Static and cyclic stretching: their different effects on the passive torque-angle curve.

The findings of previous research indicate that the passive torque-angle curve may be different according to whether individuals have undertaken cyclic or static stretching. To date, no authors have compared these curves in the same subjects. We hypothesised that static stretching would lead to a constant change in range of motion across torque levels with the shape of the curve being unchanged, while cyclic stretching would change the shape of the curve. To test this hypothesis, eight subjects performed five passive knee extension/flexion cycles on a Biodex dynamometer at 5 degrees s(-1) to 80% of their maximal range of motion before and after a static stretching protocol. The difference in angle between pre and post stretching torque-angle curves was calculated at 11 levels of torque from 0% to 100% of the maximal torque with a 10% increment. The mean change in angle across these 11 torque levels was then calculated. The findings showed that after static stretching a relatively constant mean change of 5.2 degrees was noted across torque levels. In contrast, after cyclic stretching the angle change depended upon the torque level with greater change observed toward the start of the range of motion. The findings indicated that different mechanisms were operating depending upon the type of stretching procedure performed. Changes in muscle resting length and thixotropy were thought to be responsible.

Modeling of the passive mechanical properties of the musculo-articular complex: acute effects of cyclic and static stretching.

The primary aim of this study was to implement a rheological model of the mechanical behavior of the passive musculo-articular complex (MAC). The second objective was to adapt this model to simulate changes in the passive MAC's mechanical properties induced by passive stretching protocols commonly performed in sport and rehabilitation programs. Nine healthy subjects performed passive ankle dorsi-flexion and plantar-flexion cycles at different velocities (from 0.035 to 2.09 rads(-1)) on an isokinetic dynamometer. This procedure enabled the articular angle to be controlled and the passive torque developed by the MAC in resistance to stretch to be measured. Our rheological model, dependent on nine parameters, was composed of two non-linear (exponential) springs for both plantar- and dorsi-flexion, a linear viscoelastic component and a solid friction component. The model was implemented with the Simulink software package, and the nine parameters were identified, for each subject, by minimizing the square-difference between experimental torque-angle relationships and modeled curves. This model is in good agreement with experiment, whatever the considered stretching velocity. Finally, the model was adapted to incorporate static stretching (4x2.5 min) and cyclic stretching (five loading/unloading cycles) protocols. Our results indicate that the model could be used to simulate the effects of stretching protocols by adjusting a single (different) parameter for each protocol.

Assessment of muscle hardness changes induced by a submaximal fatiguing isometric contraction.

Transient elastography consists of measuring the transverse local shear elastic modulus defined as local muscle hardness (LMH). It has previously been shown that LMH is correlated to muscle activity level during non-fatiguing contractions. The aim of this study was to describe how LMH and muscle activity level change during a submaximal fatiguing constant-torque protocol. Changes in gastrocnemius medialis LMH and in surface electromyographic activities (sEMG) of plantar flexors induced by a submaximal isometric plantar flexion (40% of the maximal isometric torque) until exhaustion were quantified. During the contraction, sEMG of each muscle increased (P<0.001) whereas LMH remained constant (P>0.05). Active LMH assessed during the contraction did not parallel muscle activity level changes during this type of submaximal fatigue protocol. Interestingly, LMH at rest assessed in passive conditions was higher prior to the fatiguing effort (P<0.05), rather than that assessed immediately after. Muscle and tendon viscous behaviors could imply a creep phenomenon during a prolonged isometric contraction, and our results in LMH at rest could indicate that this phenomenon induces changes in muscle intrinsic mechanical properties. Further studies are needed to examine whether it could have an influence on muscle activity levels during the contraction.

The effect of angular velocity and cycle on the dissipative properties of the knee during passive cyclic stretching: a matter of viscosity or solid friction.

BACKGROUND: The mechanisms behind changes in mechanical parameters following stretching are not understood clearly. This study assessed the effects of joint angular velocity on the immediate changes in passive musculo-articular properties induced by cyclic stretching allowing an appreciation of viscosity and friction, and their contribution to changes in torque that occur. METHODS: Ten healthy subjects performed five passive knee extension/flexion cycles on a Biodex dynamometer at five preset angular velocities (5-120 deg/s). The passive torque and knee angle were measured, and the potential elastic energy stored during the loading and the dissipation coefficient were calculated. FINDINGS: As the stretching velocity increased, so did stored elastic energy and the dissipation coefficient. The slope of the linear relationship between the dissipation coefficient and the angular velocity was unchanged across repetitions indicating that viscosity was unlikely to be affected. A difference in the y-intercept across repetitions 1 and 5 was indicative of a change in processes associated with solid friction. Electromyographical responses to stretching were low across all joint angular velocities. INTERPRETATION: Torque changes during cyclic motion may primarily involve solid friction which is more indicative of rearrangement/slipping of collagen fibers rather than the redistribution of fluid and its constituents within the muscle. The findings also suggest that it is better to stretch slowly initially to reduce the amount of energy absorption required by tissues, but thereafter higher stretching speeds can be undertaken.

