Neuromuscular Correlates of the Contralateral Stretch-induced Strength Loss

Med Sci Sports Exerc. 2021 Oct 1;53(10):2066-2075. doi: 10.1249/MSS.0000000000002677.

Abstract

Purpose: The current study investigated the effects of unilateral passive stretching on the neuromuscular mechanisms involved in the force-generating capacity of the contralateral muscle.

Methods: Twenty-six healthy men underwent unilateral passive stretching of the plantarflexors (5 × 45 s on + 15 s off; total stretching time, 225 s). Before and after the stretching protocol, contralateral ankle range of motion, maximum voluntary contraction (MVC) of the plantarflexors, and surface electromyographic root-mean-square (sEMG RMS) of the soleus and the gastrocnemii muscles were determined. Concurrently, V-wave, maximum and superimposed H-reflex, and M-wave were elicited via nerve stimulation to estimate the supraspinal, spinal, and peripheral mechanisms, respectively. sEMG RMS, V-wave, and H-reflex were normalized to the M-wave.

Results: After passive stretching, contralateral ankle range of motion was increased (+8% [1%/15%], effect size [ES] = 0.43 [0.02/0.84], P < 0.001), MVC of the plantarflexors was decreased (-9% [-21%/-2%], ES = -0.96 [-1.53/-0.38], P < 0.001), and the sEMG RMS/M-wave of the soleus and the gastrocnemii muscles was decreased (≈-9%, ES ≈ -0.33, P < 0.05). Concurrently, the V-wave/M-wave superimposed was decreased in all muscles (≈-13%, ES = -0.81 to -0.52, P < 0.05). No change in H-reflex/M-wave and M-wave was observed under both maximum and superimposed condition. The decrease in the MVC and the sEMG RMS of the contralateral muscle was accompanied by a decrease in the V-wave/M-wave but not the H-reflex/M-wave ratios and the M-wave.

Conclusions: The present outcomes suggest that only supraspinal mechanisms might be involved in the contralateral decrease in the maximum force-generating capacity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Ankle Joint / physiology
  • Cross-Sectional Studies
  • Electromyography
  • Evoked Potentials, Motor*
  • H-Reflex
  • Humans
  • Male
  • Motor Neurons / physiology
  • Muscle Contraction
  • Muscle Stretching Exercises / physiology*
  • Muscle, Skeletal / physiology*
  • Range of Motion, Articular
  • Young Adult