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Previous studies have reported no changes on muscle architecture after static stretching interventions; however, authors have argued that stretching duration and intensity may not have been sufficient. A high-intensity stretching intervention targeting the knee flexors with an 8-week duration was conducted to observe the effects on biceps femoris long head (BF) architecture.Participants (n=5) performed an average of 3.1 assisted-stretching sessions per week, whereas a control group (n=5) did not perform stretching. The knee extension passive maximal range of motion (ROM), and BF fascicle length (FL), fascicle angle, and muscle thickness were assessed before and after the intervention.A significant increase was observed for FL (+12.3 mm, p=0.04) and maximal ROM (+14.2°, p=0.04) for the stretching group after the intervention. No significant changes were observed for the control group in any parameter.A 8-week high-intensity stretching program was observed to efficiently increased the BF fascicle length, as well as the knee extension maximal ROM. Stretching intensity and duration may play an important role on muscle architecture adaptation.
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RESEARCH NOTE
EFFECT OF 8-WEEK HIGH-INTENSITY STRETCHING
TRAINING ON BICEPS FEMORIS ARCHITECTURE
SANDRO R. FREITAS AND PEDRO MIL-HOMENS
University of Lisbon, Faculty of Human Kinetics, CIPER, Lisbon, Portugal
ABSTRACT
Freitas, SR and Mil-Homens, P. Effect of 8-week high-intensity
stretching training on biceps femoris architecture. JStrength
Cond Res 29(6): 1737–1740, 2015—Previous studies have
reported no changes on muscle architecture (MA) after static
stretching interventions; however, authors have argued that
stretching duration and intensity may not have been sufficient.
A high-intensity stretching intervention targeting the knee flexors
with an 8-week duration was conducted to observe the effects
on biceps femoris long head (BF) architecture. Participants
(n= 5) performed an average of 3.1 assisted-stretching sessions
per week, whereas a control group (n= 5) did not perform
stretching. The knee extension passive maximal range of motion
(ROM), and BF fascicle length (FL), fascicle angle, and muscle
thickness were assessed before and after the intervention. A
significant increase was observed for FL (+12.3 mm, p= 0.04)
and maximal ROM (+14.28,p= 0.04) for the stretching group
after the intervention. No significant changes were observed for
the control group in any parameter. An 8-week high-intensity
stretching program was observed to efficiently increase the BF
FL, as well as the knee extension maximal ROM. Stretching inten-
sity and duration may play an important role on MA adaptation.
KEY WORDS fascicle angle, fascicle length, flexibility, range of
motion, ultrasonography
INTRODUCTION
Muscle architecture (MA) is an important factor
in functional task performance (6,8), because it
relates to muscle force-length and force-
velocity properties (13). Previous studies have
observed that MA parameters can be changed in consequence
of strength training (1); however, previous studies have found
no changes on MA in consequence of static stretching
(4,5,10). For instance, Nakamura et al. (10) performed a 4-
week static stretching to the plantarflexors (self-stretching;
volume: 2 360 seconds daily; intensity: “largest stretch that
participants were willing to tolerate”) and found no changes in
fascicle length (FL), fascicle angle (FA), or muscle thickness
(MT). Lima et al. (5) also found no differences in the MA
parameters after an 8-week static stretching program (assisted
stretching; volume: 3 330 seconds with 30-second rest
between repetitions, 3 times a week; intensity: “within the
physiological limit and preceding the pain threshold”). Lima
et al. (5) suggested that the lack of change in MA could be
due to the low intensity and duration of the static stretching
intervention, since adaptations on MA after static stretching
has been observed in studies with animal models (12,15). In
addition, there is evidence of a greater maximal range of
motion (ROM) increase when performing static stretching
with higher stretching intensity (14), duration (7), repetitions
(2), and stretching session frequency (6). Thus, a change on
MA parameters after a static stretching may depend on the
stretching intensity; however, this has never been tested.
Recently, it was demonstrated that a stretching with no
rest interval between the repetitions induces a greater ROM
increase during the stretching compared with a conventional
rest interval protocol (3). The purpose of this pilot study was
to determine whether 8 weeks of high-intensity static
stretching by using a nonrest interval protocol would change
the MA architecture.
METHODS
Experimental Approach to the Problem
A randomized controlled trial was conducted to determine
the effects of a knee flexor stretching (Figure 1A) interven-
tion on the biceps femoris long head (BF) architecture and
passive knee extension maximal ROM (Figure 1B).
Subjects
Ten healthy university students [mean 6SD:allmen;
physically active; age = 21.2 60.8 years; body mass =
72.7 611.6 kg; height = 175.9 64.9 cm (age range from 18
to 23)] volunteered to this study. During the study, participants
performed normal daily living activities but were not involved
in specific exercise program (i.e., strength or stretching). The
local University Ethics Council approved this study (#1/2013),
and informed consent was obtained from all participants.
