The External Validity of a Novel Contract-Relax Stretching Technique on Knee Flexor Range of Motion

Anthony D Kay, J Dixon, L D Bligh, Anthony J Blazevich

Research output: Contribution to JournalArticle

Abstract

Introduction: Compromised joint range of motion (ROM) can negativelyaffect the capacity to perform activities of daily living in clinicalpopulations.  Recently, similar improvementsin dorsiflexion ROM were reported following dynamometry-based contract-relax(CR) stretching and modified CR stretching technique (stretch-return-contract[SRC]) where the contraction phase was performed ‘off stretch’.  As neither the impact of SRC on other musclegroups nor the ecological validity of SRC performed in an applied environment havebeen tested, the acute effects of both techniques in dynamometry- (CRdynaand SRCdyna) and field-based (CRfield and SRCfield)environments were compared in the hamstring muscle group.  

Methods:Seventeen participants performed each of the four stretching conditions on separatedays in a randomised order. Before and after the stretches, knee extension ROM and passive knee flexor moment were recorded on an isokineticdynamometer.  

Results: Significant (P<0.01)increases in knee extension ROM (4.6-5.2°) and elastic potential energy storage(12.0-23.6%) and decreases in the slope of the passive moment-angle relation (8.9-12.2%)occurred in all conditions.  Significantincreases in peak passive joint moment were observed after field- (14.3-14.8%)but not dynamometry-based (4.6-6.6%) stretches. No difference (P>0.05) inany measure was found between conditions.  

Conclusions:These data confirm the acute efficacy of the SRC technique in the hamstringmuscle group and demonstrate its ecological validity in an applied environmentin healthy participants.  As the field-basedSRC technique was performed without partner assistance, when compared with classicalPNF it represents an equally effective and practical stretching paradigm to supportathletic and clinical exercise prescription.

Original languageEnglish
Pages (from-to)74-82
Number of pages9
JournalScandinavian Journal Of Medicine & Science in Sports
Volume30
Issue number1
Early online date23 Sep 2019
DOIs
Publication statusE-pub ahead of print - 23 Sep 2019

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Contracts
Articular Range of Motion
Knee
Activities of Daily Living
Prescriptions
Healthy Volunteers
Exercise

Bibliographical note

© 2019 The Authors. Scandinavian Journal of Medicine & Science In Sports published by John Wiley & Sons Ltd.

Cite this

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title = "The External Validity of a Novel Contract-Relax Stretching Technique on Knee Flexor Range of Motion",
abstract = "Introduction: Compromised joint range of motion (ROM) can negativelyaffect the capacity to perform activities of daily living in clinicalpopulations.  Recently, similar improvementsin dorsiflexion ROM were reported following dynamometry-based contract-relax(CR) stretching and modified CR stretching technique (stretch-return-contract[SRC]) where the contraction phase was performed ‘off stretch’.  As neither the impact of SRC on other musclegroups nor the ecological validity of SRC performed in an applied environment havebeen tested, the acute effects of both techniques in dynamometry- (CRdynaand SRCdyna) and field-based (CRfield and SRCfield)environments were compared in the hamstring muscle group.  Methods:Seventeen participants performed each of the four stretching conditions on separatedays in a randomised order. Before and after the stretches, knee extension ROM and passive knee flexor moment were recorded on an isokineticdynamometer.  Results: Significant (P<0.01)increases in knee extension ROM (4.6-5.2°) and elastic potential energy storage(12.0-23.6{\%}) and decreases in the slope of the passive moment-angle relation (8.9-12.2{\%})occurred in all conditions.  Significantincreases in peak passive joint moment were observed after field- (14.3-14.8{\%})but not dynamometry-based (4.6-6.6{\%}) stretches. No difference (P>0.05) inany measure was found between conditions.  Conclusions:These data confirm the acute efficacy of the SRC technique in the hamstringmuscle group and demonstrate its ecological validity in an applied environmentin healthy participants.  As the field-basedSRC technique was performed without partner assistance, when compared with classicalPNF it represents an equally effective and practical stretching paradigm to supportathletic and clinical exercise prescription.",
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The External Validity of a Novel Contract-Relax Stretching Technique on Knee Flexor Range of Motion. / Kay, Anthony D; Dixon, J; Bligh, L D; Blazevich, Anthony J.