Characterization of muscle belly elastic properties during passive stretching using transient elastography.

Passive muscle stretching can be used in vivo to assess the viscoelastic properties of the entire musculo-articular complex, but does not allow the specific determination of the muscle or tendon viscoelasticity. In this respect, the local muscle hardness (LMH) of the gastrocnemius medialis (GM) belly was measured during a passive ankle stretching of 10 subjects using transient elastography. A Biodex isokinetic dynamometer was used to stretch ankle plantar flexors, to measure ankle angle, and the passive torque developed by the ankle joint in resistance to the stretch. Results show that the LMH increased during the stretching protocol, with an averaged ratio between maximal LMH and minimal LMH of 2.62+/-0.46. Furthermore, LMH-passive torque relationships were nicely fitted using a linear model with mean correlation coefficients (R(2)) of 0.828+/-0.099. A good reproducibility was found for the maximal passive torque (ICC=0.976, SEM=2.9Nm, CV=5.5%) and the y-intercept of the LMH-passive torque relationship (ICC=0.893, SEM=105Pa, CV=7.8%). However, the reproducibility was low for the slope of this relationship (ICC=0.631, SEM=10.35m(-2), CV=60.4%). The y-intercept of the LMH-passive torque relationship was not significantly changed after 10min of static stretching. This result confirms the finding of a previous study indicating that changes in passive torque following static stretching could be explained by an acute increase in muscle length without any changes in musculo-articular intrinsic mechanical properties.

Effects of stretching velocity on passive resistance developed by the knee musculo-articular complex: contributions of frictional and viscoelastic behaviours.

It is commonly accepted that the passive musculo-articular complex (MAC) displays a viscoelastic behavior. However, the viscosity of the MAC is still not well understood when considering the relationship between the passive resistance offered by the MAC and the stretching velocity. Therefore, in order to obtain a better knowledge of the mechanical behavior of the passive MAC, nine subjects performed passive knee extension/flexion cycles with the hip angle set at 60 degrees on a Biodex dynamometer at 5 degrees, 30 degrees, 60 degrees, 90 degrees and 120 degrees s(-1) in a randomized order to 80% of their maximal range of motion. Results show significant (P<0.001) increases with the stretching velocity for the passive torque (between +17.6 and +20.8% depending on the considered knee angle), the potential elastic energy stored during the loading (E: +22.7%), and the dissipation coefficient (DC: +22.8%). These results suggest that the role of viscosity in the MAC's mechanical behavior is limited. A linear model was well-fitted on torque-velocity (0.93

Accuracy of Biodex system 3 pro computerized dynamometer in passive mode.

A specific experimental design has been developed to determine the accuracy of the Biodex system 3 pro dynamometer in passive mode. Five cyclic stretching repetitions were imposed to an elastic rubber band at different velocities using the dynamometer, and the torque produced was measured using both the dynamometer and external force and position sensors. Velocity patterns performed by the dynamometer were also characterized and our results show that these patterns were reliable (ICC=1.00). The torque measured with the dynamometer and the sensors were reliable (ICC=1.00), although significant differences were observed between both methods. However, the measured torque standard error was velocity independent and was lower than 0.33 Nm. Moreover, regressions between the two torque measurements were close to the axes-bisector (r=1.00, slope: 1.01+/-0.01, y-intercept: -0.36+/-0.22 Nm). Finally, our results showed decreases in torque during the five cycles, but these decreases were not due to the dynamometer. It can be concluded that the dynamometer performed valid torque measurements in passive mode, and was an accurate tool to determine passive mechanical properties of the musculo-articular system. However, some discrepancies between the programmed and the measured speed profiles have been observed when approaching the speed limit of the system.

Acute changes in hamstrings musculo-articular dissipative properties induced by cyclic and static stretching.

This study was designed to measure changes in musculo-articular dissipative properties related to viscosity that were induced by passive cyclic and static stretching. Musculo-articular dissipative properties were assessed by calculating a dissipation coefficient using potential elastic energies stored and restituted during cyclic stretching. Eight subjects performed five passive knee extensions/flexions cycles on a Biodex dynamometer at 5 degrees . s (-1) to 80 % of their maximal range of motion before and after a static stretching protocol. Electromyographic activity from the hamstring muscles was monitored and remained constant during cyclic stretching and after static stretching (p > 0.05). The dissipation coefficient decreased during cyclic stretching (- 28.8 +/- 6.0 %, p < 0.001), while it was slightly increased after static stretching (+ 3.8 +/- 5.0 %, p = 0.037). The findings showed that energy stored and energy restituted decreased during cyclic stretching and after static stretching (p < 0.05). During unloading, passive torque remained constant during cyclic stretching, but was decreased after static stretching. The findings indicate that musculo-articular dissipative properties were primarily affected by a single cycle of motion, and were not influenced by static stretching procedures. The decrease in dissipation coefficient following cyclic motion indicates that the musculo-articular system displays thixotropic behavior.