Abstract
Stretching is widely used in sport training and clinical practice with the aim of increasing muscle-tendon extensibility and joint range of motion. The underlying assumption is that extensibility increases as a result of increased passive tension applied to muscle-tendon units. In some stretching protocols, this condition is not always met sufficiently to trigger adaptation within the muscle-tendon unit. For example, there is experimental evidence that both acute and chronic stretching interventions may increase the maximal range of motion in the absence of changes in the passive torque-angle curve. We contend that these results are partly explained by the influence of non-muscular structures that contribute only marginally to the passive torque. The potential candidates are the nervous system and fasciae, which would play an important role in the perception of the stretch and in the limitation of the range of motion of the maximal joints. At least in part, this may explain the lack of a significant effect of some chronic stretching interventions to change passive muscle tension.
Similar content being viewed by others
References
Katalinic OM, Harvey LA, Herbert RD, Moseley AM, Lannin NA, Schurr K. Stretch for the treatment and prevention of contractures. Cochrane Database Syst Rev. 2010;9:CD007455.
Katalinic OM, Harvey LA, Herbert RD. Effectiveness of stretch for the treatment and prevention of contractures in people with neurological conditions: a systematic review. Phys Ther. 2011;91(1):11–24.
Witvrouw E, Mahieu N, Danneels L, McNair P. Stretching and injury prevention: an obscure relationship. Sports Med. 2004;34(7):443–9.
McHugh MP, Cosgrave CH. To stretch or not to stretch: the role of stretching in injury prevention and performance. Scand J Med Sci Sports. 2010;20(2):169–81.
Gajdosik RL. Passive extensibility of skeletal muscle: review of the literature with clinical implications. Clin Biomech. 2001;16(2):87–101.
Weppler CH, Magnusson SP. Increasing muscle extensibility: a matter of increasing length or modifying sensation? Phys Ther. 2010;90(3):438–49.
Taylor DC, Dalton JD Jr, Seaber AV, Garrett WE Jr. Viscoelastic properties of muscle-tendon units. The biomechanical effects of stretching. Am J Sports Med. 1990;18(3):300–9.
Noonan TJ, Best TM, Seaber AV, Garrett WE Jr. Identification of a threshold for skeletal muscle injury. Am J Sports Med. 1994;22(2):257–61.
Halbertsma JP, Göeken LN. Stretching exercises: effect on passive extensibility and stiffness in short hamstrings of healthy subjects. Arch Phys Med Rehabil. 1994;75(9):976–81.
Halbertsma JP, van Bolhuis AI, Göeken LN. Sport stretching: effect on passive muscle stiffness of short hamstrings. Arch Phys Med Rehabil. 1996;77(7):688–92.
Magnusson SP. Passive properties of human skeletal muscle during stretch maneuvers: a review. Scand J Med Sci Sports. 1998;8(2):65–77.
Chaouachi A, Padulo J, Kasmi S, Othmen AB, Chatra M, Behm DG. Unilateral static and dynamic hamstrings stretching increases contralateral hip flexion range of motion. Clin Physiol Funct Imaging. In press.
Behm DG, Cavanaugh T, Quigley P, Reid JC, Nardi PS, Marchetti PH. Acute bouts of upper and lower body static and dynamic stretching increase non-local joint range of motion. Eur J Appl Physiol. 2016;116(1):241–9.
Riemann BL, DeMont RG, Ryu K, Lephart SM. The effects of sex, joint angle, and the gastrocnemius muscle on passive ankle joint complex stiffness. J Athl Train. 2001;36(4):369–75.
Dilley A, Lynn B, Pang SJ. Pressure and stretch mechanosensitivity of peripheral nerve fibres following local inflammation of the nerve trunk. Pain. 2005;117(3):462–72.
Bove GM, Dilley A. The conundrum of sensitization when recording from nociceptors. J Neurosci Methods. 2010;188(2):213–8.
Shim HY, Lim OK, Bae KH, Park SM, Lee JK, Park KD. Sciatic nerve injury caused by a stretching exercise in a trained dancer. Ann Rehabil Med. 2013;37(6):886–90.
McHugh MP, Johnson CD, Morrison RH. The role of neural tension in hamstring flexibility. Scand J Med Sci Sports. 2012;22(2):164–9.
Laessøe U, Voigt M. Modification of stretch tolerance in a stooping position. Scand J Med Sci Sports. 2004;14(4):239–44.
Andrade RJ, Freitas SR, Vaz JR, Bruno PM, Pezarat-Correia P. Provocative mechanical tests of the peripheral nervous system affect the joint torque-angle during passive knee motion. Scand J Med Sci Sports. 2015;25(3):338–45.
