Thesis (M. Ed.)--Bowling Green State University, 2005. / Includes bibliographical references (leaves 38-44).

Introdução: os estudos sobre flexibilidade vêm tentando compreender quais propriedades explicam o aumento da amplitude de movimento (ADM), além do aumento de extensibilidade muscular. Propriedades mecânicas passivas de outros tipos de tecido, como o tendão, vêm sendo avaliadas, para entender a sua interferência no aumento da ADM. Desenho do estudo: o estudo foi do tipo ensaio clínico randomizado. Objetivos: analisar, minuto a minuto, o deslocamento da junção miotendínea (JMT) do músculo gastrocnêmio medial com o tendão do calcâneo e o torque passivo durante uma sessão de 10 minutos de alongamento estático passivo de flexores plantares, e analisar a mudança destas e de outras propriedades passivas mecânicas da unidade músculo-tendínea (UMT) do tríceps sural antes e após essa intervenção, verificando se estas mudanças perduram após 15, 30, 45 e 60 minutos após o protocolo de alongamento. Métodos: 30 participantes saudáveis foram divididos em grupo controle, o qual permaneceu em repouso, e experimental, o qual realizou uma sessão de 10 minutos de alongamento estático passivo no dinamômetro isocinético. Os participantes realizaram os testes de ADM, torque passivo, deslocamento da JMT e histerese antes e após a intervenção (0, 15, 30, 45 e 60 minutos). A partir dessas variáveis, foram calculadas as medidas de rigidez tendínea, muscular e da UMT. Resultados: Cinco participantes não permaneceram relaxados durante os testes e foram excluídos após análise dos dados eletromiográficos. 25 participantes foram incluídos na análise. Os resultados foram divididos em dois estudos diferentes. No primeiro estudo, apenas os 12 participantes do grupo experimental foram incluídos e, ao longo da intervenção, foi encontrada uma redução significativa do torque passivo, com a principal diferença ocorrendo nos minutos cinco e sete. No segundo estudo, foram comparados os indivíduos do grupo controle (n=13) e do grupo experimental (n=12), com um período de follow up de 60 minutos após a intervenção. A ADM aumentou e permaneceu aumentada até uma hora após a intervenção em ambos os grupos. As variáveis de deslocamento da JMT, rigidez muscular e histerese aumentaram em alguns momentos ao longo do tempo, sem diferença entre os grupos. A rigidez tendínea não apresentou diferença nem para grupo e nem para tempo. As variáveis de torque passivo e rigidez da UMT apresentaram uma interação significativa entre grupo e tempo, com uma redução das duas ao longo do tempo no grupo experimental. Conclusões: há uma redução de torque passivo ao longo de uma sessão de alongamento estático de 10 minutos dos flexores plantares de tornozelo, e fazer parte do grupo experimental influenciou no comportamento do torque passivo e da rigidez da UMT, levando a uma maior redução das mesmas para o grupo que realizou o alongamento. A ADM aumentou e permaneceu aumentada até uma hora após a intervenção. / Background: studies on flexibility have attempted to understand which properties explain increased range of motion (ROM), in addition to increased muscle extensibility. Mechanical and passive properties of other types of tissue, such tendon tissue, have been evaluated in order to understand their interference in increased ROM. Study Design: randomized clinical trial. Objectives: to analyze, minute by minute, myotendinous junction (MTJ) displacement of the medial gastrocnemius muscle with Achilles tendon and passive torque during a 10-minute passive static stretching of the ankle plantar flexors. To analyze, also, the time course change of these and other muscle-tendon unit (MTU) mechanical properties of the triceps surae before and after the intervention, verifying if the changes persist after 15, 30, 45 and 60 minutes after the stretching protocol. Methods: 30 healthy participants were divided into a control group, which remained at rest, and an experimental group, which performed a 10-minute passive static stretching on the isokinetic dynamometer. Participants performed tests of ROM, passive torque, MTJ displacement and hysteresis before and after the intervention (0, 15, 30, 45 and 60 minutes). From these variables, the measures of tendinous, muscular and MTU stiffness were calculated. Results: Five participants did not remain relaxed during the test and were excluded after electromyographic data analysis. 