Emory University, Rehabilitation Medicine, 1462 Clifton Road, Atlanta, GA 30322, USA.
Int J Sports Med. 2011 Mar;32(3):205-10. doi: 10.1055/s-0030-1268505. Epub 2010 Dec 22.
Limited ankle dorsiflexion passive range of motion (DF PROM) has been associated with lower extremity overuse injuries. Therefore, clinicians often prescribe stretching exercises to increase ankle DF PROM. However, there is limited evidence to indicate if any particular gastrocnemius stretching exercise results in greater improvement in DF PROM. The aim of this study was to determine if gastrocnemius stretching in non-weight bearing (NWB) or weight bearing (WB) results in a greater increase of ankle DF PROM. 28 healthy volunteers, aged 18-55 years, who exhibited less than 10 degrees of ankle DF PROM completed the study. Participants were randomized into 2 stretching groups: NWB and WB. Both groups completed a 3-week home gastrocnemius stretching program, consisting of 5 repetitions held for 30 s each, 2 times daily. Participants' ankle DF PROM was measured with a blinded standard goniometer in NWB and WB positions before and after participation in a 3-week home gastrocnemius stretching program. Two 3-way mixed model ANOVAs demonstrated no significant difference in ankle DF PROM between the NWB and WB groups for either the NWB measurement condition (p=0.49) or WB measurement condition (p=0.86). Gastrocnemius stretching exercises performed in NWB or WB were equally effective in increasing ankle DF PROM.
踝关节背屈被动活动度(DF PROM)受限与下肢过度使用损伤有关。因此,临床医生经常开拉伸运动来增加踝关节 DF PROM。然而,目前仅有有限的证据表明哪种特定的跟腱拉伸运动能更大程度地改善 DF PROM。本研究旨在确定非负重(NWB)或负重(WB)状态下的跟腱拉伸是否会导致踝关节 DF PROM 更大的增加。28 名年龄在 18-55 岁之间、踝关节 DF PROM 小于 10 度的健康志愿者完成了这项研究。参与者被随机分为 2 个拉伸组:NWB 和 WB。两组均完成了为期 3 周的家庭跟腱拉伸计划,包括 5 次,每次 30 秒,每天 2 次。在参加为期 3 周的家庭跟腱拉伸计划前后,使用盲法标准量角器在 NWB 和 WB 位置测量参与者的踝关节 DF PROM。两次 3 因素混合模型方差分析显示,NWB 测量条件下(p=0.49)或 WB 测量条件下(p=0.86),NWB 和 WB 组之间的踝关节 DF PROM 没有显著差异。在 NWB 或 WB 下进行的跟腱拉伸运动在增加踝关节 DF PROM 方面同样有效。