Effects of chronic stretching program in the calcaneal tendon strain by ultrasound

  • Carolina Carneiro Peixinho Programa de Engenharia Biomédica - Universidade Federal do Rio de Janeiro
  • Monisa Vieira da Silva Universidade Federal do Rio de Janeiro
  • Liliam Fernandes de Oliveira Universidade Federal do Rio de Janeiro
Keywords: Stretching, Tendon, Achilles tendon

Abstract

Introduction and Purpose: The mechanical properties of Achilles tendon can change when submitted to chronic interventions. However, the effects on this tendon stress due to a chronic stretching training are still not clear. The aim of the present study was to evaluate the effects of a 10-week stretching program on the Achilles tendon stress Methods: 14 subjects were assigned to a stretching (n=8) and a control group (n=6).The stretching protocol was applied during 10 weeks (total of 45 sessions), using two sets of 30 seconds of two different exercises. The maximum stress (maximum force/cross-sectional area (CSA)) was estimated using measurements of tendon CSA in ultrasoundimages obtained during passive dorsiflexion in an isokinetic dynamometer. Results: The maximum dorsiflexion angle increased from 26.12 ± 6.13° to 28.87 ± 7.32° (p=0.03) in the stretching group. All other variables (maximum passive torque, maximum passive fore, CSA and maximum tension) presented no significant changes. Discussion: The increase in the maximum dorsiflexion angle indicates structural adaptations because no torque, force and stress increase was observed, which would other structural adaptationsor that, the CSA increase associated with the amplitude gain was relatively small. Conclusion: It is suggested that structural adaptations related to the amplitude increase are not associated to the tendon CSA. Otherwise, the complex methodology used to measure CSA may hide small adaptations.

References

-Arya, S.; Kulig, K. Tendinopathy alters mechanical and material properties of the Achilles tendon. Journal of Applied Physiology. Vol. 108. Num. 3. 2010. p. 670-675. Disponível em: <http://jap.physiology.org/content/jap/108/3/670.full.pdf>

-Blazevich, A.J.; Cannavan, D.; Waugh, C.M.; Fath, F.; Miller, S.C.; Kay, A.D. Neuromuscular factors influencing the maximum stretch limit of the human plantar flexors. Journal of AppliedPhysiology. Vol. 113. Num. 9. 2012. p. 1446-1455. Disponível em:

-Boakes, J.L.; Foran, J.; Ward, S.R.; Lieber, R.L. Muscle adaptation by serial sarcomere addition 1 year after femoral lengthening. Clinical Orthopaedics and Related Research. Vol. 456. 2007. p. 250-253. Disponível em:

-Folpp, H.; Deall, S.; Harvey, L.A.; Gwinn T. Can apparent increases in muscle extensibility with regular stretch be explained by changes in tolerance to stretch? Australian Journal of Physiotherapy. Vol. 52. Num. 1. 2006. p. 45-50.

-Gajdosik, R.L.; Allred, J.D.; Gabbert, H.L.; Sonsteng, B.A. Astretching program increases the dynamic passive length and passive resistive properties of the calf muscle-tendon unit of unconditioned younger women. European Journal of Applied Physiology. Vol. 99. Num. 4. 2007. p. 449-454. Disponível em:

-Gajdosik, R.L.; Vander Linden, D.W.; McNair, P.J.; Williams, A.K.; Riggin, T.J. Effects of an eight-week stretching program on the passive-elastic properties and function of the calf muscles of older women. Clinical Biomechanics. Vol. 20. Num. 9. 2005. p. 973-983. Disponível em:

-Guissard, N.; Duchateau, J. Effect of static stretch training on neural and mechanical properties of the human plantar-flexor muscles. Muscle &Nerve. Vol. 29. Num. 2. 2004. p. 248-255. Disponível em:

-Guissard, N.; Duchateau, J. Neural aspects of muscle stretching. Exercise and Sport Sciences Reviews. Vol. 34. Num. 4. 2006. p. 154-158. Disponível em:

-Heinemeier, K.; Kjaer, M. In vivo investigation of tendon responses to mechanical loading. Journal of Musculoskeletal and Neuronal Interactions. Vol.11. Num. 2. 2011. p. 115-123. Disponível em: <http://www.ismni.org/jmni/pdf/44/05HEINEMEIER.pdf>

-Kawakami, Y.; Kanehisa, H.; Fukunaga, T. The relationship between passive ankle plantar flexion joint torque and gastrocnemius muscle and achilles tendon stiffness: implications for flexibility. Journal of Orthopaedic & Sports Physical Therapy. Vol.38. Num. 5. 2008. p. 269-276. Disponível em:

-Konrad, A.; Gad, M.; Tilp, M. Effect of PNF stretching training on the properties of human muscle and tendon structures. Scandinavian Journal ofMedicine and Science in Sports. Vol. 25. Num. 3. 2014. p. 346–355. doi:10.1111/sms.12228.

