Ito Riyaka, Igawa Tatsuya, Urata Ryunosuke, Ito Shomaru, Suzuki Kosuke, Takahashi Hiroto, Toda Mika, Fujita Mio, Kubo Akira
Department of Physical Therapy, Graduate School of International University of Health and Welfare, 2600-1 Kitakanemaru, Ohtawara 324-8501, Tochigi, Japan.
Department of Rehabilitation, International University of Health and Welfare Hospital, 573-3 Iguchi, Nasushiobara 329-2763, Tochigi, Japan.
J Funct Morphol Kinesiol. 2025 Feb 6;10(1):58. doi: 10.3390/jfmk10010058.
: Maintaining sufficient ankle joint range of motion (ROM) contributes to efficient movement in sports and daily activities. Static stretching (SS), while effective, demands significant time, highlighting the need for alternative, time-efficient approaches to improve ROM. Therefore, this study aimed to evaluate the effectiveness of combined intervention (CI) using neuromuscular electrical stimulation (NMES) and elastic tape versus SS. : This randomized crossover trial was conducted in healthy university students. They underwent both interventions with a 1-week washout period. The CI entailed the application of elastic tape to the plantar surface of the foot coupled with NMES targeting the posterior lower leg muscles for 1 min. SS was administered for 5 min using a tilt table. Outcome measures included the dorsiflexion angle (DFA), finger-floor distance (FFD), straight leg raise (SLR) angle, plantar flexor strength (PFS), and knee flexor strength (KFS), assessed pre- and post-intervention. DFA was analyzed using equivalence testing with a predefined margin. : Both interventions yielded significant improvements in DFA, FFD, and SLR. The combination of NMES and elastic tape demonstrated equivalence to 5 min of SS in enhancing DFA. Neither intervention resulted in a significant reduction in PFS or KFS. : The CI of NMES and elastic tape effectively and safely improves flexibility in a short time. Its time efficiency makes it a promising alternative to SS, especially for brief warm-ups or limited rehabilitation time. Further research should explore its long-term effects and broader applicability.
保持足够的踝关节活动范围(ROM)有助于在运动和日常活动中实现高效运动。静态拉伸(SS)虽然有效,但需要大量时间,这凸显了采用替代的、省时方法来改善活动范围的必要性。因此,本研究旨在评估使用神经肌肉电刺激(NMES)和弹力带的联合干预(CI)与静态拉伸相比的有效性。
这项随机交叉试验在健康大学生中进行。他们接受了两种干预措施,中间有1周的洗脱期。联合干预包括在足底表面粘贴弹力带,并对小腿后侧肌肉进行1分钟的神经肌肉电刺激。使用倾斜台进行5分钟的静态拉伸。干预前后评估的结果指标包括背屈角度(DFA)、手指-地面距离(FFD)、直腿抬高(SLR)角度、跖屈肌力量(PFS)和屈膝肌力量(KFS)。使用具有预定义裕度的等效性检验对背屈角度进行分析。
两种干预措施均使背屈角度、手指-地面距离和直腿抬高有显著改善。在增加背屈角度方面,神经肌肉电刺激和弹力带的组合显示出与5分钟静态拉伸等效。两种干预措施均未导致跖屈肌力量或屈膝肌力量显著降低。
神经肌肉电刺激和弹力带的联合干预在短时间内有效且安全地改善了柔韧性。其时间效率使其成为静态拉伸的一个有前景的替代方法,特别是对于简短的热身或有限的康复时间。进一步的研究应探索其长期影响和更广泛的适用性。