Ylinen Jari, Kankainen Tuomas, Kautiainen Hannu, Rezasoltani Asghar, Kuukkanen Tiina, Häkkinen Arja
Department of Physical Medicine and Rehabilitation , Central Hospital of Central Finland, Jyväskylä, Finland.
J Rehabil Med. 2009 Jan;41(1):80-4. doi: 10.2340/16501977-0283.
To evaluate the effects of stretching on hamstring muscle compliance indirectly and directly.
Twelve healthy men were instructed to perform passive stretching of one leg daily over 4 weeks, while the other leg served as a control. An instrumental straight leg raise was used to measure stretching force and muscle compliance indirectly with surface electromyography to measure muscle activity during stretching. Muscle compliance was measured directly by computerized muscle tonometer. The thickness of the biceps femoris muscle was measured by ultrasound and knee flexion strength by a dynamometer.
In the stretched legs the mean increase in straight leg raise was 17 degrees after 4 weeks (p<0.001) and the mean stretching force increased by 19 N (p<0.001). Improved straight leg raise correlated with biceps muscle thickness (r=0.74).The angle at which stretching was first felt increased by 15 degrees in the stretched legs (p<0.001). Controls showed no significant changes in straight leg raise. There was no difference in force between the stretched and control legs in comparison of the same angles. No significant changes were noted in muscle compliance, surface electromyography or isometric maximal knee flexion strength.
Stretching improved passive straight leg raise with no change in muscle compliance. Muscle viscoelastic properties and strength were preserved despite improved straight leg raise.
间接和直接评估拉伸对腘绳肌顺应性的影响。
12名健康男性被要求在4周内每天对一条腿进行被动拉伸,另一条腿作为对照。使用器械直腿抬高来间接测量拉伸力和肌肉顺应性,同时使用表面肌电图来测量拉伸过程中的肌肉活动。通过计算机化肌肉张力计直接测量肌肉顺应性。用超声测量股二头肌的厚度,用测力计测量膝关节屈曲力量。
在接受拉伸的腿中,4周后直腿抬高平均增加17度(p<0.001),平均拉伸力增加19牛(p<0.001)。直腿抬高的改善与二头肌厚度相关(r=0.74)。在接受拉伸的腿中,首次感觉到拉伸的角度增加了15度(p<0.001)。对照组直腿抬高无显著变化。在相同角度比较时,拉伸腿和对照腿之间的力量没有差异。肌肉顺应性、表面肌电图或等长最大膝关节屈曲力量均无显著变化。
拉伸改善了被动直腿抬高,而肌肉顺应性没有改变。尽管直腿抬高有所改善,但肌肉的粘弹性特性和力量得以保留。