Sekir Et Al. (2010) Acute Effects of Static and Dynamic Stretching On Leg Flexor and Extensor Isokinetic Strength

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Scand J Med Sci Sports 2010: 20: 268–281

doi: 10.1111/j.1600-0838.2009.00923.x & 2009 John Wiley & Sons A/S

Acute effects of static and dynamic stretching on leg flexor and


extensor isokinetic strength in elite women athletes
U. Sekir1, R. Arabaci2, B. Akova1, S. M. Kadagan1
1
Department of Sports Medicine, Medical School of Uludag University, Bursa, Turkey, 2Department of Physical Education and
Sport, Faculty of Education, Uludag University, Bursa, Turkey
Corresponding author: Ufuk Sekir, Associate Professor, MD, Department of Sports Medicine, Medical School of Uludag
University, 16059 Gorukle, Bursa, Turkey. Tel: 190 (224) 295 35 00, Fax: 190 (224) 442 87 27, E-mail: ufuksek@gmail.
com
Accepted for publication 8 January 2009

The aim of this study was to explore the effects of static and strength at both test speeds displayed a significant decrease
dynamic stretching of the leg flexors and extensors on following static stretching (Po0.01–0.001). In contrast, a
concentric and eccentric peak torque (PT) and electromyo- significant increase was observed after dynamic stretching
graphy (EMG) amplitude of the leg extensors and flexors in for these strength parameters (Po0.05–0.001). Parallel
women athletes. Ten elite women athletes completed the to this, normalized EMG amplitude parameters exhibited
following intervention protocol in a randomized order on significant decreases following static (Po0.05–0.001)
separate days: (a) non-stretching (control), (b) static and significant increases following dynamic stretching
stretching, and (c) dynamic stretching. Stretched muscles (Po0.05–0.001) during quadriceps and hamstring muscle
were the quadriceps and hamstring muscles. Before and actions at both concentric and eccentric testing modes. Our
after the stretching or control intervention, concentric and findings suggest that dynamic stretching, as opposed to
eccentric isokinetic PT and EMG activity of the leg static or no stretching, may be an effective technique for
extensors and flexors were measured at 60 and 1801/s. enhancing muscle performance during the pre-competition
Concentric and eccentric quadriceps and hamstring muscle warm-up routine in elite women athletes.

Strength, one of the muscular performance indica- its application is easy and safe (Alter, 1997; Hedrick,
tors, is an important physical fitness factor that 2000).
affects various sport performances. Many athletes Recently, numerous studies have examined the
use some type of pre-participation warm-up routine effects of static or dynamic stretching on maximal
to prepare themselves for athletic practice or compe- isometric, concentric, or eccentric dynamic muscle
tition. Traditionally, these warm-ups have included strength and muscle electromyography (EMG) activ-
some form of stretching, and stretching has been ity for the knee joint (Kokkonen et al., 1998; Young
commonplace in a multitude of sports (ACSM, 2000; & Elliott, 2001; Behm et al., 2004; Cramer et al.,
Holcomb, 2000). Many athletes, athletic trainers and 2004, 2005, 2006, 2007a, b; Marek et al., 2005; Ogura
other rehabilitation professionals believe that et al., 2007; Yamaguchi et al., 2007). Typically, it was
stretching promotes better performance and/or re- shown that pre-exercise static stretching may tem-
duces the risk of musculoskeletal injury during stren- porarily compromise a muscle’s ability to produce
uous exercise or strength assessment tests by strength either isometrically or isokinetically (Kok-
improving flexibility or pain-free range of motion konen et al., 1998; Avela et al., 1999; Behm et al.,
about a joint (Shellock & Prentice, 1985; Alter, 2001; Nelson et al., 2001a, b; Cramer et al., 2004,
1997). Athletes and coaches use many different types 2005, 2007a; Marek et al., 2005; Yamaguchi et al.,
of stretching that are usually based only on their 2006). In contrast, some evidence exists indicating
personal preference, but no optimal type or amount that dynamic stretching exercises may improve mus-
of stretching has been identified. There are various cle strength performance (Yamaguchi & Ishii, 2005;
techniques of stretching, including ballistic, proprio- Yamaguchi et al., 2007). This has implications for
ceptive neuromuscular facilitation, static, and dy- athletes involved in sports that require high levels of
namic stretching (Alter, 1997; Hedrick, 2000). strength and force production. Some researchers
Among these, static stretching is widely used because have proposed that static stretching before competi-

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Static and dynamic stretching: women athletes
tion may hinder performance and prompted recom- The test procedure took place in the subject’s dominant leg,
mendations that static stretching be omitted or and all of the subjects used the right leg. Limb dominance was
replaced by dynamic stretching during warm-ups determined by asking subjects which leg they would use to
naturally kick a ball. None of the subjects were naı̈ve to the
(Kokkonen et al., 1998; Nelson et al., 2001b; Young ‘‘stretching-induced force deficit’’ phenomena. We told them
& Elliott, 2001; Cramer et al., 2004; Yamaguchi et that we only want to investigate whether strength would show
al., 2006, 2007). When all these studies were scruti- changes following dynamic or static stretching. Anyone with a
nized, except the study by Behm et al. (2004) that current or a recent low-back-, hip-, knee-, or ankle-related
investigated the effects of stretching of the quadri- injury, complaining of pain, swelling, or functional limitations
in these joints and apparent limitations in knee range of
ceps, hamstring, and plantar flexors on quadriceps motion was excluded from this study. After being informed
maximal voluntary contraction (MVC) strength, it is about the study and test procedures, and any possible risks
obvious that only single muscle groups like the and discomfort that might ensue, their written informed
quadriceps (Cramer et al., 2004, 2005, 2006, consent to participate was obtained in accordance with the
2007a, b; Marek et al., 2005; Yamaguchi & Ishii, Helsinki Declaration (WMADH, 2000).
2005; Ogura et al., 2007; Yamaguchi et al., 2007) or
hamstrings (Ogura et al., 2007; Herda et al., 2008) Experimental procedure
were stretched for the investigation. During the
Before the experiments, each subject visited the laboratory to
warm-up routine, however, athletes prefer to stretch receive instructions and participated in a familiarization trial
for the knee joint both of their quadriceps and to practice leg extensor and flexor strength tests in concentric
hamstring muscles. Thus, it is important to know and eccentric modes at selected angular velocities. Thereafter,
how stretching of the hamstring and quadriceps during the second laboratory visit, all subjects completed the
following intervention protocol in a randomized order on
muscles together, closely related to the actual de-
separate days: (a) non-stretching (control), (b) static stretch-
mands of sport, affects the strength performance of ing, and (c) dynamic stretching. The test procedure was
these muscles. Additionally, although there are stu- conducted on three non-consecutive days and was completed
dies indicating improved muscle strength perfor- within 1 week. Before (pre) and after (post) the stretching or
mance following dynamic stretching (Yamaguchi & control intervention, concentric and eccentric isokinetic PT
for leg extension and flexion, and electromyographic activity
Ishii, 2005; Yamaguchi et al., 2007), it is not known
of the leg extensors and flexors were measured. In addition,
how dynamic stretching affects strength and EMG each subject performed a 5-min warm-up at 50 W on a
activity during isokinetic quadriceps and hamstring stationary cycle ergometer before the initial isokinetic testing
contractions in concentric and eccentric modes. Be- on all test days. The average duration for each of the static and
sides, there is also no knowledge in the literature dynamic stretching procedures was 6  1 min. Therefore, in
the non-stretching (control) period, each subject was allowed a
about the effects of static hamstring stretching on
5-min rest interval in a sitting or a supine position with both
hamstring EMG activity during maximal voluntary legs extended.
contractions. Furthermore, to date, no research has
investigated the effects of these two modes of stretch-
ing exercises for the quadriceps and hamstring mus- Static stretching exercises
cles on muscle performance parameters in women In order to stretch the quadriceps and hamstring muscles in
elite athletes. the dominant limb, two static unassisted stretching exercises
Therefore, the specific purposes of this study were were designed for both the extensor and the flexor muscle
groups. The subject performed two successive repetitions of
to examine the effects of static and dynamic stretch- each unassisted stretching exercise for 20 s to the threshold of
ing of the leg flexor and extensors within a warm-up mild discomfort, but not pain, as acknowledged by the subject.
routine on concentric and eccentric peak torque (PT) Between each stretching repetition and at the time of changing
and EMG amplitude of the leg extensors (vastus the stretching exercise and the muscle group, the leg was
lateralis and rectus femoris) and flexors (medial and returned to a neutral position for a 15-s rest period. The total
stretching time was 6  1 min. It is generally recommended
lateral hamstring) in women elite athletes. that stretches are held longer than this; however, this was the
amount of time that the athletes typically held stretches before
activity and this time interval was selected to mimic those
conditions. Static stretching for both of the quadriceps and
Material and methods hamstring muscles was carried out in the standing and sitting
Subjects position.
A total of 10 healthy Caucasian female subjects volunteered to
participate in the present study. Their physical characteristics Quadriceps
were: age, 20  2 years; height, 165  7 cm; weight, 58  8 kg.
All subjects were elite competitive athletes and members of the (a) For the standing quadriceps stretching exercise, the subject
National Athletics clubs. They participated in regular athletics stood upright with one hand against a wall for balance. The
sport activities like hammer throw, triple jump, heptathlon, subject then flexed the dominant leg (right) to a knee joint
high jump, 100 m hurdles, and long- and middle-distance track angle of 901. The ankle of the flexed leg was grasped by the
events. Their training backgrounds were determined according right hand, and the foot was raised so that the heel of the
to declarations made by the team coaches and the athletes. On dominant foot approached the buttocks and extended the hip
average, they trained for 7  2 years and 11  3 h per week. joint [Fig. 1(a)]. (b) The subjects executed the stretching

