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The effect of warm-up, static stretching and dynamic stretching on hamstring flexibility in previously injured subjects.
by:In: BMC Musculoskelet Disord, Vol. 10
(2009)
, p. 37.
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Abstract
BACKGROUND: Warm-up and stretching are suggested to increase hamstring
flexibility and reduce the risk of injury. This study examined the
short-term effects of warm-up, static stretching and dynamic stretching
on hamstring flexibility in individuals with previous hamstring injury
and uninjured controls. METHODS: A randomised crossover study design,
over 2 separate days. Hamstring flexibility was assessed using passive
knee extension range of motion PKE ROM. 18 previously injured individuals
and 18 uninjured controls participated. On both days, four measurements
of PKE ROM were recorded: 1 at baseline; 2 after warm-up; 3
after stretch static or dynamic and 4 after a 15-minute rest.
Participants carried out both static and dynamic stretches, but on
different days. Data were analysed using Anova. RESULTS: Across both
groups, there was a significant main effect for time p < 0.001.
PKE ROM significantly increased with warm-up p < 0.001. From warm-up,
PKE ROM further increased with static stretching p = 0.04 but significantly
decreased after dynamic stretching p = 0.013. The increased flexibility
after warm-up and static stretching reduced significantly p < 0.001
after 15 minutes of rest, but remained significantly greater than
at baseline p < 0.001. Between groups, there was no main effect
for group p = 0.462, with no difference in mean PKE ROM values
at any individual stage of the protocol p > 0.05. Using ANCOVA
to adjust for the non-significant p = 0.141 baseline difference
between groups, the previously injured group demonstrated a greater
response to warm-up and static stretching, however this was not statistically
significant p = 0.05. CONCLUSION: Warm-up significantly increased
hamstring flexibility. Static stretching also increased hamstring
flexibility, whereas dynamic did not, in agreement with previous
findings on uninjured controls. The effect of warm-up and static
stretching on flexibility was greater in those with reduced flexibility
post-injury, but this did not reach statistical significance. Further
prospective research is required to validate the hypothesis that
increased flexibility improves outcomes. TRIAL REGISTRATION: ACTRN12608000638336.


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