25 participants were included in the analysis. Results were divided into two different studies. In the first one, only 12 participants of experimental group were included and during the intervention, a significant reduction of the passive torque was found, with the main difference occurring in minutes five and seven. In the second study, individuals from control group (n=13) and experimental group (n=12) were compared, with a 60 minute follow-up period after the intervention. ADM increased and remained increased up to one hour after the intervention. The variables of MTJ displacement, muscular stiffness and hysteresis increased at some moments over time, with no difference between the groups. The tendinous stiffness showed no difference neither for group nor for time. The variables of passive torque and MTU stiffness showed a significant interaction between group and time, with a reduction of the two over time in the experimental group. Conclusions: passive torque decreased throughout a 10-minute passive static stretching of the ankle plantar flexors, and being part of the experimental group influenced the behavior of the passive torque and the MTU stiffness, leading to a greater reduction of the same for the group who performed the stretching.

Introdução: os estudos sobre flexibilidade vêm tentando compreender quais propriedades explicam o aumento da amplitude de movimento (ADM), além do aumento de extensibilidade muscular. Propriedades mecânicas passivas de outros tipos de tecido, como o tendão, vêm sendo avaliadas, para entender a sua interferência no aumento da ADM. Desenho do estudo: o estudo foi do tipo ensaio clínico randomizado. Objetivos: analisar, minuto a minuto, o deslocamento da junção miotendínea (JMT) do músculo gastrocnêmio medial com o tendão do calcâneo e o torque passivo durante uma sessão de 10 minutos de alongamento estático passivo de flexores plantares, e analisar a mudança destas e de outras propriedades passivas mecânicas da unidade músculo-tendínea (UMT) do tríceps sural antes e após essa intervenção, verificando se estas mudanças perduram após 15, 30, 45 e 60 minutos após o protocolo de alongamento. Métodos: 30 participantes saudáveis foram divididos em grupo controle, o qual permaneceu em repouso, e experimental, o qual realizou uma sessão de 10 minutos de alongamento estático passivo no dinamômetro isocinético. Os participantes realizaram os testes de ADM, torque passivo, deslocamento da JMT e histerese antes e após a intervenção (0, 15, 30, 45 e 60 minutos). A partir dessas variáveis, foram calculadas as medidas de rigidez tendínea, muscular e da UMT. Resultados: Cinco participantes não permaneceram relaxados durante os testes e foram excluídos após análise dos dados eletromiográficos. 25 participantes foram incluídos na análise. Os resultados foram divididos em dois estudos diferentes. No primeiro estudo, apenas os 12 participantes do grupo experimental foram incluídos e, ao longo da intervenção, foi encontrada uma redução significativa do torque passivo, com a principal diferença ocorrendo nos minutos cinco e sete. No segundo estudo, foram comparados os indivíduos do grupo controle (n=13) e do grupo experimental (n=12), com um período de follow up de 60 minutos após a intervenção. A ADM aumentou e permaneceu aumentada até uma hora após a intervenção em ambos os grupos. As variáveis de deslocamento da JMT, rigidez muscular e histerese aumentaram em alguns momentos ao longo do tempo, sem diferença entre os grupos. A rigidez tendínea não apresentou diferença nem para grupo e nem para tempo. As variáveis de torque passivo e rigidez da UMT apresentaram uma interação significativa entre grupo e tempo, com uma redução das duas ao longo do tempo no grupo experimental. Conclusões: há uma redução de torque passivo ao longo de uma sessão de alongamento estático de 10 minutos dos flexores plantares de tornozelo, e fazer parte do grupo experimental influenciou no comportamento do torque passivo e da rigidez da UMT, levando a uma maior redução das mesmas para o grupo que realizou o alongamento. A ADM aumentou e permaneceu aumentada até uma hora após a intervenção. / Background: studies on flexibility have attempted to understand which properties explain increased range of motion (ROM), in addition to increased muscle extensibility. Mechanical and passive properties of other types of tissue, such tendon tissue, have been evaluated in order to understand their interference in increased ROM. Study Design: randomized clinical trial. Objectives: to analyze, minute by minute, myotendinous junction (MTJ) displacement of the medial gastrocnemius muscle with Achilles tendon and passive torque during a 10-minute passive static stretching of the ankle plantar flexors. To analyze, also, the time course change of these and other muscle-tendon unit (MTU) mechanical properties of the triceps surae before and after the intervention, verifying if the changes persist after 15, 30, 45 and 60 minutes after the stretching protocol. Methods: 30 healthy participants were divided into a control group, which remained at rest, and an experimental group, which performed a 10-minute passive static stretching on the isokinetic dynamometer. Participants performed tests of ROM, passive torque, MTJ displacement and hysteresis before and after the intervention (0, 15, 30, 45 and 60 minutes). From these variables, the measures of tendinous, muscular and MTU stiffness were calculated. Results: Five participants did not remain relaxed during the test and were excluded after electromyographic data analysis. 