Procedures
Participants were allocated in 2 groups: a control (CG, n=5)
and a high-intensity stretching training (SG, n= 5). The CG
Address correspondence to Sandro R. Freitas, sfreitas@fmh.ulisboa.pt.
29(6)/1737–1740
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VOLUME 29 | NUMBER 6 | JUNE 2015 | 1737
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were not involved in any type of stretching program during
the intervention period. The SG performed a stretching at
a ROM that corresponded to the highest tolerable torque
before the onset of pain for 450 seconds (Figure 1C). To
assure that the maximum passive torque was obtained, the
ROM was increased every 90 seconds to a new maximal
ROM, and thus not resting between repetitions (3). When
participants reported that they could not stretch further,
the knee was held statically until the end of the 450 seconds.
We previously observed that this type of protocol achieves
a greater ROM and passive peak torque during the
stretching than a conventional rest interval protocol, and
consequently a higher intensity (3). The SG group was mon-
itored for maximal ROM (Lafayette Gollehon Extendable,
Model 01135, IN, USA) every training session at the begin-
ning and during the stretching session. Experienced exercise
professionals assisted the stretching maneuvers (Figure 1A).
Participants were asked to participate in 5 sessions per week.
Both groups were assessed for BF architecture parameters
before and after the training period by an experienced
researcher (Figure 1B), using a 6-cm 10-MHz linear probe
(EUB-7500; Hitachi Medical Corporation, Chiyoda-ku,
Tokyo, Japan). A blinded researcher digitized the sonograms
(1.47v; ImageJ software, Bethesda, MD, NIH, USA). A classic
linear extrapolation method was used to calculate the BF archi-
tecture parameters (11). The FL was calculated using the equa-
tion: FL = L+(h/sina), where Lis the observable FL from the
midmuscle aponeurosis to the most visible end point, h is the
distance between the superficial aponeurosis and the fascicle
visible distal end point, and bis the angle between the fascicle
(drawn linearly) and the superficial aponeurosis (Figure 1B).
Statistical Analyses
Data were analyzed using the SPSS software (Version 20.0,
IBM Corp., Armonk, NY). Interday assessment reliability was
previously confirmed for FL (Intraclass correlation coeficient
(ICC) = 0.79 [0.55–0.91]), FA (ICC = 0.80 [0.56–0.91]), and
MT (ICC = 0.94 [0.86–0.98]) in a previously study with 20
participants (data not published); and the minimal detectable
difference determined was 8.4 mm, 1.58, and 1.6 mm for FL,
FA, and MT, respectively. Wilcoxon tests were used to deter-
mine pre- to post-effects on FL, FA, MT, and maximal ROM.
Figure 1. A) Training setup for stretching the knee flexors and to assess knee extension ROM. B) Typical sonogram of biceps femoris long head for 1
participant with the digitalization procedure to calculate the FL. C) Typical example for a participant passive knee extension torque-ROM response to a nonrest
interval stretching protocol assessed using an isokinetic setup detailed elsewhere (3); in this case, the participant tolerated the increase in ROM 3 times. ROM =
range of motion; FL = fascicle length.
Stretching and Muscle Architecture
1738
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Cohen’s dcoefficient was calculated to determine the magni-
tude of the MA and ROM changes. Statistical significance was
set to p#0.05. Data are presented as mean 6SD.
RESULTS
The SG participants performed a total of 25.0 66.4 training
sessions (i.e., 3.1 60.8 sessions per week). The knee extension
maximal ROM before, during, and after the stretching program
are shown in Figure 2A. The BF architecture parameters before
and after the stretching program are shown in Figure 2B.
DISCUSSION
The main finding of this pilot study was that the BF
architecture and the knee extension maximal ROM were
changed in vivo in consequence of an 8-week high-intensity
stretching program. FL increased 13.6% and the FA
decreased 15.1% (p= 0.13) in the SG. Previous studies have
reported changes of up to
+33% for FL and +20% for
FA as a consequence of resis-
tance training (1). However,
this is the first study showing
changes in consequence of
a stretching intervention. The
previous studies have reported
no significant changes in MA
after a stretching program
(4,5,10). However, studies in
animal models suggest that
static stretching can change
MA (12,15). We think that this
might be due to the duration
and intensity of the stretching
intervention. Participants have
stretched for 450 seconds in
each session and had a fre-
quency of 3.1 60.8 sessions
per week (;1406 seconds of
stretching for week). This
duration is much higher than
those used in previous studies
(5,6,10). We also used a method
that led to greater maximal
ROM and torque during the
stretching, and this may have
been higher than in previous
studies.
