Department of Physical Therapy, The Cleveland Clinic, Cleveland, Ohio, USA.
J Strength Cond Res. 2009 Nov;23(8):2217-22. doi: 10.1519/JSC.0b013e3181b869c7.
Stretching is performed in rehabilitation and sports conditioning programs. It is not known how often during a week stretching needs to be performed to maintain flexibility. Therefore, the purpose of this study was to determine the influence of intermittent stretching (i.e., 2-3 days/week) on hip range of motion (ROM) following a 4-week, daily stretching program. This study used a randomized, single-blind, test-retest design. Healthy adult subjects, age 18 to 50 years, were randomly assigned to 1 of 2 static stretching protocols: (a) standard protocol or (b) intermittent protocol. All subjects stretched their hamstrings daily for the first 4 weeks. The standard group discontinued all stretching after 4 weeks. The intermittent group continued to stretch 2 to 3 days per week for an additional 4 weeks. All subjects were measured for hip ROM weekly for the full 8 weeks. Thirty-two subjects completed the study (standard group = 14; intermittent group = 18, mean age 24.6 years). Mean hip ROM increased (p < 0.05) for both groups from before protocol (PRE) to Week 4 (standard group gain from 71.4 +/- 18.5 degrees to 90.6 +/- 20.5 degrees and intermittent group gain from 68.6 +/- 15.7 degrees to 89.1 +/- 16.8 degrees). During the final 4 weeks, mean hip ROM decreased (p < 0.05) for the standard group from 90.6 +/- 20.5 degrees to 83.9 +/- 20.3 degrees. Mean hip ROM for the intermittent group did not decrease during the final 4 weeks of the study (89.1 +/- 16.8 degrees to 93.2 +/- 14.9 degrees, p > 0.05). Intermittent stretching (i.e., 2 or 3 days/week) is sufficient to maintain ROM gains acquired from a prior static stretching program. Clinicians and trainers may educate their clients of the benefits of intermittent stretching to maintain flexibility.
拉伸在康复和运动训练计划中进行。目前尚不清楚每周需要进行多少次拉伸才能保持柔韧性。因此,本研究的目的是确定间歇性拉伸(即每周 2-3 天)对为期 4 周、每天拉伸方案后髋关节活动度(ROM)的影响。本研究采用随机、单盲、测试-再测试设计。18 至 50 岁的健康成年受试者被随机分配到以下 2 种静态拉伸方案之一:(a)标准方案或(b)间歇方案。所有受试者在前 4 周每天拉伸腘绳肌。标准组在 4 周后停止所有拉伸。间歇组继续每周拉伸 2-3 天,再持续 4 周。所有受试者在 8 周内每周测量髋关节 ROM。32 名受试者完成了研究(标准组=14;间歇组=18,平均年龄 24.6 岁)。从方案前(PRE)到第 4 周,两组的髋关节 ROM 均增加(p<0.05)(标准组从 71.4±18.5°增加到 90.6±20.5°,间歇组从 68.6±15.7°增加到 89.1±16.8°)。在最后 4 周期间,标准组的髋关节 ROM 从 90.6±20.5°下降(p<0.05)至 83.9±20.3°。在研究的最后 4 周期间,间歇组的髋关节 ROM 没有下降(89.1±16.8°至 93.2±14.9°,p>0.05)。间歇性拉伸(即每周 2 或 3 天)足以维持从先前的静态拉伸方案中获得的 ROM 收益。临床医生和培训师可以向其客户传授间歇性拉伸以保持柔韧性的益处。