In: Scandinavian Journal Of Medicine & Science in Sports, Vol. 30, No. 1, 23.09.2019, p. 74-82.

Research output: Contribution to JournalArticle

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AU - Dixon, J

AU - Bligh, L D

AU - Blazevich, Anthony J

N1 - © 2019 The Authors. Scandinavian Journal of Medicine & Science In Sports published by John Wiley & Sons Ltd.

PY - 2019/9/23

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N2 - Introduction: Compromised joint range of motion (ROM) can negativelyaffect the capacity to perform activities of daily living in clinicalpopulations.  Recently, similar improvementsin dorsiflexion ROM were reported following dynamometry-based contract-relax(CR) stretching and modified CR stretching technique (stretch-return-contract[SRC]) where the contraction phase was performed ‘off stretch’.  As neither the impact of SRC on other musclegroups nor the ecological validity of SRC performed in an applied environment havebeen tested, the acute effects of both techniques in dynamometry- (CRdynaand SRCdyna) and field-based (CRfield and SRCfield)environments were compared in the hamstring muscle group.  Methods:Seventeen participants performed each of the four stretching conditions on separatedays in a randomised order. Before and after the stretches, knee extension ROM and passive knee flexor moment were recorded on an isokineticdynamometer.  Results: Significant (P<0.01)increases in knee extension ROM (4.6-5.2°) and elastic potential energy storage(12.0-23.6%) and decreases in the slope of the passive moment-angle relation (8.9-12.2%)occurred in all conditions.  Significantincreases in peak passive joint moment were observed after field- (14.3-14.8%)but not dynamometry-based (4.6-6.6%) stretches. No difference (P>0.05) inany measure was found between conditions.  Conclusions:These data confirm the acute efficacy of the SRC technique in the hamstringmuscle group and demonstrate its ecological validity in an applied environmentin healthy participants.  As the field-basedSRC technique was performed without partner assistance, when compared with classicalPNF it represents an equally effective and practical stretching paradigm to supportathletic and clinical exercise prescription.

AB - Introduction: Compromised joint range of motion (ROM) can negativelyaffect the capacity to perform activities of daily living in clinicalpopulations.  Recently, similar improvementsin dorsiflexion ROM were reported following dynamometry-based contract-relax(CR) stretching and modified CR stretching technique (stretch-return-contract[SRC]) where the contraction phase was performed ‘off stretch’.  As neither the impact of SRC on other musclegroups nor the ecological validity of SRC performed in an applied environment havebeen tested, the acute effects of both techniques in dynamometry- (CRdynaand SRCdyna) and field-based (CRfield and SRCfield)environments were compared in the hamstring muscle group.  Methods:Seventeen participants performed each of the four stretching conditions on separatedays in a randomised order. Before and after the stretches, knee extension ROM and passive knee flexor moment were recorded on an isokineticdynamometer.  Results: Significant (P<0.01)increases in knee extension ROM (4.6-5.2°) and elastic potential energy storage(12.0-23.6%) and decreases in the slope of the passive moment-angle relation (8.9-12.2%)occurred in all conditions.  Significantincreases in peak passive joint moment were observed after field- (14.3-14.8%)but not dynamometry-based (4.6-6.6%) stretches. No difference (P>0.05) inany measure was found between conditions.  Conclusions:These data confirm the acute efficacy of the SRC technique in the hamstringmuscle group and demonstrate its ecological validity in an applied environmentin healthy participants.  As the field-basedSRC technique was performed without partner assistance, when compared with classicalPNF it represents an equally effective and practical stretching paradigm to supportathletic and clinical exercise prescription.

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