269
Sekir et al.

Fig. 1. The four types of static stretching


exercise for the quadriceps and ham-
string muscles.

exercises in the sitting position on a medium-density polyfoam tracted the antagonist of the target muscle (either the quad-
exercise mat. After sitting on the mat they flexed their riceps or hamstring) intentionally in the standing upright
dominant legs so that the heel reached the buttocks and curled position and flexed or extended some joints once every 2 s so
the non-dominant legs so that the sole was against the inside that the target muscle was stretched. Before performing each
of the dominant thigh. Thereafter, in order to stretch the stretching exercise, we explained to the subjects the muscle
quadriceps, they leaned their body backwards [Fig. 1(c)]. groups that should be contracted. The subjects performed two
repetitions of every stretching exercise. Each stretching was
performed five times, slowly at first, and then 10 times as
Hamstring quickly and powerfully as possible without bouncing. Between
(a) In the standing stretch position, the subjects placed the each stretching repetition and at the time of changing the
dominant foot being stretched forward on a bench or a step stretching exercise and the muscle group, subjects stood
with the leg slightly bent. While supporting most of their upright for a 15-s rest period. The total duration of the
weight on the other non-dominant foot, they leaned forward dynamic stretching was 6  1 min.
at the waist and bent from the hips with the arms reaching for
the toes until they felt the stretch in the hamstrings [Fig. 1(b)].
(b) The sitting stretch position was made as for the quadriceps Quadriceps
muscle on the exercise mat. The subjects straightened the (a) In the standing upright position, the subject contracted her
dominant legs and curled the non-dominant legs so that the hamstrings intentionally and flexed her leg so that her heel
sole was against the inside of the dominant thigh. Thereafter, touched her buttock [Fig. 2(a)].
they leaned forward with their backs straight and tried to hold (b) In the standing upright position, the subject leaned
the extended leg as far as possible with the hands until feeling forward and raised her foot from the floor with her hip and
tension on the hamstring muscles. The holding point of the leg lightly flexed. Then, the subject contracted her hip ex-
stretch was set at the maximal possible length without feeling tensors and hamstring muscles so that her leg was extended to
pain or discomfort [Fig. 1(d)]. the posterior aspect of the body while the hips nearly came to
full extension and the leg to full flexion [Fig. 2(b)].

Dynamic stretching exercises


Hamstring
For dynamic stretching, similar to static stretching exercises,
two different stretching modes were designed for both the (a) In the standing upright position, the subject contracted the
extensor and the flexor muscle groups. Each subject con- hip flexors intentionally with the leg extended and flexed her

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Static and dynamic stretching: women athletes

Fig. 2. The four types of dynamic stretching exercise for the quadriceps and hamstring muscles.

hip joint so that her leg was swung up to the anterior aspect of Subjects were instructed to give 100% effort and received
her body [Fig. 2(c)]. positive feedback during testing. The concentric and eccentric
(b) In the standing upright position, the subject contracted her PT measurements were carried out separately; eccentric mea-
hip flexors and flexed her hip joint, raising her thigh parallel to surement was followed by concentric measurement. At the
the ground with her leg flexed at about 901. Then, the subject beginning of the test condition, subjects were allowed three
contracted her quadriceps with the height of her thigh main- submaximal contractions of the quadriceps and hamstring
tained and extended her knee joint so that her leg extended to muscle group to familiarize themselves with the test condi-
the anterior aspect of her body [Fig. 2(d)]. tions. Following the three submaximal trials, they were given
four maximal contractions at the angular velocities of 60 and
1801/s. Eccentric strength measurement was performed at the
Isokinetic testing procedure same angular velocities as in the concentric measurement. A
The Cybex NORM isokinetic system (Lumex Inc., Ronkon- 1-min rest was allowed between each of the test velocities, and
koma, New York, USA) was used for the concentric and a minimum of a 3-min rest was allowed between the concentric
eccentric PT of the quadriceps and hamstring muscles. The and eccentric measurements to prevent the buildup of fatigue.
Cybex NORM dynamometer is a hydraulically driven and The best PT of the four maximal contractions for each test
microcomputer-controlled device operating in a continuous condition was collected for data analysis.
passive motion, isometric, isotonic and isokinetic concentric
and eccentric modes. The Cybex dynamometer was calibrated
as part of the regular schedule for maintenance of equipment EMG measurements
used for this testing device (Ronkonkoma, 1995). The electromyographic activity was recorded from the leg
The knee to be tested was placed on the leg flexion- extensor (vastus lateralis and rectus femoris) and flexor [biceps
extension plate of the Cybex NORM device, according to femoris (BF) and semitendinosus (ST)] muscles with a porta-
the manufacturer’s instructions for isolating leg flexion and ble 8-channel Muscle Testert device (ME3000P, Mega Elec-
extension, and was secured with Velcro straps (Ronkonkoma, tronics, Kuopio, Finland). Bipolar pregelled Ag/AgCl surface
1995). The length of the dynamometer was adapted to the electrodes (Kendall-Arbo electrodes with 1 cm silver–silver
length of the knee of each subject. Standard stabilization chloride disks; Tyco Healthcare, Neustadt/Donau, Germany)
strapping was placed across the distal thigh and chest, and were used to record the EMG from these muscles. Before the
placements were limited to grasping the waist stabilization electrode placements, the skin was shaved and cleaned with an
strap. Before the testing session started, to familiarize them- isopropyl alcohol and then rubbed with sandpaper to main-
selves with the testing device, subjects were instructed to tain the inter-electrode impedance below 2000 O and minimize
perform three active repetitions of leg movement ranging skin impedance. All the electrodes were attached to the skin
from maximal flexion to maximal extension. The same in- over the belly of the muscles along a line approximately
vestigator performed all the tests to ensure standardization. parallel to the direction of the underlying muscle fibers. The

