and rectus femoris (RF). In experiment I ( n = 20), participants matched a knee extension force, and thus any reduction of stress within the painful muscle would require compensation by other muscles. In experiment II ( n = 13), participants matched VL EMG amplitude and were free to vary external force such that intermuscle compensation would be unnecessary to maintain the experimental task. In experiments I and II, pain was induced by injection of hypertonic saline into VM or RF. Experiment III aimed to establish whether voluntary drive to the individual muscles could be controlled independently. Participants ( n = 13) were asked to voluntarily reduce activation of VM or RF while maintaining knee extension force. During VM pain, there was no change in shear elastic modulus ( experiments I and II) or EMG amplitude of VM ( experiment II). In contrast, RF pain was associated with a reduction in RF elastic modulus ( experiments I and II: −8 to −17%) and EMG amplitude ( experiment II). Participants could voluntarily reduce EMG amplitude of RF ( −26%; P = 0.003 ) but not VM ( experiment III). These results highlight between-muscle differences in adaptation to pain that might be explained by their function (monoarticular vs. biarticular) and/or the neurophysiological constraints associated to their activation.


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