Working bibliography on mechanical properties of muscle
Stretch-shortening cycle
Bosco, C., I. Tarkka, and P. V. Komi. Effect of elastic energy and myoelectrical potentiation of triceps surae during stretch-shortening cycle exercise. Int. J. Sports Med. 3:137-140, 1982.
Wilson, G. J., B. C. Elliott, and G. A. Wood. Stretch shorten cycle performance enhancement through flexibility training. Med. Sci. Sports Exerc. 24:116-123, 1992.
Worrell, T. W., T. L. Smith, and J. Winegardner. Effect of stretching on hamstring muscle performance. J.Orthop. Sport Phys. Ther. 20:154-159, 1994.
Stretching protocols
Bandy, W. D., & Irion, J.M. (1994). The effect of time on static stretch on the flexibility of the hamstring muscle. Physical Therapy, 74, 845-852.
Abstract
BACKGROUND AND PURPOSE. To date, there are no reports comparing duration of static stretch in humans on joint range of motion (ROM) and hamstring muscle flexibility. The purpose of this study was to examine the length of time the hamstring muscles should be placed in a sustained stretched position to maximally increase ROM. SUBJECTS. Fifty-seven subjects (40 men, 17 women), ranging in age from 21 to 37 years and with limited hamstring muscle flexibility (ie, 30 degrees loss of knee extension measured with femur held at 90 degrees of hip flexion), were randomly assigned to one of four groups. Three groups stretched 5 days per week for 15, 30, and 60 seconds, respectively. The fourth group, which served as a control group, did not stretch. METHODS. Before and after 6 weeks of stretching, flexibility of the hamstring muscles was determined by measuring knee extension ROM with the femur maintained in 90 degrees of hip flexion. Data were analyzed with a 4 x 2 analysis of variance (group x test) for repeated measures on one variable. RESULTS. The data analysis revealed a significant group x test interaction, indicating that the change in flexibility was dependent on the duration of stretching. Further post hoc analysis revealed that 30 and 60 seconds of stretching were more effective at increasing flexibility of the hamstring muscles (as determined by increased ROM of knee extension) than stretching for 15 seconds or no stretching. In addition, no significant difference existed between stretching for 30 seconds and for 1 minute, indicating that 30 seconds of stretching the hamstring muscles was as effective as the longer duration of 1 minute. CONCLUSION AND DISCUSSION. The results of this study suggest that a duration of 30 seconds is an effective time of stretching for enhancing the flexibility of the hamstring muscles. Given the information that no increase in flexibility of the hamstring muscles occurred by increasing the duration of stretching from 30 to 60 seconds, the use of the longer duration of stretching for an acute effect must be questioned.
Bandy, W.D., Irion, J.M/, & Briggler, M. (1997). The effect of time and frequency of static stretching on flexibility of the hamstring muscles. Physical Therapy, 77, 1090-6.
Abstract
BACKGROUND AND PURPOSE: Frequency and duration of static stretching have not been extensively examined. Additionally, the effect of multiple stretches per day has not been evaluated. The purpose of this study was to determine the optimal time and frequency of static stretching to increase flexibility of the hamstring muscles, as measured by knee extension range of motion (ROM). SUBJECTS: Ninety-three subjects (61 men, 32 women) ranging in age from 21 to 39 years and who had limited hamstring muscle flexibility were randomly assigned to one of five groups. The four stretching groups stretched 5 days per week for 6 weeks. The fifth group, which served as a control, did not stretch. METHODS: Data were analyzed with a 5 x 2 (group x test) two-way analysis of variance for repeated measures on one variable (test). RESULTS: The change in flexibility appeared to be dependent on the duration and frequency of stretching. Further statistical analysis of the data indicated that the groups that stretched had more ROM than did the control group, but no differences were found among the stretching groups. CONCLUSION AND DISCUSSION: The results of this study suggest that a 30-second duration is an effective amount of time to sustain a hamstring muscle stretch in order to increase ROM. No increase in flexibility occurred when the duration of stretching was increased from 30 to 60 seconds or when the frequency of stretching was increased from one to three times per day.
Borms, J., VanRoy, P., Santens, J.P., & Haentjens, A. (1987). Optimal duration of static stretching exercises for improvement of coxofemoral flexibility. Journal of Sports Science, 5, 39-47.