-Kurokawa, S.; Fukunaga, T.; Fukashiro, S. Behavior of fascicles and tendinous structures of human gastrocnemius during vertical jumping. Journal of Applied Physiology. Vol. 90. Num. 4. 2001. p. 1349-1358. Disponível em: <http://jap.physiology.org/cgi/pmidlookup?view=long&pmid=11247934>

-Lynn, R.; Talbot, J.A.; Morgan, D.L. Differences in rat skeletal muscles after incline and decline running. Journal of Applied Physiology. Vol. 85. Num. 1. 1998. p. 98-104. Disponível em: <http://jap.physiology.org/content/jap/85/1/98.full.pdf>

-Magnusson, S.; Beyer, N.; Abrahamsen, H. Increased Cross-sectional Area and Reduced Tensile Stress of the Achilles Tendon in Elderly Compared With Young Women. Journal of Gerontology. Vol. 58A. Num. 2. 2003. p. 123-127. Disponível em: <http://biomedgerontology.oxfordjournals.org/content/58/2/B123.full>

-Magnusson, S.P. Passive properties of human skeletal muscle during stretch maneuvers. A review. Scandinavian Journal of Medicine and Science in Sports. Vol. 8. Num. 2. 1998. p. 65-77.

-Magnusson, S.P.; Simonsen, E.B.; Aagaard, P.; Sørensen, H.; Kjaer, M. A mechanism for altered flexibility in human skeletal muscle. Journal of Physiology. Vol. 497. Num. 1. 1996. p. 291-298. Disponível em: <http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1160931/pdf/jphysiol00385-0283.pdf>

-Mahieu, N.N.; McNair, P.; De Muynck, M.; Stevens, V.; Blanckaert, I.; Smits, N.; e colaboradores. Effect of static and ballistic stretching on the muscle-tendon tissue properties. Medicine and Science in Sports and Exercise. Vol. 39. Num. 3. 2007. p. 494-501. Disponível em: http://doi:10.1249/01.mss.0000247004.40212.f7>

-Menegaldo, L.L.; Fleury, A.T.; Weber, H.I. Moment arms and musculotendon lengths estimation for a three-dimensional lower-limb model. Journal of Biomechanics. Vol. 37. Num. 9. 2004. p. 1447-1453. Disponível em: <http://www.jbiomech.com/article/S0021-9290(03)00480-9/abstract>

-Nakamura, M.; Ikezoe, T.; Takeno, Y.; Ichihashi, N. Effects of a 4-week static stretch training program on passive stiffness of human gastrocnemius muscle-tendon unit in vivo. European Journal of Applied Physiology. Vol. 112. Num. 7. 2012. p. 2749-2755. Disponível em:

-Neugebauer, J.M.; Hawkins, D.A. Identifying factors related to Achilles tendon stress, strain, and stiffness before and after 6 months of growth in youth 10-14 years of age. Journal of Biomechanics. Vol. 45. Num. 14. 2012. p. 2457-2461. Disponível em:

-Obst, S.J.; Renault, J-B.; Newsham-West, R.; Barrett, R.S. Three-dimensional deformation and transverse rotation of the human free Achilles tendon in vivo during isometric plantarflexion contraction. Journal of Applied Physiology. Vol. 116. 2014. p. 376-384.

Disponível em:

-Peixinho, C.C.; Martins, N.S.F.; De Oliveira, L.F.; Machado, J.C. Structural adaptations of rat lateral gastrocnemius muscle-tendon complex to a chronic stretching program and their quantification based on ultrasound biomicroscopy and optical microscopic images. Clinical Biomechanics. Vol. 29. Num. 1. 2014. p. 57-62. Disponível em:

-Reid, D.A.; Mcnair, P.J. Passive Force, Angle, and Stiffness Changes after Stretching of Hamstring Muscles. Medicine and Science in Sports and Exercise. Vol. 36. Num. 11. 2004. p. 1944-1948. Disponível em:

-Rosager, S.; Aagaard, P.; Dyhre-Poulsen, P.; Neergaard, K.; Kjaer, M.; Magnusson, S.P. Load-displacement properties of the human triceps surae aponeurosis and tendon in runners and non-runners. Scandinavian Journal of Medicine and Science in Sports. Vol. 12. Num. 2. 2012. p. 90-98.

-Stenroth, L.; Peltonen, J.; Cronin, N. J.; Sipilä, S.; Finni, T. Age-related differences in Achilles tendon properties and triceps surae muscle architecture in vivo. Journal of Applied Physiology. Vol. 113. Num. 10. 2012. p. 1537-1544. Disponível em:

-Vieira, M.; Lima, K.M.M.; Pereira, W.C.A.; De Oliveira, L.F. Reliability of the Achilles tendon cross sectional area measurements. Proceedings of the 1o Biomedical Signal Analysis. 2013. p. 32-33.

-Waugh, C.M.; Blazevich, A.J.; Fath, F.; Korff, T. Age-related changes in mechanical properties of the Achilles tendon. Journal of Anatomy. Vol. 220. 2012. p. 144-155. Disponível em:

-Zhao, H.; Ren, Y.; Wu, Y.; Liu, S.Q., Zhang L. Ultrasonic evaluations of Achilles tendon mechanical properties poststroke. Journal of Applied Physiology. Vol. 106. 2009. p. 843-849. Disponível em:

Published
2016-08-02
How to Cite
Peixinho, C. C., da Silva, M. V., & de Oliveira, L. F. (2016). Effects of chronic stretching program in the calcaneal tendon strain by ultrasound. Brazilian Journal of Exercise Prescription and Physiology, 10(61), 653-662. Retrieved from https://www.rbpfex.com.br/index.php/rbpfex/article/view/1047
Section
Scientific Articles - Original