Range of motion, neuromechanical, and architectural adaptations to plantar flexor stretch training in humans

Anthony J Blazevich, D Cannavan, C Waugh, S Miller, Jonas B Thorlund, P Aagaard, Anthony D Kay

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Abstract

The neuromuscular adaptations in response to muscle stretch training have not been clearly described. In the present study, changes in muscle (at fascicular and whole muscle levels) and tendon mechanics, muscle activity, and spinal motoneuron excitability were examined during standardized plantar flexor stretches after 3 wk of twice daily stretch training (4 x 30 s). No changes were observed in a nonexercising control group (n = 9), however stretch training elicited a 19.9% increase in dorsiflexion range of motion (ROM) and a 28% increase in passive joint moment at end ROM (n = 12). Only a trend toward a decrease in passive plantar flexor moment during stretch (-9.9%; P = 0.15) was observed, and no changes in electromyographic amplitudes during ROM or at end ROM were detected. Decreases in Hmax:Mmax (tibial nerve stimulation) were observed at plantar flexed (gastrocnemius medialis and soleus) and neutral (soleus only) joint angles, but not with the ankle dorsiflexed. Muscle and fascicle strain increased (12 vs. 23%) along with a decrease in muscle stiffness (-18%) during stretch to a constant target joint angle. Muscle length at end ROM increased (13%) without a change in fascicle length, fascicle rotation, tendon elongation, or tendon stiffness following training. A lack of change in maximum voluntary contraction moment and rate of force development at any joint angle was taken to indicate a lack of change in series compliance of the muscle-tendon unit. Thus, increases in end ROM were underpinned by increases in maximum tolerable passive joint moment (stretch tolerance) and both muscle and fascicle elongation rather than changes in volitional muscle activation or motoneuron pool excitability.
Original languageEnglish
Article number5
Pages (from-to)452-462
Number of pages11
JournalJournal of Applied Physiology
Volume117
Issue number5
Early online date19 Jun 2014
DOIs
Publication statusPublished - 1 Sep 2014

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Articular Range of Motion
Muscles
Joints
Tendons
Motor Neurons
Tibial Nerve
Mechanics
Ankle
Compliance
Control Groups

Keywords

  • elasticity
  • flexibility
  • muscle stiffness
  • stretch tolerance
  • tendon stiffness

Cite this

Blazevich, Anthony J ; Cannavan, D ; Waugh, C ; Miller, S ; Thorlund, Jonas B ; Aagaard, P ; Kay, Anthony D. / Range of motion, neuromechanical, and architectural adaptations to plantar flexor stretch training in humans. In: Journal of Applied Physiology. 2014 ; Vol. 117, No. 5. pp. 452-462.
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abstract = "The neuromuscular adaptations in response to muscle stretch training have not been clearly described. In the present study, changes in muscle (at fascicular and whole muscle levels) and tendon mechanics, muscle activity, and spinal motoneuron excitability were examined during standardized plantar flexor stretches after 3 wk of twice daily stretch training (4 x 30 s). No changes were observed in a nonexercising control group (n = 9), however stretch training elicited a 19.9{\%} increase in dorsiflexion range of motion (ROM) and a 28{\%} increase in passive joint moment at end ROM (n = 12). Only a trend toward a decrease in passive plantar flexor moment during stretch (-9.9{\%}; P = 0.15) was observed, and no changes in electromyographic amplitudes during ROM or at end ROM were detected. Decreases in Hmax:Mmax (tibial nerve stimulation) were observed at plantar flexed (gastrocnemius medialis and soleus) and neutral (soleus only) joint angles, but not with the ankle dorsiflexed. Muscle and fascicle strain increased (12 vs. 23{\%}) along with a decrease in muscle stiffness (-18{\%}) during stretch to a constant target joint angle. Muscle length at end ROM increased (13{\%}) without a change in fascicle length, fascicle rotation, tendon elongation, or tendon stiffness following training. A lack of change in maximum voluntary contraction moment and rate of force development at any joint angle was taken to indicate a lack of change in series compliance of the muscle-tendon unit. Thus, increases in end ROM were underpinned by increases in maximum tolerable passive joint moment (stretch tolerance) and both muscle and fascicle elongation rather than changes in volitional muscle activation or motoneuron pool excitability.",
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Range of motion, neuromechanical, and architectural adaptations to plantar flexor stretch training in humans. / Blazevich, Anthony J; Cannavan, D; Waugh, C; Miller, S; Thorlund, Jonas B; Aagaard, P; Kay, Anthony D.

In: Journal of Applied Physiology, Vol. 117, No. 5, 5, 01.09.2014, p. 452-462.

Research output: Contribution to journalArticleResearchpeer-review

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AU - Cannavan, D

AU - Waugh, C

AU - Miller, S

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AU - Aagaard, P

AU - Kay, Anthony D

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AB - The neuromuscular adaptations in response to muscle stretch training have not been clearly described. In the present study, changes in muscle (at fascicular and whole muscle levels) and tendon mechanics, muscle activity, and spinal motoneuron excitability were examined during standardized plantar flexor stretches after 3 wk of twice daily stretch training (4 x 30 s). No changes were observed in a nonexercising control group (n = 9), however stretch training elicited a 19.9% increase in dorsiflexion range of motion (ROM) and a 28% increase in passive joint moment at end ROM (n = 12). Only a trend toward a decrease in passive plantar flexor moment during stretch (-9.9%; P = 0.15) was observed, and no changes in electromyographic amplitudes during ROM or at end ROM were detected. Decreases in Hmax:Mmax (tibial nerve stimulation) were observed at plantar flexed (gastrocnemius medialis and soleus) and neutral (soleus only) joint angles, but not with the ankle dorsiflexed. Muscle and fascicle strain increased (12 vs. 23%) along with a decrease in muscle stiffness (-18%) during stretch to a constant target joint angle. Muscle length at end ROM increased (13%) without a change in fascicle length, fascicle rotation, tendon elongation, or tendon stiffness following training. A lack of change in maximum voluntary contraction moment and rate of force development at any joint angle was taken to indicate a lack of change in series compliance of the muscle-tendon unit. Thus, increases in end ROM were underpinned by increases in maximum tolerable passive joint moment (stretch tolerance) and both muscle and fascicle elongation rather than changes in volitional muscle activation or motoneuron pool excitability.

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KW - muscle stiffness

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KW - tendon stiffness

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