Abstract
The purpose of this study was to determine the effect of different durations of static stretching exercises on coxo-femoral (hip) flexibility. The experimental group, consisting of 20 sedentary women (20-30 years of age), participated in an exercise programme of static stretching exercises with emphasis on the hamstring muscles. The programme lasted for 10 weeks and consisted of two 50-min sessions per week. A control group of 15 sedentary women did not participate in the programme. Hip flexibility was determined before, during and at the end of the programme by means of a goniometric measuring technique developed by us and described elsewhere. Three sub-groups were formed, each following the same programme except that the duration of the static stretch differed (group 1, 10 s; group 2, 20 s; group 3, 30 s). The ANOVA tests showed that for all groups - the control group excepted - the hip flexibility had improved significantly after 10 weeks (P less than 0.05). No significant differences in hip flexibility were noted between the three subgroups at the end of the programme. This finding suggests that a duration of 10 s static stretching is sufficient for improving coxo-femoral flexibility.
Crisco, J.J., Chelikani, S., Brown, R.K., & Wolfe, S.W. (1997). The effects of exercise on ligamentous stiffness in the wrist. Journal of Hand Surgery [Am], 22, 44-8.
Abstract
The purpose of this study was to determine if exercise alters wrist joint laxity, as measured by the mechanical behavior of the scaphoid bone. The load-displacement behavior of the scaphoid was studied in the palmar-dorsal direction in both wrists of 7 healthy volunteers (n = 14) before and after 2 exercise protocols (grip and push-up). When compared to the rested values, both exercise protocols significantly increased the displacement at 40 N by 47% (grip) and by 34% (push-up). Accordingly, the stiffness decreased significantly by 36% (grip) and by 32% (push-up). Partial recovery was documented after 1 hour of rest and there were no differences between any of the groups after 24 hours of rest. The increase in laxity documented during these exercise protocols reduces the ligament loads at comparable wrist positions and may thereby reduce the likelihood of traumatic ligamentous injury during participation in strenuous activity or sports.
McHugh, M.P., Connolly, D.A., Eston, R.G., Kremenic, I.J., Nicholas, S.J., & Gleim, G.W. (1999). The role of passive muscle stiffness in symptoms of exercise-induced muscle damage. American Journal of Sports Medicine, 27, 594-9.
Abstract
We examined whether passive stiffness of an eccentrically exercising muscle group affects the subsequent symptoms of muscle damage. Passive hamstring muscle stiffness was measured during an instrumented straight-leg-raise stretch in 20 subjects (11 men and 9 women) who were subsequently classified as "stiff" (N = 7), "normal" (N = 6), or "compliant" (N = 7). Passive stiffness was 78% higher in the stiff subjects (36.2 +/- 3.3 N.m.rad(-1)) compared with the compliant subjects (20.3 +/- 1.8 N.m.rad(-1)). Subjects then performed six sets of 10 isokinetic (2.6 rad.s(-1)) submaximal (60% maximal voluntary contraction) eccentric actions of the hamstring muscle group. Symptoms of muscle damage were documented by changes in isometric hamstring muscle strength, pain, muscle tenderness, and creatine kinase activity on the following 3 days. Strength loss, pain, muscle tenderness, and creatine kinase activity were significantly greater in the stiff compared with the compliant subjects on the days after eccentric exercise. Greater symptoms of muscle damage in subjects with stiffer hamstring muscles are consistent with the sarcomere strain theory of muscle damage. The present study provides experimental evidence of an association between flexibility and muscle injury. Muscle stiffness and its clinical correlate, static flexibility, are risk factors for more severe symptoms of muscle damage after eccentric exercise.
Magnusson, S.P. (1998). Passive properties of human skeletal muscle during stretch maneuvers: A review. Scandinavian Journal of Medicine & Science in Sports, 8, 65-77.