271
Sekir et al.
distance between the centers of the electrode pairs was 20 mm. Reliability
The electrodes for the vastus lateralis were placed at 66% of To determine the test–retest reliability of our laboratory for
the distance from the anterior superior iliac spine to the lateral PT and EMG amplitude values during isokinetic concentric
border of the patella. For the rectus femoris, electrodes were and eccentric leg extension and flexion movements, the tests
placed at 50% of the distance from the anterior superior iliac were repeated twice at 3–5-day intervals in 11 healthy female
spine to the superior aspect of the patella. The electrode recreational athletes. Tables 1 and 2 show the mean and
locations for the BF were over the long head of the BF standard deviations from the first and second tests, and the
halfway along the line between the ischial tuberosity and the intraclass correlation coefficients (ICC) scores for PT and
lateral condyle of the femur. For the ST, electrodes were EMG amplitude measures, respectively. The ICC for PT and
placed at halfway along the line between the ischial tuberosity EMG amplitude ranged from 0.90 to 0.98, and 0.69 to 0.80,
and the medial condyle of the femur. The electrodes remained respectively. There were no significant differences between the
on the skin throughout the stretching exercises. The signals two testing sessions for all the measured parameters (P40.05).
were amplified with analog differential amplifiers placed close
to the recording electrodes (common mode rejection ratio
typical 110 dB), low pass filtered (8–500 Hz, 3 dB points),
12-bit analog-to-digital converted, and stored in a microcom-
puter (Mega Electronics, ME3000P system). This unit sampled
Results
the analog EMG signal at a frequency of 1000 Hz. During Isokinetic strength
recording, the data were transmitted online to a personal Tables 3 and 4 present the mean PT values, including
computer with an optic cable and the raw EMG amplitude
values (mV) were calculated automatically by means of
concentric and eccentric strength, in all the three
ME3000P software (MegaWin v2.2, Mega Electronics) for a groups for the quadriceps and hamstring muscle,
period that corresponded to a 901 range of motion from respectively. There were no statistically significant
approximately full leg extension to 901 of flexion at the differences among the three groups’ pre-test scores
knee. The stored raw EMG data were expressed as absolute
root-mean-square amplitude values (mV) by the software. The
Table 1. Test–retest reliability data for peak torque measures during
values calculated from the EMG signals were synchronized to
the isokinetic data using the onset of the EMG signal as the isokinetic concentric and eccentric leg extension and flexion movements
onset of concentric and eccentric torque production; therefore, at 60 and 1801/s angular velocities (mean  SD)
the representative isokinetic values corresponded to EMG
First test Second test ICC P value
values.
ConQ60 (N m) 227  49 228  47 0.98 0.797
ConQ180 (N m) 134  29 131  29 0.94 0.425
Normalization EccQ60 (N m) 266  79 273  76 0.92 0.588
EccQ180 (N m) 234  66 214  59 0.94 0.056
The EMG amplitude has been normalized against the MVC ConH60 (N m) 150  34 157  32 0.90 0.255
trial that yielded the highest PT value and was carried out ConH180 (N m) 107  22 109  24 0.90 0.675
before the stretching and first isokinetic testing intervention. EccH60 (N m) 161  52 162  44 0.90 0.879
MVCs were attained during the isometric contractions on the EccH180 (N m) 161  44 162  49 0.94 0.916
isokinetic dynamometer at 601 for leg extensors (vastus
lateralis and rectus femoris) and 301 for leg flexors (BF and Ecc, eccentric; Con, concentric; Q, quadriceps; H, hamstring; 60, 601/s,
ST). The mean muscular activity for the four concerned 180, 1801/s.
muscle group was expressed separately as the percentage
(%MVC) of the amplitude values obtained during the middle
Table 2. Test–retest reliability data for EMG amplitude measures during
2-s epoch of the 5-s MVC trial. In this way, normalization of
the EMG amplitude values allowed for comparisons between isokinetic concentric and eccentric leg extension and flexion movements
muscles, limbs, and velocities (Soderberg & Knutson, 2000). at 60 and 1801/s angular velocities (mean  SD)

First test Second test ICC P value

ConRF60 (%MVC) 83  12 81  11 0.74 0.626


Statistical analysis ConVL60 (%MVC) 94  20 98  13 0.80 0.363
Statistical analysis was performed using SPSS version 16.0 ConRF180 (%MVC) 74  13 70  15 0.74 0.316
ConVL180 (%MVC) 91  19 98  11 0.76 0.103
(SPSS, SPSS Inc, Chicago, Illinois, USA) software. Mean,
EccRF60 (%MVC) 58  15 54  14 0.80 0.423
standard error of mean, and 95% confidence intervals were
EccVL60 (%MVC) 67  14 68  11 0.72 0.742
used to describe all variables. All tests were two-tailed and the EccRF180 (%MVC) 57  15 52  13 0.76 0.294
level of significance was set at Po0.05. Repeated-measures 3 EccVL180 (%MVC) 68  16 69  12 0.71 0.769
(stretch type)  2 (time) analysis of variance (ANOVA) model ConBF60 (%MVC) 104  31 102  22 0.78 0.777
was used for comparisons of changes in strength and normal- ConST60 (%MVC) 98  18 94  11 0.75 0.413
ized EMG parameters (%MVC) in both stretching conditions ConBF180 (%MVC) 92  18 87  20 0.69 0.431
(static and dynamic stretching) and the non-stretching control ConST180 (%MVC) 81  18 83  17 0.69 0.668
condition. When an appropriate and significant interaction EccBF60 (%MVC) 68  16 71  11 0.72 0.411
was indicated, follow-up analyses included paired-samples t- EccST60 (%MVC) 79  12 78  14 0.71 0.802
tests to examine the difference between pre- and post-inter- EccBF180 (%MVC) 69  25 65  12 0.70 0.529
vention within the three stretching conditions. In addition, a EccST180 (%MVC) 74  13 77  16 0.78 0.583
one-way ANOVA model was used to see whether there was a
probability for a significant difference among the three groups’ Ecc, eccentric; Con, concentric; BF, biceps femoris; ST, semitendinosus;
pre-test mean scores. %MVC, percent maximum voluntary contraction; 60, 601/s; 180, 1801/s.

