Passive stretching decreases muscle efficiency in balance tasks

PLoS One. 2021 Sep 22;16(9):e0256656. doi: 10.1371/journal.pone.0256656. eCollection 2021.

Abstract

The current study aimed to verify whether or not passive static stretching affects balance control capacity. Thirty-eight participants (19 women and 19 men) underwent a passive static stretching session, involving the knee extensor/flexor and dorsi/plantarflexor muscles, and a control session (no stretching, CTRL). Before (PRE), immediately after (POST), after 15 (POST15) and 30 min (POST30) from stretching (or rest in CTRL), balance control was evaluated under static and dynamic conditions, with open/closed eyes, and with/without somatosensory perturbation (foam under the feet). During tests, centre of pressure (CoP) sway area and perimeter and antero-posterior and medio-lateral sway mean speed were computed. Surface electromyography root mean square (sEMG RMS) was calculated from the vastus lateralis, biceps femoris, gastrocnemius medialis, and tibialis anterior muscles during MVC and during the balance tests. Hip flexion/extension and dorsi/plantarflexion range of motion (ROM), maximum voluntary contraction (MVC) and sEMG RMS during MVC were measured at the same time points. After stretching, ROM increased (≈6.5%; P<0.05), while MVC and sEMG RMS decreased (≈9% and ≈7.5%, respectively; P<0.05). Regardless of the testing condition, CoP sway area and the perimeter remained similar, while antero-posterior and medio-lateral sway mean speed decreased by ≈8% and ≈12%, respectively (P<0.05). sEMG RMS during the balance tests increased in all muscles in POST (≈7%, P<0.05). All variables recovered in POST30. No changes occurred in CTRL. Passive static stretching did not affect the overall balance control ability. However, greater muscle activation was required to maintain similar CoP sway, thus suggesting a decrease in muscle efficiency.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Electromyography / methods
  • Female
  • Foot / diagnostic imaging
  • Foot / physiology
  • Humans
  • Knee / diagnostic imaging
  • Knee / physiology
  • Leg / diagnostic imaging
  • Leg / physiology
  • Male
  • Muscle Contraction / physiology*
  • Muscle Stretching Exercises / physiology*
  • Muscle, Skeletal / diagnostic imaging*
  • Muscle, Skeletal / physiology
  • Postural Balance / physiology*
  • Range of Motion, Articular / physiology

Grants and funding

The present study was funded by a dedicated grant (PSR Fondi Linea 2 -Tipologia A – 2019) assigned to FE and GM from the Department of Biomedical Sciences for Health, Università degli Studi di Milano. The funders had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript.