Joke Kokkonen’s research while affiliated with Brigham Young University–Hawaii and other places

Can passive static stretching lower blood glucose in an at-risk population? Randomised, within-participant experimental study. 22 adults (17 males) either at increased risk of Type 2 diabetes or with Type 2 diabetes. The participants reported to the laboratory 2hr after eating a meal, and drank 355ml of fruit juice (∼43g carbohydrate). Thirty minutes later, they underwent either a 40min passive static stretching regimen or a mock passive stretching regimen. Stretching consisted of six lower body and four upper body static passive stretches. For the mock stretches, the same positions were adopted, but no tension was applied to the musculature. Blood glucose levels for both the stretching and mock stretching were analysed from a finger prick sample using a hand-held glucometer. Values were obtained at baseline (0min), during the regimen (20min), and after the regimen (40min) on both study days. Compared to mock stretch, stretching resulted in a significantly greater drop in blood glucose at 20min (mean difference 28mg/dL, 95% CI 13 to 43; or 1.57mmol/L, 95% CI 0.72 to 2.39). This effect was also statistically significant at 40min (mean difference 24mg/dL, 95% CI 9 to 39; or 1.35mmol/L, 95% CI 0.50 to 2.17). These results suggest that passive static stretching of the skeletal muscles may be an alternative to exercise to help lower blood glucose levels.

This study investigated differences in lower-body strength improvements when using standard progressive resistance training (WT) vs. the same progressive resistance training combined with static stretching exercises (WT + ST). Thirty-two college students (16 women and 16 men) were pair matched according to sex and knee extension 1 repetition maximum (1RM). One person from each pair was randomly assigned to WT and the other to WT + ST. WT did 3 sets of 6 repetitions of knee extension, knee flexion, and leg press 3 days per week for 8 weeks with weekly increases in the weight lifted. The WT + ST group performed the same lifting program as the WT group along with static stretching exercises designed to stretch the hip, thigh, and calf muscle groups. Stretching exercise sessions were done twice a week for 30 minutes during the 8-week period. WT significantly (p < 0.05) improved their knee flexion, knee extension, and leg press 1RM by 12, 14, and 9%, respectively. WT + ST, on the other hand, significantly (p < 0.05) improved their knee flexion, knee extension, and leg press 1RM by 16, 27, and 31, respectively. In addition, the WT + ST group had significantly greater knee extension and leg press gains (p < 0.05) than the WT group. Based on results of this study, it is recommended that to maximize strength gains in the early phase of training, novice lifters should include static stretching exercises to their resistance training programs.

While it has been well established that an acute stretching program can inhibit maximal muscle performance, the amount of stretching needed to produce the deleterious response is unknown. Therefore this study examined the dose-response relationship between acute stretching and strength inhibition. Eighteen college students performed a one repetition maximum (1-RM) test of knee-flexion following 0, 1, 2, 3, 4, 5, or 6 30-s bouts of hamstring stretching held at the limit of toleration. All seven dose variations were done by each subject, with each variation done on a separate day. One week separated each test, and the order of the stretch variations was balanced across the seven testing days. Stretching significantly (p < .05) reduced 1-RM after one 30-s stretch (5.4%), and continued to decrease 1-RM up to and including six 30-s stretches (12.4%). A single 30-s stretch, if held at the limit of toleration, is sufficient to cause an inhibition in a person's 1-RM. Additional bouts of stretching will further decrease the 1-RM, suggesting that multiple mechanisms may be involved in stretch-induced strength inhibition.

This study investigated the influence of static stretching exercises on specific exercise performances. Thirty-eight volunteers participated in this study. The stretching group (STR) consisted of 8 males and 11 females whose activity was limited to a 10-wk, 40-min, 3-d.wk(-1) static stretching routine designed to stretch all the major muscle groups in the lower extremity. The control group (CON) consisted of 8 males and 11 females who did not participate in any kind of regular exercise routine during the study. Each subject was measured before and after for flexibility, power (20-m sprint, standing long jump, vertical jump), strength (knee flexion and knee extension one-repetition maximum (1RM)), and strength endurance (number of repetitions at 60% of 1RM for both knee flexion and knee extension). STR had significant average improvements (P < 0.05) for flexibility (18.1%), standing long jump (2.3%), vertical jump (6.7%), 20-m sprint (1.3%), knee flexion 1RM (15.3%), knee extension 1RM (32.4%), knee flexion endurance (30.4%) and knee extension endurance (28.5%). The control group showed no improvement. This study suggests that chronic static stretching exercises by themselves can improve specific exercise performances. It is possible that persons who are unable to participate in traditional strength training activities may be able to experience gains through stretching, which would allow them to transition into a more traditional exercise regimen.