一项随机临床试验:10分钟肱三头肌表面伸展运动的效果在60分钟后仍然存在

F. C. Sonda, M. Borges, E. Rocha, Anelize Cini, M. Vaz, C. Lima
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摘要

背景:伸展运动增加关节活动范围(ROM),并依赖于骨组织伸展的时间。然而,目前尚不清楚长时间拉伸如何影响肌肉-肌腱单元的被动力学性能。目的:本研究旨在分析在10分钟被动拉伸方案前后三头肌表面肌腱单元被动力学性能的变化。方法:30名健康参与者(26.57±3.82岁)被分为对照组(n=15)和实验组(n=15),对照组不进行任何干预,实验组进行一次10分钟的踝关节足底屈肌被动静态拉伸。评估干预前、干预后、干预结束后15、30、45和60分钟的踝关节ROM、足底屈肌被动扭矩和肌腱连接处位移。计算所有时刻的肌肉-肌腱单元、肌肉和肌腱的刚度。采用广义估计方程检验来比较组和矩。结果:实验组从干预前到干预后ROM增加(p<0.001),并保持增加至60分钟。与干预前相比,30和45分钟后肌腱结位移减小。肌肉僵硬度在拉伸后、45分钟和60分钟后立即增加。被动扭矩和肌肉肌腱单位刚度随着时间的推移而下降,分别有轻微、小和中等的效应大小。结论:被动静态拉伸(10分钟)会导致急性ROM增加,并伴有肌肉肌腱单位被动力学性能降低,这种情况在干预后持续一小时。
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The effects of a 10-minute triceps surae stretching session persist after 60 min: a randomized clinical trial
BACKGROUND: Stretching exercises increase the joint range of motion (ROM) and depend on the skeletal tissues' exposition-time to stretch. However, it is unclear how a long stretching time affects the muscle-tendon unit's passive mechanical properties. AIM: This study aimed to analyze changes in the triceps surae muscle-tendon unit’s passive mechanical properties before and after a 10-minute passive stretching protocol. METHOD: Thirty healthy participants (26.57 ± 3.82 years old) were allocated into a control group (n=15), who did not perform any intervention, and to an experimental group (n=15), who performed one bout of a 10-minute ankle plantar flexor passive static stretching. Ankle ROM, plantar flexor passive torque, and myotendinous junction displacement were evaluated pre-intervention, immediately after, and 15, 30, 45, and 60 minutes after the end of the intervention. The stiffnesses of the muscle-tendon unit, muscle, and tendon were calculated for all moments. A generalized estimating equation test was performed to compare groups and moments. RESULTS: The experimental group increased the ROM (p<0.001) from pre- to post-intervention and remained augmented up to 60 minutes. The myotendinous junction displacement decreased at post-30 and post-45 moments compared to pre-intervention. Muscular stiffness increased immediately after stretching and post-45 and post-60 minutes. Passive torque and musculotendinous unit stiffness decreased over time, with trivial, small, and moderate effect sizes, respectively. CONCLUSION: Passive static stretching (10 min) generates an acute ROM increase associated with muscle-tendon unit passive mechanical properties reduction, which lasts up to one-hour post-intervention.
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