Abstract
Despite limited scientific knowledge, stretching of human skeletal muscle to improve flexibility is a widespread practice among athletes. This article reviews recent findings regarding passive properties of the hamstring muscle group during stretch based on a model that was developed which could synchronously and continuously measure passive hamstring resistance and electromyographic activity, while the velocity and angle of stretch was controlled. Resistance to stretch was defined as passive torque (Nm) offered by the hamstring muscle group during passive knee extension using an isokinetic dynamometer with a modified thigh pad. To simulate a clinical static stretch, the knee was passively extended to a pre-determined final position (0.0875 rad/s, dynamic phase) where it remained stationary for 90 s (static phase). Alternatively, the knee was extended to the point of discomfort (stretch tolerance). From the torque-angle curve of the dynamic phase of the static stretch, and in the stretch tolerance protocol, passive energy and stiffness were calculated. Torque decline in the static phase was considered to represent viscoelastic stress relaxation. Using the model, studies were conducted which demonstrated that a single static stretch resulted in a 30% viscoelastic stress relaxation. With repeated stretches muscle stiffness declined, but returned to baseline values within 1 h. Long-term stretching (3 weeks) increased joint range of motion as a result of a change in stretch tolerance rather than in the passive properties. Strength training resulted in increased muscle stiffness, which was unaffected by daily stretching. The effectiveness of different stretching techniques was attributed to a change in stretch tolerance rather than passive properties. Inflexible and older subjects have increased muscle stiffness, but a lower stretch tolerance compared to subjects with normal flexibility and younger subjects, respectively. Although far from all questions regarding the passive properties of humans skeletal muscle have been answered in these studies, the measurement technique permitted some initial important examinations of vicoelastic behavior of human skeletal muscle. [References: 83]
Tardieu, C., Lespargot, A., Tabary, C., & Bret M.D. (1988). For how long must the soleus muscle be stretched each day to prevent contracture? Developmental Medicine & Child Neurology, 30, 3-10.
Abstract
The extent to which treatment of passive muscle contracture could be minimised without loss of efficiency was studied. Soleus muscle contracture was measured by the difference between the ankle angles at which minimal and maximal resistance occurred during slow dorsiflexion of the ankle. This examination was done twice, at the beginning and end of a seven-month observation period. During the observation period, also, the ankle angles were measured throughout a 24-hour period in the ordinary life of the child. The number of hours per 24-hour period during which the soleus muscle was stretched above a minimal threshold length was calculated.
"The major finding was that there was no progressive contracture when the soleus was stretched for at least six hours a day (the same time as in non-handicapped children). On the other hand, there was progressive contracture when the stretching time was as short as two hours.
Two of the cases examined illustrated the possible causes of success or failure of night splints.
These results provide new guidelines for the continuous treatment of children with cerebral palsy.
Taylor, D. C., J. D. Dalton, A. V. Seaber, & W. E. Garrett. (1990). Viscoelastic properties of muscle-tendon units: The biomechanical effects of stretching. American Journal of Sports Medicine, 18, 300-309.
Abstract
Most muscle stretching studies have focused on defining the biomechanical properties of isolated elements of the muscle-tendon unit or on comparing different stretching techniques. We developed an experimental model that was designed to evaluate clinically relevant biomechanical stretching properties in an entire muscle-tendon unit. Our objectives were to characterize the viscoelastic behavior of the muscle-tendon unit and to consider the clinical applications of these viscoelastic properties. Rabbit extensor digitorum longus and tibialis anterior muscle-tendon units were evaluated using methods designed to simulate widely used stretching techniques. Additionally, the effects of varying stretch rates and of reflex influences were evaluated. We found that muscle-tendon units respond viscoelastically to tensile loads. Reflex activity did not influence the biomechanical characteristics of the muscle-tendon unit in this model. Experimental techniques simulating cyclic stretching and static stretching resulted in sustained muscle-tendon unit elongations, suggesting that greater flexibility can result if these techniques are used in the clinical setting. With repetitive stretching, we found that after four stretches there was little alteration of the muscle-tendon unit, implying that a minimum number of stretches will lead to most of the elongation in repetitive stretching. Also, greater peak tensions and greater energy absorptions occurred at faster stretch rates, suggesting that the risk of injury in a stretching regimen may be related to the stretch rate, and not to the actual technique. All of these clinically important considerations can be related to the viscoelastic characteristics of the muscle-tendon unit.
Viscoelasiticity
Magnusson, S.P., Simonsen, E.B., Aagaard, P., & Kjaer, M. (1996). Biomechanical responses to repeated stretches in human hamstring muscle in vivo. American Journal of Sports Medicine, 24, 622-628.
discuss the connective tissue contributions to a spring model of muscle force
Klinge K. Magnusson SP. Simonsen EB. Aagaard P. Klausen K. Kjaer M. The effect of strength and flexibility training on skeletal muscle electromyographic activity, stiffness, and viscoelastic stress relaxation response. American Journal of Sports Medicine. 25(5):710-6, 1997 Sep-Oct.
Abstract
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.
