Acute and Long-Term Effects of Static Stretching on Muscle-Tendon Unit Stiffness: A Systematic Review and Meta-Analysis.

IF 2.4 2区 医学 Q2 SPORT SCIENCES Journal of Sports Science and Medicine Pub Date : 2023-09-01 DOI:10.52082/jssm.2023.465
Kosuke Takeuchi, Masatoshi Nakamura, Taizan Fukaya, Andreas Konrad, Takamasa Mizuno
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Abstract

Static stretching can increase the range of motion of a joint. Muscle-tendon unit stiffness (MTS) is potentially one of the main factors that influences the change in the range of motion after static stretching. However, to date, the effects of acute and long-term static stretching on MTS are not well understood. The purpose of this meta-analysis was to investigate the effects of acute and long-term static stretching training on MTS, in young healthy participants. PubMed, Web of Science, and EBSCO published before January 6, 2023, were searched and finally, 17 papers were included in the meta-analysis. Main meta-analysis was performed with a random-effect model and subgroup analyses, which included comparisons of sex (male vs. mixed sex and female) and muscle (hamstrings vs. plantar flexors) were also performed. Furthermore, a meta-regression was conducted to examine the effect of total stretching duration on MTS. For acute static stretching, the result of the meta-analysis showed a moderate decrease in MTS (effect size = -0.772, Z = -2.374, 95% confidence interval = -1.409 - -0.325, p = 0.018, I2 = 79.098). For long-term static stretching, there is no significant change in MTS (effect size = -0.608, Z = -1.761, 95% CI = -1.284 - 0.069, p = 0.078, I2 = 83.061). Subgroup analyses revealed no significant differences between sex (long-term, p = 0.209) or muscle (acute, p =0.295; long-term, p = 0.427). Moreover, there was a significant relationship between total stretching duration and MTS in acute static stretching (p = 0.011, R2 = 0.28), but not in long-term stretching (p = 0.085, R2 < 0.01). Whilst MTS decreased after acute static stretching, only a tendency of a decrease was seen after long-term stretching.

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静态拉伸对肌肉-肌腱单元刚度的急性和长期影响:系统回顾和荟萃分析。
静态拉伸可以增加关节的运动范围。肌腱单位刚度(MTS)可能是影响静态拉伸后运动范围变化的主要因素之一。然而,到目前为止,急性和长期静态拉伸对MTS的影响还不太清楚。本荟萃分析的目的是在年轻健康参与者中研究急性和长期静态拉伸训练对MTS的影响。检索了2023年1月6日之前发表的PubMed、Web of Science和EBSCO,最终有17篇论文被纳入荟萃分析。主要荟萃分析采用随机效应模型进行,并进行亚组分析,包括性别(男性与混合性别和女性)和肌肉(腘绳肌与跖屈肌)的比较。此外,还进行了元回归,以检验总拉伸持续时间对MTS的影响。对于急性静态拉伸,元分析结果显示MTS适度降低(效应大小=-0.772,Z=-2.374,95%置信区间=-1.409-0.325,p=0.018,I2=79.098)。对于长期静态拉伸,MTS没有显著变化(效应大小=-0.608,Z=-1.761,95%CI=-1.284-0.069,p=0.078,I2=83.061)。亚组分析显示,性别(长期,p=0.029)或肌肉(急性,p=0.295;长期,p=0.427)之间没有显著差异。此外,在急性静态拉伸中,总拉伸持续时间与MTS之间存在显著关系(p=0.011,R2=0.28),而在长期拉伸中则没有(p=0.085,R2<0.01)。急性静态拉伸后MTS下降,但在长期拉伸后仅出现下降趋势。
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来源期刊
CiteScore
5.60
自引率
6.20%
发文量
56
审稿时长
4-8 weeks
期刊介绍: The Journal of Sports Science and Medicine (JSSM) is a non-profit making scientific electronic journal, publishing research and review articles, together with case studies, in the fields of sports medicine and the exercise sciences. JSSM is published quarterly in March, June, September and December. JSSM also publishes editorials, a "letter to the editor" section, abstracts from international and national congresses, panel meetings, conferences and symposia, and can function as an open discussion forum on significant issues of current interest.
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