Another observation was the
magnitude of ROM increase
after the intervention. The total
knee extension maximal ROM
increase was 14.3 610.78
(+11.2 69.5%) at the end of
the program. This is much
higher compared with the re-
sults of previous studies examining the knee extension flex-
ibility (5,6). This was also probably due to the intensity and
duration of the stretching (6,7,9,13,14). In this study, the
ROM was increased every 90 seconds during the 450-
second stretching maneuver until the maximal ROM, until
the participant report that he could not stretch further without
felling pain, and stretching was superior to 300 seconds (7).
A major study limitation was the small sample size in both
groups. However, it must be noted that the change in both
FL and FA was higher than the minimal detectable change
using ultrasonography to assess BF MA (i.e., 8.4 mm and
1.58, for FL and FA, respectively). A future study should be
conducted with a higher sample size and should assess other
mechanical variables (e.g., joint passive torque-angle).
In conclusion, a high-intensity stretching program of
8 weeks was observed to efficiently increase the FL and
decrease the FA of the BF, as well to increase the knee
Figure 2. A) Maximal ROM before (pre), during (gray), and after (week 8) the stretching program. B) BF
architecture parameters before (pre) and after (post) the stretching program. *Statistical difference at p#0.05.
ROM = range of motion; BF = biceps femoris long head.
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extension maximal ROM. These findings are important to
those who seek MA changes through physical training. A
larger sample size is wanted in a future study to confirm
these results.
PRACTICAL APPLICATIONS
Muscle architecture is recognized as an important physical
performance variable. In this study, we observed a BF
architecture change in consequence of knee flexors static
stretching intervention. Approximately, 3 stretching sessions
per week, for 8-week duration, with a high stretching
intensity (i.e., by using a nonrest interval protocol) and
a duration of 450 seconds (i.e., considerable superior to
conventional practice) was seen to increase the FL and
passive knee extension maximal ROM, without affecting the
MT. It is possible that stretching intensity and duration are
a key variable to induce changes in MA.
ACKNOWLEDGMENTS
The authors acknowledge the support of the Portuguese
Scientific Foundation, and the kind contribution of Joa
˜o
Marmeleira for their co-operation in data digitalization,
and all the participants for their effort. All the authors
declare that they have no conflicts of interest regarding this
article.
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... While no acute change in peak torque could be found, in accordance with previous literature (Freitas et al. 2018;Freitas and Mil-Homens 2015;Konrad and Tilp 2014), there was a moderate effect size for chronic PPT enhancements measured in end ROM (ES: 0.55, p = 0.005). These results support previous beliefs of the delayed occurrence in stretch sensation. ...
... Stiffness adaptations, as well as PPT, are often described as the underlying physiologic parameters of flexibility enhancements (Freitas et al. 2015(Freitas et al. , 2018Konrad and Tilp 2014). However, even though contributing to flexibility, both seem to be of a more phenomenological nature. ...
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Purpose Muscle, tendon, and muscle–tendon unit (MTU) stiffness as well as passive peak torque (PPT) or delayed stretching pain sensation are typical explanatory approaches for stretching adaptations. However, in literature, differences in the study inclusion, as well as applying meta-analytical models without accounting for intrastudy dependency of multiple and heteroscedasticity of data bias the current evidence. Furthermore, most of the recent analyses neglected to investigate PPT adaptations and further moderators. Methods The presented review used the recommended meta-analytical calculation method to investigate the effects of stretching on stiffness as well as on passive torque parameters using subgroup analyses for stretching types, stretching duration, and supervision. Results Chronic stretching reduced muscle stiffness ( − 0.38, p = 0.01) overall, and also for the supervised ( − 0.49, p = 0.004) and long static stretching interventions ( − 0.61, p < 0.001), while the unsupervised and short duration subgroups did not reach the level of significance (p = 0.21, 0.29). No effects were observed for tendon stiffness or for subgroups (e.g., long-stretching durations). Chronic PPT (0.55, p = 0.005) in end ROM increased. Only long-stretching durations sufficiently decreased muscle stiffness acutely. No effects could be observed for acute PPT. Conclusion While partially in accordance with previous literature, the results underline the relevance of long-stretching durations when inducing changes in passive properties. Only four acute PPT in end ROM studies were eligible, while a large number were excluded as they provided mathematical models and/or lacked control conditions, calling for further randomized controlled trials on acute PPT effects.
... Similar to stretching, there is an ongoing discussion regarding the underlying mechanisms of foam rolling. While chronic stretch-induced ROM enhancements were attributed to a combination of structural adaptations (muscle and/or tendon properties) [25,93,94] and neuronal changes such as changes in the stretching pain threshold [21][22][23]95], foam rolling studies generally agree in attributing ROM increases to enhanced pain tolerance rather than stiffness changes [96,97]. Non-significant effects were discussed to be attributable to the low-volume interventions of the studies [12,16]. ...
