Nakamura Masatoshi, Scardina Antonino, Thomas Ewan, Warneke Konstantin, Konrad Andreas
Faculty of Rehabilitation Sciences, Nishi Kyushu University, Saga, Japan.
Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy.
Front Med (Lausanne). 2024 Nov 25;11:1505775. doi: 10.3389/fmed.2024.1505775. eCollection 2024.
Clinically, knowing whether a static stretching (SS) intervention program conducted for several weeks can reduce passive muscle stiffness is important. Still, only a few previous studies have evaluated the chronic effects of an SS intervention program in older adults, and the potential relationship between ROM changes and muscle stiffness changes is still unclear. This study aimed to investigate the effects of a 10- week SS intervention partially supervised program on joint range of motion (ROM) and tissue hardness in older adults.
The SS intervention program was conducted at least three times a week for 10 weeks in the ankle plantar flexor muscles of 24 community-dwelling older adults (73.8 ± 5.1 years; height: 156.0 ± 6.8 cm; body mass: 52.7 ± 8.0 kg). The SS intervention program consisted of 4 × 30-s repetitions. Ankle joint dorsiflexion (DF) ROM and tissue hardness of the medial gastrocnemius were measured before and after the 10-week SS intervention program.
The results showed that the 10-week SS intervention program significantly increased DF ROM (+9°, < 0.01, Cohen's = 1.37) and decreased tissue hardness (-0.9, = 0.04, Cohen's = -0.27). However, there was no significant correlation between these changes ( = 0.086, = 0.561). The results of this study suggest that a 10-week SS intervention program can effectively increase DF ROM and decrease tissue hardness but that the increase in DF ROM is related to stretch tolerance rather than changes in tissue hardness.
在临床上,了解为期数周的静态拉伸(SS)干预计划是否能够降低被动肌肉僵硬度十分重要。然而,此前仅有少数研究评估了SS干预计划对老年人的长期影响,并且关节活动度(ROM)变化与肌肉僵硬度变化之间的潜在关系仍不明确。本研究旨在探讨一项为期10周的部分监督的SS干预计划对老年人关节活动度(ROM)和组织硬度的影响。
对24名社区居住的老年人(73.8±5.1岁;身高:156.0±6.8厘米;体重:52.7±8.0千克)的踝关节跖屈肌进行为期10周的SS干预计划,每周至少进行三次。SS干预计划包括4组,每组重复30秒。在为期10周的SS干预计划前后,测量踝关节背屈(DF)ROM和腓肠肌内侧的组织硬度。
结果显示,为期10周的SS干预计划显著增加了DF ROM(增加9°,<0.01,科恩效应量=1.37)并降低了组织硬度(降低0.9,=0.04,科恩效应量=-0.27)。然而,这些变化之间没有显著相关性(=0.086,=0.561)。本研究结果表明,为期10周的SS干预计划可以有效增加DF ROM并降低组织硬度,但DF ROM的增加与拉伸耐受性有关,而非组织硬度的变化。