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Static and dynamic stretching: women athletes
Table 3. Peak muscle strength of the quadriceps before and after stretching intervention in the three groups [mean  SEM (95% CI)]

Control Static Dynamic P value


(group  time)
Before After Before After Before After

ConPT60 (N m) 233  15 229  16 235  15 217  16*** 226  17 245  17*** o0.001
(204–262) (199–260) (206–264) (187–247) (145–180) (134–166)
ConPT180 (N m) 137  9 136  9 133  10 121  9*** 127  10 142  10** o0.001
(120–155) (119–154) (114–151) (104–138) (98–128) (90–118)
EccPT60 (N m) 276  24 279  23 283  23 255  21*** 269  21 308  19*** o0.001
(229–323) (233–324) (237–328) (213–296) (229–309) (271–345)
EccPT180 (N m) 246  17 247  17 252  18 227  17*** 246  18 283  17*** o0.001
(212–280) (214–281) (217–286) (195–260) (212–281) (251–316)

**Po0.01 (following stretching).


***Po0.001 (following stretching).
Ecc, eccentric; Con, concentric; PT, peak torque.

Table 4. Peak muscle strength of the hamstring before and after stretching intervention in the three groups [mean  SEM (95% CI)]

Control Static Dynamic P value


(group  time)
Before After Before After Before After

ConPT60 (N m) 156  9 158  9 163  9 150  8** 147  9 157  9* o0.001


(139–174) (140–175) (145–180) (134–166) (128–165) (139–175)
ConPT180 (N m) 108  7 110  7 113  8 104  7** 102  7 109  6 o0.001
(95–121) (97–123) (98–128) (90–118) (88–116) (96–122)
EccPT60 (N m) 169  15 168  13 168  13 148  14*** 163  13 186  14*** o0.001
(141–198) (142–194) (142–194) (122–174) (137–189) (158–214)
EccPT180 (N m) 164  14 164  14 166  16 143  14*** 159  15 182  14*** o0.001
(136–192) (138–191) (136–197) (116–170) (130–187) (155–210)

*Po0.05 (following stretching).


**Po0.01 (following stretching).
***Po0.001 (following stretching).
Ecc, eccentric; Con, concentric; PT, peak torque.

for quadriceps and hamstring PT values (P40.05). stretching (Po0.05 and Po0.001), whereas no
According to the 3  2 ANOVA model, the PT for changes were observed in the non-stretching control
the quadriceps muscle showed a significant stretch group (P40.05).
type  time interaction (P 5 0.0001 for concentric
and eccentric modes at 60 and 1801/s, Table 3). As
shown also in Table 3, besides the non-significant EMG
differences in the control condition (P40.05), con- Tables 5 and 6 present the mean values for the
centric and eccentric quadriceps muscle strength at normalized EMG amplitudes in all the three groups
both test speeds (60 and 1801/s) displayed a signifi- during concentric and eccentric test modes at both
cant decrease following static stretching (Po0.001). velocities (60 and 1801/s) for the quadriceps (rectus
In contrast, a significant increase was observed femoris and vastus lateralis) and hamstring muscle
after dynamic stretching for these strength para- (BF and ST), respectively. Except for a significant
meters (Po0.01 and Po0.001). Similar to the difference in the normalized EMG value for the
quadriceps muscle strength changes, the 3  2 vastus lateralis during concentric contraction at
ANOVA model for the PT of the hamstring muscle 1801/s (P 5 0.019), there were no other statistically
displayed a significant stretch type  time interaction significant differences among the three groups’ pre-
(P 5 0.0001 for concentric and eccentric modes at 60 test scores for quadriceps and hamstring EMG
and 1801/s, Table 4). Besides, muscle strength in the amplitude values (P40.05). After executing the
hamstring muscles (Table 4) showed a significant 3  2 ANOVA model, the normalized EMG ampli-
reduction after static stretching (Po0.01 and tude values for the quadriceps and hamstring muscles
Po0.001) and, except for concentric PT at 1801/s exhibited a significant stretch type  time interaction
velocity, a significant improvement after dynamic (P 5 0.001 for vastus lateralis during eccentric con-

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Sekir et al.
Table 5. Normalized EMG amplitude values from the rectus femoris and vastus lateralis muscles before and after stretching intervention in the three
groups during the isokinetic leg extension and flexion movements in concentric and eccentric modes [mean  SEM (95% CI)]

Control Static Dynamic P value


(group  time)
Before After Before After Before After

ConRF60 (%MVC) 86  5 82  5* 101  12 90  12** 80  4 87  5** o0.001


(75–96) (72–91) (78–125) (67–113) (71–88) (77–97)
ConVL60 (%MVC) 91  7 90  6 99  5 89  4** 79  5 83  5* o0.001
(76–105) (77–102) (90–109) (81–98) (69–89) (73–94)
ConRF180 (%MVC) 75  5 75  5 91  12 78  12*** 71  5 81  5*** o0.001
(67–84) (65–85) (66–115) (55–101) (61–81) (72–90)
ConVL180 (%MVC) 90  6 89  6 96  3 82  3*** 75  5 89  7** o0.001
(77–102) (78–101) (90–102) (76–89) (64–85) (74–103)
EccRF60 (%MVC) 57  5 56  4 69  7 61  6** 55  4 64  5** o0.001
(48–66) (48–64) (57–82) (50–73) (46–63) (55–73)
EccVL60 (%MVC) 66  4 65  5 72  7 66  7** 55  3 66  4** o0.001
(58–74) (55–74) (59–86) (53–80) (50–61) (58–73)
EccRF180 (%MVC) 56  5 57  4 67  8 61  7* 51  4 61  3** o0.001
(47–65) (49–65) (51–83) (47–75) (43–59) (55–68)
EccVL180 (%MVC) 69  6 67  6 70  4 64  5** 55  6 64  6* o0.01
(57–80) (55–79) (62–79) (54–74) (43–66) (52–75)

*Po0.05 (following stretching).


**Po0.01 (following stretching).
***Po0.001 (following stretching).
Ecc, eccentric; Con, concentric; RF, rectus femoris; VL, vastus lateralis; %MVC, percent maximum voluntary contraction; EMG, electromyography.

Table 6. Normalized EMG amplitude values from the biceps femoris and semitendinosus muscles before and after stretching intervention in the three
groups during the isokinetic leg extension and flexion movements in concentric and eccentric modes [mean  SEM (95% CI)]

Control Static Dynamic P value


(group  time)
Before After Before After Before After

ConBF60 (%MVC) 106  12 102  11** 103  7 90  6** 95  6 104  8* o0.001


(84–129) (81–123) (89–117) (79–100) (84–106) (89–119)
ConST60 (%MVC) 99  6 96  6 95  4 85  3*** 85  5 96  6** o0.001
(87–112) (85–107) (88–102) (80–91) (76–95) (84–108)
ConBF180 (%MVC) 97  9 93  10 91  6 76  4** 88  6 94  7 o0.001
(79–115) (74–112) (80–102) (68–85) (76–99) (81–106)
ConST180 (%MVC) 80  6 78  6 82  6 70  5** 78  4 85  6* o0.001
(69–92) (67–90) (71–93) (61–79) (69–86) (74–96)
EccBF60 (%MVC) 71  7 68  7 73  3 64  3** 65  5 73  5* o0.001
(58–85) (55–82) (67–80) (58–70) (55–75) (63–83)
EccST60 (%MVC) 80  4 76  4 81  5 70  4*** 73  4 83  5* o0.001
(72–88) (69–84) (72–91) (63–77) (65–81) (73–93)
EccBF180 (%MVC) 68  8 65  7 64  4 56  3** 59  4 65  5* o0.001
(53–83) (51–79) (57–72) (51–61) (51–67) (56–74)
EccST180 (%MVC) 75  4 71  5 76  5 64  5*** 71  6 81  7** o0.001
(66–83) (62–80) (66–87) (54–74) (60–83) (67–95)

*Po0.05 (following stretching).