25 participants were included in the analysis. Results were divided into two different studies. In the first one, only 12 participants of experimental group were included and during the intervention, a significant reduction of the passive torque was found, with the main difference occurring in minutes five and seven. In the second study, individuals from control group (n=13) and experimental group (n=12) were compared, with a 60 minute follow-up period after the intervention. ADM increased and remained increased up to one hour after the intervention. The variables of MTJ displacement, muscular stiffness and hysteresis increased at some moments over time, with no difference between the groups. The tendinous stiffness showed no difference neither for group nor for time. The variables of passive torque and MTU stiffness showed a significant interaction between group and time, with a reduction of the two over time in the experimental group. Conclusions: passive torque decreased throughout a 10-minute passive static stretching of the ankle plantar flexors, and being part of the experimental group influenced the behavior of the passive torque and the MTU stiffness, leading to a greater reduction of the same for the group who performed the stretching.

A movimentação escapular é de grande importância para o funcionamento adequado do ombro. Indivíduos com disfunção no ombro apresentam uma diminuição da rotação superior e da inclinação posterior e um aumento da rotação interna da escápula durante a elevação do braço. Vários fatores estão envolvidos na alteração da cinemática escapular. Um deles é o encurtamento do músculo peitoral menor, sendo que indivíduos com comprimento de repouso reduzido desse músculo apresentaram diminuição da inclinação posterior e aumento da rotação interna da escápula durante o movimento do braço. Tal alteração cinemática é similar à apresentada por sujeitos com disfunção do ombro e pode ser um fator de risco para o desenvolvimento de sintomas. Portanto, o objetivo desse estudo foi avaliar a influência de um programa de alongamento da musculatura do aspecto anterior do ombro na cinemática escapular. O sistema eletromagnético de aquisição de dados foi utilizado para avaliar a cinemática escapular pré e pós um programa de alongamento da musculatura do aspecto anterior do ombro. Esse programa foi composto por três repetições de três exercícios de 30 segundos e teve duração de quatro semanas. O modelo linear de efeitos mistos foi utilizado para análise estatística das comparações entre as avaliações pré e pós-programa de alongamento. Não houve diferença estatisticamente significativa entre as avaliações antes e após a intervenção do estudo. Tal resultado sugere que o alongamento sozinho não é capaz de alterar a movimentação escapular, mas pode ser que contribua para o aumento da inclinação posterior se associado com outras intervenções. / The adequate scapular motion is very important to the shoulders function. Subjects with shoulder dysfunction present decreased scapular upward rotation and posterior tilt and increased scapular internal rotation during arm elevation. Many mechanisms are involved in scapular kinematics alteration. One of them is the pectoralis minor muscle shortening. Healthy subjects with relative short pectoralis minor resting length presented decreased upward rotation and increased internal rotation when compared with individuals with relative long resting length of this muscle. Hence, the purpose of this study was to evaluate the influence of the anterior shoulder aspect musculature stretching on scapular kinematics. The electromagnetic tracking device was utilized for kinematics analysis before and after a stretching program of the anterior shoulder aspect musculature. This program was composed by three repetition of three 30 seconds exercises and lasted for four weeks. The linear mixed effects model was used for statistical analysis of the comparison between pre and post stretching program evaluations. There was not a statistically significant difference between the pre and post intervention evaluations, Such outcome suggest that stretching alone cannot alter the scapular motion, but may contribute to the increase in posterior tilt if associates with others interventions.