Magnusson SP. Simonsen EB. Aagaard P. Boesen J. Johannsen F. Kjaer M. Determinants of musculoskeletal flexibility: viscoelastic properties, cross-sectional area, EMG and stretch tolerance. Scandinavian Journal of Medicine & Science in Sports. 7(4):195-202, 1997 Aug.
Abstract
Cross-sectional area, stiffness, viscoelastic stress relaxation, stretch tolerance and EMG activity of the human hamstring muscle group were examined in endurance-trained athletes with varying flexibility. Subjects were defined as tight (n = 10) or normal (n = 8) based on a clinical toe-touch test. Cross-sectional area was computed from magnetic resonance imagining (MRI) images. Torque (Nm) offered by the hamstring muscle group, electromyographic (EMG) activity, knee joint angle and velocity were continuously monitored during two standardized stretch protocols. Protocol 1 consisted of a slow stretch at 0.087 rad/s (dynamic phase) to a pre-determined final angle followed by a 90-s static phase. In the dynamic phase final angle and stiffness was lower in tight (28.0+/-2.9 Nm/rad) than normal subjects (54.9+/-6.5 Nm/rad), P<0.01. In the static phase tight subjects had lower peak (15.4+/-1.8 Nm) and final torque (10.8+/-1.6 Nm) than normal subjects (31.6+/-4.1 Nm, 24.1+/-3.7 Nm, respectively)(P<0.01), but torque decline was similar. Protocol 2 consisted of a slow stretch to the point of pain and here tight subjects reached a lower maximal angle, torque, stiffness and energy than normal subjects (P<0.01). On the other hand, stiffness was greater in tight subjects in the common range (P<0.01). Cross-sectional area of the hamstring muscles and EMG activity during the stretch did not differ between the groups. However, lateral hamstring cross-sectional area was positively related to mid-range stiffness (P<0.05), but inversely related to final stiffness, peak torque and the toe-touch test (P<0.01). Final angle and peak torque in protocol 1 combined to improve the predictability of the toe-touch test (R2=0.77, P<0.001). These data show that the toe-touch test is largely a measure of hamstring flexibility. Further, subjects with a restricted joint range of movement on a clinical toe-touch test have stiffer hamstring muscles and a lower stretch tolerance.
Magnusson SP. Simonsen EB. Dyhre-Poulsen P. Aagaard P. Mohr T. Kjaer M. Viscoelastic stress relaxation during static stretch in human skeletal muscle in the absence of EMG activity. Scandinavian Journal of Medicine & Science in Sports. 6(6):323-8, 1996 Dec.
Abstract
The present study sought to investigate the role of EMG activity during passive static stretch. EMG and passive resistance were measured during static stretching of human skeletal muscle in eight neurologically intact control subjects and six spinal cord-injured (SCI) subjects with complete motor loss. Resistance to stretch offered by the hamstring muscles during passive knee extension was defined as passive torque (Nm). The knee was passively extended at 5 degrees/s to a predetermined final position, where it remained stationary for 90 s (static phase) while force and integrated EMG of the hamstring muscle were recorded. EMG was sampled for frequency domain analysis in a second stretch maneuver in five control and three SCI subjects. There was a decline in passive torque in the 90-s static phase for both control and SCI subjects, P < 0.05. Although peak passive torque was greater in control subjects, P < 0.05, there was no difference in time-dependent passive torque response between control (33%) and SCI (38%) subjects. Initial and final 5-s IEMG ranged from 1.8 to 3.4 microV.s and did not change during a stretch or differ between control and SCI subjects. Frequency domain analysis yielded similar results in both groups, with an equal energy distribution in all harmonics, indicative of 'white noise'. The present data demonstrate that no measurable EMG activity was detected in either group during the static stretch maneuver. Therefore, the decline in resistance to static stretch was a viscoelastic stress relaxation response.
Magnusson SP. Simonsen EB. Aagaard P. Sorensen H. Kjaer M. A mechanism for altered flexibility in human skeletal muscle [published erratum appears in J Physiol (Lond) 1996 Dec 15;497(Pt 3):857]. Journal of Physiology. 497 ( Pt 1):291-8, 1996 Nov 15.