**Po0.01 (following stretching).
***Po0.001 (following stretching).
Ecc, eccentric; Con, concentric; BF, biceps femoris; ST, semitendinosus; %MVC, percent maximum voluntary contraction; EMG, electromyography.

traction at 1801/s, and P 5 0.0001 for vastus lateralis decreases following static (Po0.05–0.001) and, ex-
during eccentric contraction at 601/s, concentric cept for the normalized EMG amplitude value for
contraction at 60 and 1801/s, and for rectus femoris, BF during concentric contraction at 1801/s velocity,
BF and ST during concentric and eccentric contrac- significant increases following dynamic stretching
tions at 60 and 1801/s, Table 5 and 6). On the other (Po0.05–0.001) during quadriceps (Table 5) and
hand, as can be seen in the tables, the normalized hamstring (Table 6) contractions at both concentric
EMG amplitude parameters exhibited significant and eccentric testing modes. Although no significant

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Static and dynamic stretching: women athletes
normalized EMG amplitude differences were present muscles (Kokkonen et al., 1998; Avela et al., 1999;
after the non-stretching condition, interestingly, only Fowles et al., 2000; Behm et al., 2001; Nelson et al.,
normalized EMG amplitude for the rectus femoris 2001a, b, 2005; Cramer et al., 2004, 2005, 2007a;
and BF muscles during the concentric leg extension Marek et al., 2005; Yamaguchi & Ishii, 2005; Bran-
and flexion test modes at 601/s angular velocity denburg, 2006; Yamaguchi et al., 2006; Ogura et al.,
showed a significant reduction (Po0.05–0.01). 2007), whereas others have observed equivocal per-
formances immediately following a bout of static
stretching (Behm et al., 2004; Cramer et al., 2006;
Raw data Egan et al., 2006; Cramer et al., 2007b). Of these
All of the raw data for PT and EMG amplitude values investigations that have reported stretching-related
from the subjects (n 5 10) are given in separate tables strength variations for isolated quadriceps or ham-
(Appendix 1, 2, and 3). Appendix 1 shows the PT values string muscle groups, the strength-testing protocols
and Appendix 2 and 3 the EMG amplitude values. have included isometric (Behm et al., 2001, 2004;
Nelson et al., 2001a; Ogura et al., 2007), isotonic
(Kokkonen et al., 1998; Nelson et al., 2005; Yama-
Discussion guchi & Ishii, 2005), dynamic constant external
resistance (Yamaguchi et al., 2006, 2007), or isoki-
As stretching exercises are traditionally recom- netic (Holcomb, 2000; Cramer et al., 2004, 2005,
mended before most physical activities, it is impor- 2006, 2007a, b; Marek et al., 2005; Brandenburg,
tant to determine to what extent a stretching routine 2006) muscle actions. Although the stretching time
may influence the performance of the main activity. in the present study was brief (80 s total for each
In spite of stretching only a single muscle group, muscle), the isokinetic strength decrements found in
during this phase, all of the activity-related muscle our study for the quadriceps and hamstring muscles
groups are stretched, i.e. for knee joint the quad- at concentric (8%) and eccentric (10–14%) modes
riceps and the hamstring muscles. In an attempt to were profound. These findings of the present study
further elucidate the optimal pre-participation pro- are unique based on previous studies that used longer
tocols for explosive-type activities, the current study stretching durations (90–480 s) (Cramer et al., 2004,
evaluated the acute effects of dynamic vs static 2005, 2007a; Marek et al., 2005). When the studies
stretching of both the quadriceps and the hamstring measuring strength with isokinetic protocols as in
muscles on leg extensor and flexor muscle perfor- our study were taken into consideration, for exam-
mance with concentric and eccentric muscle actions ple, Cramer et al. (2004, 2005, 2007a) showed that
and on EMG activities of these muscles during these concentric isokinetic leg extension PT declined after
actions. In brief, the results of the present study, static stretching of the leg extensors. Decreases
which was carried out in elite women athletes, ranged from 2.6% to 3.4%. Similarly, Marek et al.
revealed that static stretching routines, which include (2005) demonstrated that concentric quadriceps
static stretching exercises of the leg extensors and strength following static stretching of the quadriceps
flexors, decrease concentric and eccentric isokinetic muscle decreases for about 2.8%. On the other hand,
strength in both the quadriceps and the hamstring Brandenburg (2006) also exhibited a concentric
muscles. At the same time, the EMG activities of the strength decrement following static stretching in the
leg extensor and flexor muscles were also reduced hamstring muscles (3%). The results obtained from
after static stretching. In contrast, concentric and the present study regarding concentric strength de-
eccentric strength of the quadriceps and hamstring creases of the quadriceps and hamstring muscles
muscles and their EMG activity displayed an in- after static stretching are in agreement with the
crease following dynamic stretching exercises of the above studies showing decreases in concentric iso-
leg extensor and flexor muscles. These findings were kinetic strength following static stretching. Besides,
unique in that, to our knowledge, no other studies although the only two studies in the literature to date
have examined the effects of (a) dynamic stretching about eccentric isokinetic quadriceps strength fol-
on strength and EMG activity during isokinetic lowing static quadriceps stretching have displayed no
quadriceps and hamstring contractions in concentric changes (Cramer et al., 2006, 2007b), our results
and eccentric modes, and (b) static hamstring stretch- elicited eccentric strength decrements both in the
ing on hamstring EMG activity. quadriceps and in the hamstring muscles after static
The results of our study are partially consistent stretching of these muscle groups. Interestingly, an-
with previous studies using similar muscle groups. other unique study examining eccentric hamstring
Various studies, with total stimuli duration varying strength following static hamstring stretching re-
from 2 to 60 min, found that static stretching ex- vealed torque reductions of about 6% (Brandenburg,
ercises preceding the main activity significantly de- 2006). The reason for the discrepancy between the
creases the force-producing capabilities of the results of the previous two studies (Cramer et al.,