Bakgrund: I många idrotter såsom innebandy används vanligen statisk stretching (SS) som en del av uppvärmningen i tron om att öka prestation trots att statisk stretching har visat sig ha negativ inverkan på aktiviteter som involverar styrka, power, sprint och agility. Syfte: Syftet med föreliggande studie var att undersöka om olika stretchmetoder SS, dynamisk stretching (DS) och ingen stretching (IS) som en del av uppvärmningen påverkade agility och/eller rörelseomfång (ROM) i hamstring hos manliga innebandyspelare i superelitligan och om en eventuell effekt varade upp till 10 min in i testtillfället. Metod: Vid tre testtillfällen testades de olika stretchmetoderna (SS, DS och IS) efter avslutad uppvärmning. Alla tre stretchmetoderna utfördes vid varje testtillfälle efter randomiserad ordning på tre olika grupper. Agility och rörlighet testades med T-test (s) och passive straight leg raise test (o) vid 0 min, 5 min och 10 min efter avslutad stretching. Totalt 9 testpersoner slutförde studien. Resultat: Vid både 0 min och 5 min efter avslutad stretching noterades bäst tid på T-test (s) efter DS (10,20 ± 0,98 samt 9,92 ± 0,49). Vid 10 min noterades bäst tid efter IS (9,68 ± 0,16). Ingen statistisk signifikant skillnad fanns mellan de olika stretchmetoderna och T-test vid varken 0 min (p = 0,93), 5 min (p = 0,90) eller 10 min (p = 0,29). Vid både 0 min och 5 min efter avslutad stretching gav SS det högsta medelvärdet (o) för ROM (73,56 ± 5,79 samt 71,67 ± 7,12). Vid 10 min gav DS det högsta medelvärdet (73,44 ± 8,75). Ingen statistisk signifikant skillnad fanns heller mellan de olika stretchmetoderna och ROM vid varken 0 min (p = 0,92), 5 min (p = 0,94) eller 10 min (p = 0,71). Slutsats: Resultaten i denna studie saknar statistisk signifikans men visar på en svag trend att SS skulle kunna försämra agility samtidigt som den ökar ROM i hamstring och att prestationsförsämringarna gradvis stagnerar. Emellertid gav både DS och IS likvärdiga eller bättre resultat på T-test i förhållande till SS och med det i åtanke rekommenderas för utförande av SS att förlägga den vid separata tillfällen eller i anslutning med avslutad aktivitet. / Background: In many sports such as floor ball static stretching (SS) is commonly used as part of the warm up to increase performance even though SS has shown to have a negative impact on activities involving strength, power, sprint and agility. Purpose: The purpose of this study was to investigate if different stretching methods SS, dynamic stretching (DS) and no stretching (IS) as a part of the warm up affected agility and/or flexibility (ROM) of the hamstring in male elite floor ball players and if the possible effect lasted up to 10 minutes in the test occasion. Methods: At three different days the different stretching methods (SS, DS and IS) were tested after warm up. The three stretching methods were performed at every test occasion in a randomized order on three different test groups. Agility and flexibility were tested with T-test (s) and passive straight leg raise (o) at 0 min, 5 min and 10 min after warm up. A total of 9 subjects completed the study. Results: At both 0 min and 5 min after completed stretching the best time on T-test (s) was performed after DS (10,20 ± 0,98 and 9,92 ± 0,49). At 10 min the best time was performed after IS (9,68 ± 0,16). No significant difference between the different stretching methods and T-test was found at neither 0 min (p = 0,93), 5 min (p = 0,90) nor 10 min (p = 0,29). At both 0 min and 5 min after completed stretching the highest values on ROM (o) was measured after SS (73,56 ± 5,79 and 71,67 ± 7,12). At 10 min highest value was measured after DS (73,44 ± 8,75 ). No significant difference between the different stretching methods and ROM was found at neither 0 min 0 min (p = 0,92), 5 min (p = 0,94) nor 10 min (p = 0,71). Conclusion: The results of this study lack significance but show a weak trend that SS possibly could impair agility but increase flexibility in hamstring and that the performance impairment gradually stagnates. However both DS and IS gave equal or better results on T-test in comparison to SS and with that in mind SS should be performed at a separate occasion or adjacent to the end of the activity.