... Nevertheless, although serial sarcomere accumulation was not measured directly in humans, there are some indications such as increased ROM [3,9,[98][99][100][101][102], reduced pain threshold [21][22][23]95], changes in the optimal force production angle or strength increases in long muscle lengths [184][185][186] as well as changes in fascicle lengths [187] after performing long-term stretching programmes. These adaptations, however, were not exclusively related to stretching exercises, but also to resistance training. ...
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... The increase in stiffness seen after chronic stretching may have also resulted in other muscle architectural changes in the proximal and middle regions, such as changes in fascicle angle and length effects or changes in collagen content, type, or organization, which were not assessed in this study. Therefore, future research is needed in these areas [33,34]. ...
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Background The chronic effect of static stretching (SS) on muscle hypertrophy is still unclear. This study aimed to examine the chronic effects of SS exercises on skeletal muscle hypertrophy in healthy individuals. Methods A systematic literature search was conducted in the PubMed, Web of Science, Cochrane Library, and SPORTDiscus databases up to July 2023. Included studies examined chronic effects of SS exercise compared to an active/passive control group or the contralateral leg (i.e., utilizing between- or within-study designs, respectively) and assessed at least one outcome of skeletal muscle hypertrophy in healthy individuals with no age restriction. Results Twenty-five studies met the inclusion criteria. Overall, findings indicated an unclear effect of chronic SS exercises on skeletal muscle hypertrophy with a trivial point estimate (standardised mean difference [SMD] = 0.118 [95% prediction interval [95% PI] = − 0.233 to 0.469; p = 0.017]) and low heterogeneity (I² = 24%). Subgroup analyses revealed that trained individuals (β = 0.424; 95% PI = 0.095 to 0.753) displayed larger effects compared to recreationally trained (β = 0.115; 95% PI = − 0.195 to 0.425) and sedentary individuals (β = − 0.081; 95% PI = − 0.399 to 0.236). Subanalysis suggested the potential for greater skeletal muscle hypertrophy in samples with higher percentages of females (β = 0.003, [95% confidence interval [95% CI] = − 0.000 to 0.005]). However, the practical significance of this finding is questionable. Furthermore, a greater variety of stretching exercises elicited larger increases in muscle hypertrophy (β = 0.069, [95% CI = 0.041 to 0.097]). Longer durations of single stretching exercises (β = 0.006, [95% CI = 0.002 to 0.010]), time under stretching per session (β = 0.006, [95% CI = 0.003 to 0.009]), per week (β = 0.001, [95% CI = 0.000 to 0.001]) and in total (β = 0.008, [95% CI = 0.003 to 0.013]) induced larger muscle hypertrophy. Regarding joint range of motion, there was a clear positive effect with a moderate point estimate (β = 0.698; 95% PI = 0.147 to 1.249; p < 0.001) and moderate heterogeneity (I² = 43%). Moreover, findings indicated no significant association between the gains in joint range of motion and the increase in muscle hypertrophy (β = 0.036, [95% CI = − 0.123 to 0.196]; p = 0.638). Conclusions This study revealed an overall unclear chronic effect of SS on skeletal muscle hypertrophy, although interpretation across the range of PI suggests a potential modest beneficial effect. Subgroup analysis indicated larger stretching-induced muscle gains in trained individuals, a more varied selection of SS exercises, longer mean duration of single stretching exercise, increased time under SS per session, week, and in total, and possibly in samples with a higher proportion of females. From a practical perspective, it appears that SS exercises may not be highly effective in promoting skeletal muscle hypertrophy unless a higher duration of training is utilized. PROSPERO registration number: CRD42022331762.
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Static stretch is commonly used to prevent contracture and to improve joint mobility. However, it is unclear whether the components of the muscle-tendon unit are affected by a static stretch training program. This study investigated the effect of a four-week static stretch training program on the viscoelastic properties of the muscle-tendon unit and muscle. The subjects comprised 18 male participants (mean age 21.4 ± 1.7 years). The range of motion (ROM), passive torque, myotendinous junction (MTJ) displacement and, muscle fascicle length of the gastrocnemius muscle were assessed using both ultrasonography and a dynamometer while the ankle was passively dorsiflexed. After the initial test, the participants were assigned either to a group that stretched for 4 weeks (N = 9) or to a control group (N = 9). The tests were repeated after the static stretch training program. The ROM and MTJ displacement significantly increased, and the passive torque at 30° significantly decreased, in the stretching group after the study period. However, there was no significant increase in muscle fascicle length. These results suggest that a 4-week static stretch training program changes the flexibility of the overall MTU without causing concomitant changes in muscle fascicle length.