Effect of stretching versus stretching after application of ultrasound on the extensibility of the hamstring muscles in adult women
DOI:
https://doi.org/10.15332/us.v16i0.2018Keywords:
Ultrasound, stretching, flexibility, extensibility, physiotherapyAbstract
Objective: To compare the effects of SM versus US + SM on the extensibility of the hamstring muscles in adult women.
Methods: A Randomized Controlled Clinical Trial was conducted. Fourteen women (22.3 ± 3.9 years) randomly assigned to two groups, SM (7 minutes) prior US (US + SM), n=8 and SM for 7 minutes, n=6. The differences between assessments were compared using student’s t-test; the effect of the intervention was evaluated by analysis of covariance.
Results: Significantly increased flexibility of lower limbs in both groups. In the US + SM group increased -8.75 ± 5.5; while increasing in the SM group was -3.5 ± 2.7; when comparing the groups, no statistically significant differences were found. A statistically significant increase was found in final grades in the US + SM intervention group, -5.8 (95% CI: - 10.9; -0.67p = 0.030) compared with the SM group adjusting only for baseline score.
Conclusion: A single exposure to US + SM is sufficient to enhance the gains in hamstring extensibility in adult women compared to SM.
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References
Daza J. Evaluación clínico-funcional del movimiento corporal humano. Bogotá: Colomb Editor Médica Panam; 2007.
Wessling KC, Devane DA, Hylton CR. Effects of static stretch versus static stretch and ultrasound combined on triceps surae muscle extensibility in healthy women. Phys Ther. 1987;67(5):674-9.
Alter MJ. Ciência da flexibilidade. Brasil: Artmed; 1999.
Corbin CB, Dowell LJ. Concepts in physical education with laboratories and experiments. Dubuque: Wm.c. Brown company Published; 1977.
Wang K, McCarter R, Wright J, Beverly J, Ramirez-Mitchell R. Regulation of skeletal muscle stiffness and elasticity by titin isoforms: a test of the segmental extension model of resting tension. Proc Natl Acad Sci U S A. 1991;88(16):7101-5.
Kisner C, Colby LA. Ejercicio terapéutico: fundamentos y técnicas. Buenos Aires: Médica Panam; 2010.
Lieber RL. Estructura del músculo esquelético, función y plasticidad. Madrid: McGraw-Hill Interamericana; 2004.
Stolov WC, Weilepp Jr TG, Riddell WM. Passive length-tension relationship and hydroxyproline content of chronically denervated skeletal muscle. Arch Phys Med Rehabil. 1970;51(9):517-25.
Usuba M, Miyanaga Y, Miyakawa S, Maeshima T, Shirasaki Y. Effect of heat in increasing the range of knee motion after the development of a joint contracture: an experiment with an animal model. Arch Phys Med Rehabil. 2006;87(2):247–53. doi: 10.1016/j.apmr.2005.10.015.
Brodowicz GR, Welsh R, Wallis J. Comparison of stretching with ice, stretching with heat, or stretching alone on hamstring flexibility. J Athl Train. 1996;31(4):324-7.
Cameron MH. Physical agents in rehabilitation: from research to practice. Elsevier Health Sciences; 2012.
Norkin CC, White DJ. Measurement of joint motion: a guide to goniometry. Philadelphia: FA Davis; 2003.
Ainsworth BE, Bauman A, Benaziza H, Blair SN, Booth Ml, Craig CL et al. USA Spanish Version Translate 2003 3-Long Last 7 Days Self-Administered (version of the IPAQ). International Physical Activity Questionnaire 2003.
Nakano J, Yamabayashi C, Scott A, Reid WD. The effect of heat applied with stretch to increase range of motion: a systematic review. Phys Ther Sport. 2012;13(3):180-8. doi: 10.1016/j.ptsp.2011.11.003.
Lehmann JF, Masock AJ, Warren CG, Koblanski JN. Effect of therapeutic temperatures on tendon extensibility. Arch Phys Med Rehabil. 1970;51(8):481-7.
Knight CA, Rutledge CR, Cox ME, Acosta M, Hall SJ. Effect of superficial heat, deep heat, and active exercise warm-up on the extensibility of the plantar flexors. Phys Ther. 2001;81(6):1206–14. doi: 10.1093/ptj/81.6.1206.