275
Sekir et al.
2006, 2007b) and those of this study could not be external resistance strength (Yamaguchi & Ishii,
clarified from the results of this study. It is suggested 2005, 2007) evaluations following dynamic stretch-
that static stretching before performance is sport ing. To our knowledge, however, this is the first study
specific and subjects who have greater leg extension to examine the acute effects of dynamic stretching on
strength before static stretching show a greater concentric and eccentric isokinetic strength. Previous
reduction in strength after stretching (Nelson et al., studies have reported acute increases in 20-m sprint
2001b). Accordingly, one possible cause for this performance (Fletcher & Jones, 2004), vertical jump
could be arousal in the elite athletic subjects in our height (Little & Williams, 2006; Holt & Lambourne,
study. The subjects in the previous two studies 2008) and T-drill performance (McMillian et al.,
(Cramer et al., 2006, 2007b) were not involved in 2006) as a result of dynamic stretching. Yamaguchi
competitive sports, whereas the subjects in the sub- and Ishii (2005), Yamaguchi et al. (2007) reported an
sequent study (Brandenburg, 2006) had a minimum increase in power output measured under dynamic
of 1-year recreational resistance training experience. constant external resistance after the dynamic
It is possible that the muscle strength output of stretching. In contrast, a study by Herda et al.
untrained individuals may not respond in the same (2008) showed no changes in the isometric hamstring
way as that of well-conditioned athletes, and this strength at 1011, 811, 611, and 411 knee joint angles
could also be the reason for greater strength decre- from pre- to post-stretching for the dynamic stretch-
ments in the present study, even though the total ing condition. The unique contribution of the present
stretching time was brief. Therefore, our opinion is study was that dynamic stretching elicited increases
that this issue may need to be resolved and reeval- in concentric and eccentric isokinetic PT of the
uated in the future in athletes from different sport quadriceps and hamstring muscles. Thus, the present
disciplines and different training status. study extended and appended the findings of the
Previous studies regarding the effects of stretching above-mentioned studies regarding the effects of
interventions on strength used only a single muscle dynamic stretching and supports the hypothesis
group, either quadriceps or hamstring, for static that dynamic stretching may be less detrimental to
stretching. This is a rare situation in the practical muscle force production than static stretching.
athletic field. Athletic performances are generally Although the exact mechanisms by which static
consequences of multiple muscle activities. There- stretching impairs strength performance are not
fore, it is important to know the effects of stretching known, at least two primary hypotheses have been
of both the hamstring and the quadriceps muscles proposed: (a) mechanical factors involving the vis-
that are closely related to the actual demands of sport coelastic properties of the musculotendinous unit
on strength performance. Until recently, only Behm (Wilson et al., 1994; Kokkonen et al., 1998; Fowles
et al. (2004), Kokkonen et al. (1998) and Nelson et al. et al., 2000; Nelson et al., 2001a, b; Cramer et al.,
(2005) have used this kind of quadriceps and ham- 2004, 2005, 2007a; Marek et al., 2005; Yamaguchi
string stretching together in their studies. Behm et al. et al., 2006; Herda et al., 2008) and (b) neural factors
(2004) studied the effects of quadriceps, hamstring, such as decreases in motor neuron pool excitability
and plantar flexor stretching on MVC strength of the that may reduce peripheral muscle activation or
quadriceps muscle only and found no significant altered reflex sensitivity that may result from the
difference between static stretching and the control inhibition of the acute response of musculotendinous
condition. On the other hand, Kokkonen et al. (1998) proprioceptors (Moore, 1984; Avela et al., 1999;
and Nelson et al. (2005) examined strength from both Fowles et al., 2000; Behm et al., 2001, 2004; Cramer
of the quadriceps and hamstring muscles and found et al., 2004, 2007a, b; Herda et al., 2008). Fowles
that static stretching of these muscles reduces quad- et al. (2000) suggested that stretching-induced de-
ricep strength by 3.2–8.1% and hamstring strength creases in neural drive could only account for a
by 5.5–7.3%. Although the contraction mode in percentage of the force deficit, and thus mechanical
these studies was isotonic, the strength decrements as well as neural factors may contribute to the
measured in the isokinetic action in the quadriceps stretching-induced force deficit.
and hamstring muscles following static stretching Regarding the neural factor, given that we have
were closely consistent with these results. also measured the EMG activity, it has been hy-
Dynamic stretching has recently become popular pothesized that neural factors such as decreased
(Hedrick, 2000), but the effect of this technique on motor unit activation, reduced firing frequency,
muscular performance has not been examined com- and/or altered reflex sensitivity contribute to the
pletely. There are studies investigating only some stretching-induced decrease in strength (Moore,
functional tasks (Fletcher & Jones, 2004; Little & 1984; Avela et al., 1999; Fowles et al., 2000; Behm
Williams, 2006; McMillian et al., 2006; Holt & et al., 2001, 2004; Cramer et al., 2004, 2007a, b).
Lambourne, 2008) or isometric (Yamaguchi et al., Several studies have supported this hypothesis by
2007; Herda et al., 2008) and dynamic constant demonstrating stretching-induced decreases in mus-

276
Static and dynamic stretching: women athletes
cle activation through the use of surface (Fowles eccentric quadriceps and hamstring muscle strength.
et al., 2000; Behm et al., 2001; Marek et al., 2005; Previous studies (Hedrick, 2000; McMillian et al.,
Cramer et al., 2007a, b) and fine-wire (Avela et al., 2006) suggested that a dynamic stretching exercise
1999) EMG as well as twitch interpolation (Fowles et might exert positive effects on muscular performance
al., 2000; Behm et al., 2001). Fowles et al. (2000) by an elevation of muscular temperature (Bishop,
reported that 60% of the decreases in the force of the 2003) or post-activation potentiation (PAP) caused
triceps surae were due to neural factors. Behm et al. by voluntary contractions of the antagonist of the
(2001) suggested that at least part of the stretching- target muscle (Bishop, 2003; Robbins, 2005; Yama-
induced decreases in maximal force production of the guchi & Ishii, 2005; Little & Williams, 2006; Yama-
leg extensors was a result of decreases in muscle guchi et al., 2007). Bishop (2003) cited possible
activation. In addition, Cramer et al. (2007a, b) also factors related to temperature and signified these as
reported decreases in PT and surface EMG ampli- to decreased stiffness of the muscles and joints;
tude after static stretching of the leg extensor mus- increased sensitivity of nerve receptors and increased
cles. Furthermore, Avela et al. (1999) showed transmission rate of nerve impulses; changes in the
decreases in motor unit recruitment (EMG ampli- force–velocity relationship; and increased glycogen-
tude) and firing frequency (zero crossing rate) after olysis, glycolysis, and high-energy phosphate degra-
repeated passive stretch for the plantar flexor mus- dation. Another possible mechanism is PAP. PAP is
cles. They suggested that the decrease in the excita- commonly defined as an increase in the efficiency of
tion of the motoneuron pool resulted from a the muscle to produce force after a conditioning
reduction in excitatory drive from the Ia afferents contractile activity (Sale, 2002). The principal me-
onto the á-motoneurons, possibly due to decreased chanisms of PAP are considered to be phosphoryla-
resting discharge of the muscle spindles via increased tion of myosin regulatory light chains, which renders
compliance of the muscle–tendon unit. the actin–myosin interaction more sensitive to Ca21
In parallel to this information, it has been ob- released from the sarcoplasmic reticulum. Increased
served that muscle spindles are active during con- sensitivity to Ca21 has the greatest effect at low
centric actions (Wilson et al., 1997; Kakuda & myoplasmic levels of Ca21, thereby improving mus-
Nagaoka, 1998). Activation of the muscle spindle cular performance (Sale, 2002). Yamaguchi and Ishii
during concentric muscle actions appears to result (2005), Yamaguchi et al. (2007) hypothesized that the
from the ability of the fusimotor system to maintain increase in force output after dynamic stretching was
tension in the intrafusal fibers. Provided the intrafu- caused by an enhancement of neuromuscular func-
sal fibers remain taut, afferent muscle spindle activity tion, and they implied that the dynamic stretching
will remain elevated and continue to facilitate activa- had a PAP effect on performance. Although we did
tion of the á-motoneuron pool (Kakuda & Nagaoka, not measure muscle temperature directly in the pre-
1998). However, if following static and continuous sent study, our EMG activity measurements follow-
stretching the sensitivity of the muscle spindle was ing dynamic stretching support these suggestions
reduced (Avela et al., 1999) afferent activity originat- from the previous studies and indicate that increased
ing from the intrafusal fibers would also be reduced, motor unit activation, either resulting from PAP or
with the end result being a decrement in neural drive increased temperature, was responsible at least for
and thereby concentric strength. When looked from the increased concentric strength. To explain the
another perspective, this alteration of the muscle possible mechanism for the increase in eccentric
spindle activity could also be responsible for the strength, the activity of the muscle spindles can be
eccentric PT deficits following static stretching seen scrutinized again. Normally, in response to a quick
in the present study. If prolonged exposure to static discontinuous stretch, as is in dynamic stretching, the
stretching reduced the sensitivity of the muscle spin- muscle spindle is stimulated, which ultimately height-
dle, the strength or contribution of the muscle ens activation of the motor neurons innervating the
spindle reflex or stretch reflex to eccentric torque stretched muscle (Komi, 2000). This increased neural
production would also have diminished (Avela et al., drive to the stretched muscle may have elevated the
1999). The results of the present study support those eccentric torque production of the quadriceps and
of the previous studies (Avela et al., 1999; Fowles hamstring muscles.
et al., 2000; Behm et al., 2001; Cramer et al., 2005; In conclusion, the results of the present study
Marek et al., 2005) and indicate static stretching- showed that static stretching exercises for the leg
induced decreases in EMG amplitude at 60 and 1801/ extensors and flexors decrease concentric and ec-
s for the leg extensor (rectus femoris and vastus centric isokinetic strength in both the quadriceps
lateralis) and flexor muscles (BF and ST) during and the hamstring muscles. In contrast, concentric
concentric and eccentric actions. and eccentric strength of the quadriceps and ham-
It is also necessary to consider the reason string muscles displayed an increase following dy-
why dynamic stretching improved concentric and namic stretching exercises of the leg extensor and