Coppieters MW, Kurz K, Mortensen TE, Richards NL, Skaret IA, McLaughlin LM, Hodges PW. The impact of neurodynamic testing on the perception of experimentally induced muscle pain. Man Ther. 2005;10(1):52–60.
Coppieters MW, Alshami AM, Babri AS, Souvlis T, Kippers V, Hodges PW. Strain and excursion of the sciatic, tibial, and plantar nerves during a modified straight leg raising test. J Orthop Res. 2006;24(9):1883–9.
Le Sant G, Ates F, Brasseur JL, Nordez A. Elastography study of hamstring behaviors during passive stretching. PLoS ONE. 2015;10(9):e0139272.
Maïsetti O, Hug F, Bouillard K, Nordez A. Characterization of passive elastic properties of the human medial gastrocnemius muscle belly using supersonic shear imaging. J Biomech. 2012;45(6):978–84.
Koo TK, Guo JY, Cohen JH, Parker KJ. Relationship between shear elastic modulus and passive muscle force: an ex-vivo study. J Biomech. 2013;46(12):2053–9.
Hug F, Tucker K, Gennisson JL, Tanter M, Nordez A. Elastography for muscle biomechanics: toward the estimation of individual muscle force. Exerc Sport Sci Rev. 2015;43(3):125–33.
Wilke J, Niederer D, Vogt L, Banzer W. Remote effects of lower limb stretching: preliminary evidence for myofascial connectivity? J Sports Sci. 2016;28:1–4.
Mitchell B, Bressel E, McNair PJ, Bressel ME. Effect of pelvic, hip, and knee position on ankle joint range of motion. Phys Ther Sport. 2008;9(4):202–8.
Andrade RJ, Lacourpaille L, Freitas SR, McNair PJ, Nordez A. Effects of hip and head position on ankle range of motion, ankle passive torque, and passive gastrocnemius tension. Scand J Med Sci Sports. 2016;26(1):41–7.
Hirata K, Miyamoto-Mikami E, Kanehisa H, Miyamoto N. Muscle-specific acute changes in passive stiffness of human triceps surae after stretching. Eur J Appl Physiol. 2016;116(5):911–8.
Tesarz J, Hoheisel U, Wiedenhöfer B, Mense S. Sensory innervation of the thoracolumbar fascia in rats and humans. Neuroscience. 2011;194:302–8.
Cruz-Montecinos C, González Blanche A, López Sánchez D, Cerda M, Sanzana-Cuche R, Cuesta-Vargas A. In vivo relationship between pelvis motion and deep fascia displacement of the medial gastrocnemius: anatomical and functional implications. J Anat. 2015;227(5):665–72.
Gennisson JL, Deffieux T, Fink M, Tanter M. Ultrasound elastography: principles and techniques. Diagn Interv Imaging. 2013;94(5):487–95.
Brandenburg JE, Eby SF, Song P, Zhao H, Brault JS, Chen S, An KN. Ultrasound elastography: the new frontier in direct measurement of muscle stiffness. Arch Phys Med Rehabil. 2014;95(11):2207–19.
Andrade RJ, Nordez A, Hug F, Ates F, Coppieters MW, Pezarat-Correia P, Freitas SR. Non-invasive assessment of sciatic nerve stiffness during human ankle motion using ultrasound shear wave elastography. J Biomech. 2016;49(3):326–31.
Ridehalgh C, Moore A, Hough A. Normative sciatic nerve excursion during a modified straight leg raise test. Man Ther. 2014;19(1):59–64.
Lacourpaille L, Hug F, Bouillard K, Hogrel JY, Nordez A. Supersonic shear imaging provides a reliable measurement of resting muscle shear elastic modulus. Physiol Meas. 2012;33(3):19–28.
Acknowledgements
This study was supported by Grants from the Region Pays de la Loire (QUETE Project, No. 2015-09035) and the University of Nantes (Interdisciplinary Project).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
Antoine Nordez, Raphaël Gross, Ricardo Andrade, Guillaume Le Sant, Sandro Freitas, Richard Ellis, Peter J. McNair, and François Hug declare that they have no conflicts of interest.
Additional information
A. Nordez and R. Gross have contributed equally to this work.
Rights and permissions
About this article
Cite this article
Nordez, A., Gross, R., Andrade, R. et al. Non-Muscular Structures Can Limit the Maximal Joint Range of Motion during Stretching. Sports Med 47, 1925–1929 (2017). https://doi.org/10.1007/s40279-017-0703-5
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40279-017-0703-5