Background: Stretching may be viewed as an external/internal force influencing the range of motion of the connective tissue (muscles, tendons and the myotendon unit (MTU)) The magnitude and rate of stretching may potentially induce mechanical responses of the musculoskeletal system, such as increased range of motion (ROM). The degree of the intensity of stretch (low, medium, or high) may be used to optimize recovery from muscle damage via ameliorating inflammation; this is however, a plausible hypothesis that needs to be appropriately investigated. Aims: The present project aimed to investigate: 1) whether intense stretching (IS) causes an acute inflammatory response (study 1), 2) the effects of stretching intensity (low, medium, or high) in the onset of inflammation (study 2), and 3) investigate whether stretching intensity is responsible for aiding in the recovery of the muscle, post muscle damage (study 3). Methods: Studies one and two were randomized crossover trials consisting of 12 and 11 recreational male athletes, respectively. The former investigated whether high intensity stretching can cause an acute inflammatory response, with study two examining the effects of different stretching intensities (30%, 60% and 90%) based on a participant’s perceived maximum range of motion (mROM). Blood for both studies was collected at pre-, post, and 24h post intervention, and analyzed for high sensitivity C-reactive protein (hsCRP) (study 1 and 2), and for interleukin (IL)-1β, IL-6, and tumour necrosis factor (TNF)-α (study 1). In study three, a randomized controlled trial investigated whether stretching intensity (low or high), can influence the recovery from muscle damage. Thirty participants were randomized into three groups, a) low intensity stretching (LiS) (30-40% ROM), b) high intensity stretching (HiS) (70-80% ROM) and c) Control group. All participants performed both eccentric (EPT) and isometric peak torque (IPT) tests prior to a muscle damage protocol (MDP) (baseline). Participants were then assessed for EPT and IPT for three consecutive days post MDP. Soreness levels were recorded immediately post muscle damage and at 24, 48, and 72h, with blood samples collected at pre, 24, 48, and 72h post muscle damage and analyzed for Creatine Kinase (CK) and hsCRP. Results: Study one revealed a significant increase in hsCRP (P = 0.006) when comparing IS to Control condition, also confirmed by the effect size analyses. In study two, low (30% of mROM), and medium (60% of mROM) intensity stretching did not elicit an inflammatory response while a pronounced inflammatory response was observed when comparing 30 to 90 and 60 to 90% mROM. In study three, LiS showed a significant increase in EPT compared to both HiS and Control, and these findings were confirmed by magnitude based inferences analyses (i.e. LiS was associated with a positive effect for both IPT and soreness levels compared to Control and HiS). Blood biomarkers were associated with inconsistent effects compared to Control and HiS for all three-time periods. Conclusions: This thesis provides preliminary results suggesting that increased stretching intensity may be responsible for causing an acute inflammatory response. In addition, it was observed that LiS might be associated with faster recovery from muscle damage with respect to muscle function (EPT and IPT) and soreness levels. More research is needed to investigate these findings further.