277
Sekir et al.
flexor muscles. Owing to the EMG activity measure- dynamic and/or static stretching effects at angles
ments in the study, it is possible to state that the other than the angle at which PT occurred.
underlying mechanism for these strength alterations
may be neuromuscular in origin. Women athletes
who perform stretching exercises for both the quad- Perspectives
riceps and the hamstring muscles before athletic
activities should consider these results and may Most of the previous studies used only single muscle
prefer to use dynamic exercises as stretching routines. groups like the quadriceps or the hamstring for
the stretching intervention. However, during the
warm-up routine athletes prefer to stretch all of the
Study limitations activity-related muscle groups, i.e. for knee joint the
This study did not evaluate change in the range of quadriceps and the hamstring muscles. Therefore, it
motion or change in resistance to stretch before and is important to know how stretching of the hamstring
after each intervention. Therefore, it is not known and quadriceps muscles together, closely related to
whether the stretching interventions were actually the actual demands of sport, affects the strength
effective in increasing flexibility or in decreasing performance of the muscles. Based on our results,
muscle stiffness. This limitation is a common pro- clinicians, coaches, and elite women athletes should
blem in many of these studies; hence, future investi- consider the possible effect of stretching on muscle
gations should take this into account. The other strength before competitive events or conducting
remarkable limitation of the present study is that strength tests to make decisions for rehabilitation
only PT values were measured instead of assessing progression and return to play. The decreases in
the angle of PT or torque at different positions of the quadriceps and hamstring strength as a result of
ROM, i.e. at terminal ranges of leg extension or leg static stretching may adversely affect the perfor-
flexion. Nelson et al. (2001a) and Herda et al. (2008) mance of elite women athletes. Dynamic stretching,
have demonstrated static stretching-induced strength however, had a positive effect on the strength of these
loss at short muscle lengths, but not at long muscle muscles. Therefore, our findings suggest that dy-
lengths during isometric contractions. It would be namic stretching, as opposed to static or no stretch-
interesting to know whether there are also strength ing, may be an effective technique for enhancing
changes following dynamic and static stretching at muscle performance during the pre-competition
different muscle lengths during isokinetic contrac- warm-up routine. In addition, to our knowledge,
tions. Although they measured only PT values in the effect of dynamic stretching of the leg extensor
their studies, McHugh and Nesse (2008) suggested and flexor muscles on the concentric and eccentric
that the unaffected isokinetic concentric and ec- isokinetic strength of these muscles has not been
centric hamstring strength by stretching could be examined in any study.
explained by the fact that PT occurred close to end
of the ROM, and therefore at long muscle lengths Key words: static and dynamic stretching, eccentric
(111 for eccentric, 221 for concentric). Future studies isokinetic torque, concentric isokinetic torque, EMG
should examine isokinetic torque curves to assess activity, elite women athletes.

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Appendix 1

Table A1. Raw isokinetic concentric and eccentric leg extension and flexion peak torque values for three stretching conditions from the subjects

Subject Stretching ConQ60 ConQ180 EccQ60 EccQ180 ConH60 ConH180 EccH60 EccH180

Before After Before After Before After Before After Before After Before After Before After Before After

1 Control 226 217 154 152 298 289 256 244 162 154 125 132 152 147 138 140
Static 236 220 153 133 349 331 289 260 187 181 148 137 203 185 189 161
Dynamic 206 225 130 140 293 331 247 291 138 152 100 99 139 159 171 194
2 Control 255 243 163 159 244 248 275 270 140 152 105 110 146 151 164 168
Static 272 240 164 150 258 227 249 243 190 174 140 128 177 162 176 177
Dynamic 285 291 173 176 294 351 259 277 192 182 132 131 221 254 196 212
3 Control 299 305 187 182 330 343 316 326 147 157 102 101 173 174 177 183
Static 302 296 171 164 345 299 333 297 138 128 84 81 129 102 148 125
Dynamic 312 344 174 190 403 402 366 391 149 145 110 104 167 182 153 175
4 Control 226 233 140 135 288 292 253 263 156 161 132 126 225 215 221 221
Static 251 230 138 128 329 292 266 250 170 154 128 122 233 214 202 176
Dynamic 206 227 149 154 315 345 241 277 157 166 120 112 221 244 180 199
5 Control 239 236 133 145 232 244 208 215 163 171 88 97 162 165 175 180
Static 250 233 148 132 268 231 246 219 175 157 127 120 163 129 183 162
Dynamic 253 270 135 151 214 278 215 263 182 196 132 142 177 207 205 232
6 Control 282 271 152 154 383 375 303 291 204 200 138 135 240 233 224 218
Static 254 240 147 130 349 302 282 264 176 142 124 100 208 192 230 193
Dynamic 245 256 140 156 256 314 275 310 151 174 107 122 189 211 213 239
7 Control 207 196 126 125 284 284 237 241 181 173 107 115 194 186 181 171
Static 181 148 89 80 187 165 192 165 180 176 95 90 173 139 190 158
Dynamic 182 220 101 106 283 328 269 301 146 173 95 117 175 200 177 190
8 Control 174 166 104 99 150 155 147 152 122 116 85 81 92 97 82 86
Static 179 170 107 101 186 180 165 154 131 125 92 85 103 87 82 69
Dynamic 180 190 96 107 179 217 157 194 102 117 68 75 111 128 91 103
9 Control 152 150 93 90 182 187 176 178 108 107 78 74 117 117 104 107
Static 158 142 85 81 194 176 185 154 104 100 78 68 114 104 82 67
Dynamic 136 151 84 101 198 209 187 229 98 102 77 85 120 126 96 118
10 Control 272 277 119 122 369 368 289 293 178 184 120 124 191 191 172 170
Static 270 252 125 115 362 344 308 268 175 160 115 105 174 165 180 143
Dynamic 255 279 92 139 255 304 248 300 152 158 81 102 110 147 104 160

Ecc, eccentric; Con, concentric; Q, quadriceps; H, hamstring; 60, 601/s; 180, 1801/s.