Abstract
1. We investigated the effect of a long-term stretching regimen on the tissue properties and stretch tolerance of human skeletal muscle. 2. Resistance to stretch was measured as torque (in N m) offered by the hamstring muscle group during passive knee extension while electromyographic (EMG) activity, knee joint angle and velocity were continuously monitored during a standardized stretch manoeuvre. Seven healthy subjects were tested before and after a 3 week training period using two separate protocols. Protocol 1 consisted of a slow stretch at 0.087 rad s-1 to a predetermined angle followed by a 90 s holding phase. Subjects were brought to the same angle before and after the training period. Protocol 2 was a similar stretch, but continued to the point of pain. 3. During protocol 1 the torque rose during the stretch and then declined during the holding phase. EMG activity was small and did not change significantly during the protocol. No significant differences in stiffness, energy and peak torque about the knee joint were seen as a result of the training. During protocol 2 the angle to which the knee could be extended was significantly increased as a result of the training. This was accompanied by a comparable increase in peak torque and energy. EMG activity was small and not affected by training. 4. It is concluded that reflex EMG activity does not limit the range of movement during slow stretches and that the increased range of motion achieved from training is a consequence of increased stretch tolerance on the part of the subject rather than a change in the mechanical or viscoelastic properties of the muscle.
Magnusson SP. Simonsen EB. Aagaard P. Kjaer M. Biomechanical responses to repeated stretches in human hamstring muscle in vivo. American Journal of Sports Medicine. 24(5):622-8, 1996 Sep-Oct.
Abstract
To examine stiffness, energy, and passive torque in the dynamic and static phases of a stretch maneuver in the human hamstring muscle in vivo we used a test-retest protocol and a repeated stretches protocol. Resistance to stretch was defined as passive torque (in newton-meters) offered by the hamstring muscle group during passive knee extension as measured using an isokinetic dynamometer with a modified thigh pad. In 13 uninjured subjects, the knee was passively extended to a predetermined final position (0.0875 rad/ sec, dynamic phase) where it remained stationary for 90 seconds (static phase). The test-retest protocol included two tests administered 1 hour apart. On a separate occasion, five consecutive static stretches were administered separated by 30 seconds and followed by a sixth stretch 1 hour later. For the test-retest phase, stiffness and energy in the dynamic phase and passive torque in the static phase did not differ and yielded correlations of r = 0.91 to 0.99. During the static phase, passive torque declined in both tests (P < 0.0001). For the repeated stretches, decreases were observed for energy (P < 0.01) and stiffness (P < 0.05) in the dynamic phase and for passive torque (P < 0.0001) in the static phase. However, the decline in the variables returned to baseline within 1 hour. The data show that the method employed is a useful tool for measuring biomechanical variables during a stretch maneuver. This may provide a more detailed method to examine skeletal muscle flexibility.
Magnusson SP. Simonsen EB. Aagaard P. Dyhre-Poulsen P. McHugh MP. Kjaer M. Mechanical and physical responses to stretching with and without preisometric contraction in human skeletal muscle. Archives of Physical Medicine & Rehabilitation. 77(4):373-8, 1996 Apr.
Abstract
OBJECTIVE: To examine electromyography (EMG) activity, passive torque, and stretch perception during static stretch and contract-relax stretch. DESIGN: Two separate randomized crossover protocols: (1) a constant angle protocol on the right side, and (2) a variable angle protocol on the left side. SUBJECTS: 10 male volunteers. INTERVENTION: Stretch-induced mechanical response in the hamstring muscles during passive knee extension was measured as knee flexion torque (Nm) while hamstring surface EMG was measured. Final position was determined by extending the knee to an angle that provoked a sensation similar to a stretch maneuver. Constant angle stretch: The knee was extended to 10 degree below final position, held 10sec, then extended to the final position and held for 80 sec. Variable angle stretch: The knee was extended from the starting position to 10 degrees below the final position, held 10sec, then extended to the onset of pain. Subjects produced a 6-sec isometric contraction with the hamstring muscles 10 degrees below the final position in the contract-relax stretch, but not in the static stretch. MAIN OUTCOME MEASURES: Passive torque, joint range of motion, velocity, and hamstring EMG were continuously recorded. RESULTS: Constant angle contract-relax and static stretch did not differ in passive torque or EMG response. In the final position, passive torque declined 18% to 21% in both contract-relax and static stretch (p<.001), while EMG activity was unchanged. In the variable angle protocol, maximal joint angle and corresponding passive torque were significantly greater in contract-relax compared with static stretch(p<.01), while EMG did not differ. CONCLUSION: At a constant angle the viscoelastic and EMG response was unaffected by the isometric contraction. The variable angle protocol demonstrated that PNF stretching altered stretch perception.