Stretch imposed on active muscle elicits positive adaptations in strain risk factors and exercise-induced muscle damage.

INTRODUCTION: Stretching highly-contracted plantar flexor muscles (isokinetic eccentric contractions) results in beneficial adaptations in muscle strain risk factors; however its effects in other muscle groups, and on architectural characteristics and exercise-induced muscle damage (EIMD), are unknown. METHODS: The influence of a 6-week knee extensor training program was studied in 26 volunteers (13 control; 13 experimental). Before and after the training program, passive and maximal isometric and eccentric knee extensor moments and range of motion (ROM) were recorded on an isokinetic dynamometer with simultaneous ultrasound imaging of vastus lateralis (VL). On a separate day, EIMD markers (creatine kinase [CK], delayed onset muscle soreness [DOMS]) were measured before and 24 hours after a 20-minute downhill run. The 6-week training program was performed twice-weekly where five sets of 12 stretches (3 seconds per stretch) were imposed on maximally contracted knee extensor muscles. RESULTS: Significant (P < 0.05) increases in eccentric (29.5%) and isometric (17.4%) moments, ROM (5.2°), stretch tolerance (55.4%), elastic energy storage (73.0%), VL thickness (7.8%), pennation angle (9.0%), and tendon stiffness (8.7%) occurred. No change (P > 0.05) in passive muscle-tendon stiffness (-9.4%) or resting fascicle length (-0.7%) occurred. The downhill run resulted in substantial DOMS and significant increase in CK concentration before the training program (107.6%); however, DOMS was eliminated from the knee extensors and a significantly smaller increase in CK (-70.0%) occurred post-training. CONCLUSION: Positive adaptations in functional and physiological variables confirm that imposing stretch on maximally contracted muscle provides beneficial adaptations likely to mitigate EIMD and injury risk and enhance functional performance.

Stretching of Active Muscle Elicits Chronic Changes in Multiple Strain Risk Factors.

INTRODUCTION: The muscle stretch intensity imposed during "flexibility" training influences the magnitude of joint range of motion (ROM) adaptation. Thus, stretching while the muscle is voluntarily activated was hypothesized to provide a greater stimulus than passive stretching. The effect of a 6-wk program of stretch imposed on an isometrically contracting muscle (i.e., qualitatively similar to isokinetic eccentric training) on muscle-tendon mechanics was therefore studied in 13 healthy human volunteers. METHODS: Before and after the training program, dorsiflexion ROM, passive joint moment, and maximal isometric plantarflexor moment were recorded on an isokinetic dynamometer. Simultaneous real-time motion analysis and ultrasound imaging recorded gastrocnemius medialis muscle and Achilles tendon elongation. Training was performed twice weekly and consisted of five sets of 12 maximal isokinetic eccentric contractions at 10°·s. RESULTS: Significant increases (P < 0.01) in ROM (92.7% [14.7°]), peak passive moment (i.e., stretch tolerance; 136.2%), area under the passive moment curve (i.e., energy storage; 302.6%), and maximal isometric plantarflexor moment (51.3%) were observed after training. Although no change in the slope of the passive moment curve (muscle-tendon stiffness) was detected (-1.5%, P > 0.05), a significant increase in tendon stiffness (31.2%, P < 0.01) and a decrease in passive muscle stiffness (-14.6%, P < 0.05) were observed. CONCLUSION: The substantial positive adaptation in multiple functional and physiological variables that are cited within the primary etiology of muscle strain injury, including strength, ROM, muscle stiffness, and maximal energy storage, indicate that the stretching of active muscle might influence injury risk in addition to muscle function. The lack of change in muscle-tendon stiffness simultaneous with significant increases in tendon stiffness and decreases in passive muscle stiffness indicates that tissue-specific effects were elicited.