Appendix 2

Table B1. Raw isokinetic concentric and eccentric leg extension EMG amplitude values (%MVC) for three stretching conditions from the subjects

Subject Stretching ConRF60 ConVL60 ConRF180 ConVL180 EccRF60 EccVL60 EccRF180 EccVL180

Before After Before After Before After Before After Before After Before After Before After Before After

1 Control 78 69 62 60 80 75 81 76 56 47 51 42 53 55 44 41
Static 77 52 82 66 70 60 87 68 65 63 68 68 56 51 62 57
Dynamic 74 82 78 79 70 81 83 76 50 75 52 69 55 68 59 58
2 Control 116 107 73 80 98 108 79 85 78 69 60 56 83 72 68 59
Static 126 111 113 102 98 80 110 100 75 59 65 55 73 65 61 60
Dynamic 81 86 69 70 76 82 60 66 60 63 55 51 45 49 46 45
3 Control 85 80 91 87 85 86 88 90 54 49 60 63 60 62 102 96
Static 99 91 99 92 85 75 101 90 70 58 68 60 73 63 79 66
Dynamic 109 120 80 92 97 102 101 108 78 79 68 79 72 80 82 83
4 Control 72 77 87 91 74 70 70 68 47 50 63 66 53 52 84 81
Static 90 87 95 91 97 80 87 72 57 54 55 56 61 57 76 71
Dynamic 60 65 62 68 66 72 74 83 41 44 56 60 37 55 55 71
5 Control 70 70 80 82 50 53 71 73 32 35 63 60 34 36 53 51
Static 84 74 82 70 76 57 92 66 60 52 67 60 51 42 59 43
Dynamic 79 86 62 71 55 63 58 71 39 48 39 46 34 53 30 40
6 Control 65 60 69 67 58 55 76 74 51 46 51 50 49 45 50 48

280
Static and dynamic stretching: women athletes
Table B1. (continued)
Subject Stretching ConRF60 ConVL60 ConRF180 ConVL180 EccRF60 EccVL60 EccRF180 EccVL180

Before After Before After Before After Before After Before After Before After Before After Before After

Static 73 64 117 98 72 59 90 82 60 58 125 120 46 52 77 80


Dynamic 82 89 73 74 64 81 75 101 50 54 57 70 54 55 65 62
7 Control 79 74 126 108 64 63 111 115 48 50 68 64 50 52 75 75
Static 88 74 126 103 68 55 113 89 43 38 58 50 56 55 80 79
Dynamic 67 71 82 88 53 61 67 77 41 51 54 69 37 52 48 63
8 Control 86 84 132 127 83 76 135 124 58 70 93 98 45 56 79 85
Static 82 74 93 80 69 64 89 84 58 47 66 54 43 37 59 48
Dynamic 89 85 78 72 75 87 55 70 52 71 44 52 46 58 30 40
9 Control 108 101 85 88 81 85 90 91 71 66 68 64 60 61 55 52
Static 201 184 87 84 198 180 100 85 117 106 58 52 131 117 53 45
Dynamic 87 108 116 123 97 104 102 142 67 72 59 79 64 69 48 83
10 Control 96 95 101 106 80 80 95 98 76 77 82 82 76 80 76 82
Static 92 90 98 104 73 69 89 87 89 78 94 89 77 72 96 89
Dynamic 67 77 89 93 53 72 71 94 68 84 70 80 67 74 82 91

Ecc, eccentric; Con, concentric; RF, rectus femoris; VL, vastus lateralis; 60, 601/s; 180, 1801/s; EMG, electromyography.

Appendix 3

Table C1. Raw isokinetic concentric and eccentric leg flexion EMG amplitude values (%MVC) for three stretching conditions from the subjects

Subject Stretching ConBF60 ConST60 ConBF180 ConST180 EccBF60 EccST60 EccBF180 EccST180

Before After Before After Before After Before After Before After Before After Before After Before After

1 Control 93 87 86 98 116 84 74 80 73 62 81 70 62 51 74 57
Static 86 94 82 76 90 84 70 63 85 78 66 56 66 58 57 46
Dynamic 75 76 89 96 77 75 80 85 53 59 66 97 61 53 64 82
2 Control 70 69 85 81 71 66 80 74 43 47 77 69 49 47 75 64
Static 94 83 94 82 81 72 80 65 72 68 94 73 55 57 79 68
Dynamic 91 96 75 83 74 78 66 73 55 58 65 68 41 43 49 53
3 Control 201 188 140 130 162 164 109 110 118 122 96 98 128 122 95 89
Static 132 105 102 85 98 79 75 61 70 65 71 58 78 71 80 59
Dynamic 119 132 86 92 116 121 82 85 74 101 59 71 79 84 72 77
4 Control 88 90 67 64 71 74 40 45 81 75 71 65 67 66 59 56
Static 91 88 83 78 77 61 57 49 63 64 63 64 52 51 50 49
Dynamic 98 97 60 58 96 97 52 55 98 95 57 52 54 68 31 36
5 Control 117 113 98 95 106 103 75 69 73 69 70 67 76 72 60 62
Static 147 112 90 75 135 108 83 64 82 61 67 61 77 55 59 43
Dynamic 117 140 98 114 120 121 87 87 69 84 84 95 71 77 84 86
6 Control 89 86 117 112 77 74 99 95 51 55 73 76 53 54 78 75
Static 88 66 108 97 76 67 107 98 76 59 100 83 67 53 98 81
Dynamic 111 124 113 132 94 104 104 124 77 80 94 97 76 86 96 116
7 Control 122 116 107 99 84 92 79 80 81 64 92 74 70 59 71 64
Static 125 118 109 96 87 78 91 83 72 60 78 71 62 54 76 68
Dynamic 96 99 97 100 71 83 72 84 62 69 73 98 54 66 79 90
8 Control 90 82 93 88 86 80 85 72 44 44 62 69 36 44 65 75
Static 83 77 105 98 98 64 115 77 51 46 90 75 43 39 83 75
Dynamic 70 74 83 89 64 59 83 77 40 48 85 92 41 47 82 101
9 Control 88 83 88 82 78 70 71 63 72 74 75 77 67 64 71 67
Static 90 78 77 76 80 70 68 56 85 79 75 68 69 59 78 58
Dynamic 72 77 73 91 81 89 75 82 55 66 67 74 62 64 75 78
10 Control 105 102 110 106 121 121 90 94 75 69 103 99 74 69 100 100
Static 91 74 101 91 88 80 77 80 75 62 106 92 75 60 101 95
Dynamic 98 120 80 102 82 109 74 97 70 70 80 89 52 59 81 89

Ecc, eccentric; Con, concentric; BF, biceps femoris; ST, semitendinosus; 60, 601/s; 180, 1801/s; EMG, electromyography.

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