M. Tech. / OBJECTIVE: To determine the most effective treatment protocol in the treatment of Upper Crossed Syndrome by comparing objective results gained from Spinal Manipulative Therapy and a stretching program only and a combination of these treatments directed at the shoulder girdle and cervical spine. DESIGN: The study was a clinical trial in which three experimental groups of fifteen participants each were compared to each other. These participants were recruited from the local general population and were selected on the basis of inclusion and exclusion criteria, presenting with Upper Crossed Syndrome and demonstrating unremarkable clinical and radiological findings.

京都大学 / 0048 / 新制・課程博士 / 博士(人間健康科学) / 甲第21705号 / 人健博第71号 / 新制||人健||5(附属図書館) / 京都大学大学院医学研究科人間健康科学系専攻 / (主査)教授 市橋 則明, 教授 黒木 裕士, 教授 妻木 範行 / 学位規則第4条第1項該当 / Doctor of Human Health Sciences / Kyoto University / DFAM

Title: Influence of dynamic stretching on the resulting dynamics of lower extremities in volleyball Objectives: The aim of this work was to find out if there is a correlation between long term dynamic stretching and muscle dynamics of lower limbs of volleyball players. Methods: Theoretical part is based on foreign literature and researches. To gain the necessary data, experimental study was created. It contained 10 male probands in the age of 16-19. In the beginning of the experiment, all the participants attended the Bosco test at the biomedical lab at UK FTVS. The main parameter was the total flight time of the entire 60 seconds. After that participants attended 8 weeks of 2 times a week of dynamic stretching before the training instead of their usual stretching stereotype. Immediately after those 8 weeks, second Bosco testing took place and the comparison of the data of the whole group and individuals was made from the view of their volleyball posts. Results: There was a slight improvement in all the data at the whole group and significant improvement in anaerobic endurance. After comparing of the results of all the probands no significant differences between the probands from the perspective of player's volleyball posts. Keywords: volleyball, stretching, static stretching, dynamic stretching,...

Los trastornos mandibulares son alteraciones asociadas al dolor y disfunción de la Articulación Temporomandibular (ATM), a los músculos de la masticación, a la limitación del movimiento mandibular y a la presencia de un click articular. Entre estos trastornos se puede encontrar la hipomovilidad mandibular la cual se caracteriza por la incapacidad del paciente de abrir la boca con una amplitud normal. La hipomovilidad asociada a la contractura muscular tiene como tratamiento de primera opción el estiramiento pasivo, en esta técnica el paciente tiene que abrir la boca hasta el límite máximo, este movimiento debe ser realizado durante 5 o 6 veces al día. Este reporte de caso describe una paciente de 46 años de edad con Hipomovilidad Mandibular por contractura muscular, se describe la sintomatología, la evaluación clínica y el tratamiento propuesto. La evolución fue favorable; en un seguimiento de 5 semanas se logró el objetivo propuesto. / Mandibular disorders are disorders associated with the pain and dysfunction of the Temporomandibular Joint, the chewing muscles, the limitation of mandibular movement and the presence of a joint click. Among these disorders can be found mandibular hypomobility which is characterized by the patient's inability to open the mouth with a normal width. Passive stretching is the first option for hypomobility associated with muscle contraction. In this technique, the patient has to open the mouth to the maximum limit, this movement must be carried out 5 or 6 times a day. This case report describes a 46-year-old patient with Mandibular Hypomobility due to muscle contracture, the symptoms, the clinical evaluation and the proposed treatment are described. The evolution was favorable; in a 5-week follow-up, the proposed objective was achieved. / Trabajo académico