Muscle stretching - the potential role of endogenous pain inhibitory modulation on stretch tolerance.
pain
range of motion
stretch tolerance
stretching
Journal
Scandinavian journal of pain
ISSN: 1877-8879
Titre abrégé: Scand J Pain
Pays: Germany
ID NLM: 101520867
Informations de publication
Date de publication:
24 04 2019
24 04 2019
Historique:
received:
03
11
2018
accepted:
18
12
2018
pubmed:
31
1
2019
medline:
28
3
2020
entrez:
31
1
2019
Statut:
ppublish
Résumé
Background and aims The effect of stretching on joint range of motion is well documented and is primarily related to changes in the tolerance to stretch, but the mechanisms underlying this change are still largely unknown. The aim of this study was to investigate the influence of a remote, painful stimulus on stretch tolerance. Methods Thirty-four healthy male subjects were recruited and randomly assigned to an experimental pain group (n=17) or a control group (n=17). Passive knee extension range of motion, the activity of hamstring muscles and passive resistive torque were measured with subjects in a seated position. Three consecutive measures were performed with a 5-min interval between. A static stretch protocol was utilized in both groups to examine the effect of stretching and differences in stretch tolerance between groups. Following this, the pain-group performed a cold pressor test which is known to engage the endogenous pain inhibitory system after which measurements were repeated. Results A significant increase in knee extension range of motion was found in the pain group compared with controls (ANCOVA: p<0.05). No difference was found in muscle activity or passive resistive torque between groups (ANCOVA p>0.091). Conclusions Passive knee extension range of motion following stretching increased when following a distant, painful stimulus, potentially engaging the endogenous pain inhibitory systems. Current findings indicate a link between increased tolerance to stretch and endogenous pain inhibition. Implications The current findings may have implications for clinical practice as they indicate that a distant painful stimulus can influence range of motion in healthy individuals. This implies that the modulation of pain has significance for the efficacy of stretching which is important knowledge when prescribing stretching as part of rehabilitation.
Identifiants
pubmed: 30699073
doi: 10.1515/sjpain-2018-0334
pii: sjpain-2018-0334
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
415-422Références
Blazevich AJ, Cannavan D, Waugh CM, Miller SC, Thorlund JB, Aagaard P, Kay AD. Range of motion, neuromechanical, and architectural adaptations to plantar flexor stretch training in humans. J Appl Physiol 2014;117:452–62.
Meroni R, Cerri CG, Lanzarini C, Barindelli G, Morte GD, Gessaga V, Cesana CD, De Vito C. Comparison of active stretching technique and static stretching technique on hamstring flexibility. Clin J Sport Med 2010;20:8–14.
Worrell TW, Perrin DH. Hamstring muscle injury: the influence of strength, flexibility, warm-up, and fatigue. J Orthop Sport Phys Ther 1992;16:12–8.
Herbert RD, de Noronha M, Kamper SJ. Stretching to prevent or reduce muscle soreness after exercise. Cochrane Database Syst Rev 2011:CD004577. doi:10.1002/14651858.CD004577.pub3.
Weppler CH, Magnusson SP. Increasing muscle extensibility: a matter of increasing length or modifying sensation? Phys Ther 2010;90:438–49.
Freitas SR, Mendes B, Le Sant G, Andrade RJ, Nordez A, Milanovic Z. Can chronic stretching change the muscle-tendon mechanical properties? A review. Scand J Med Sci Sport 2018;28:794–806.
Cabido CET, Bergamini JC, Andrade AGP, Lima FV, Menzel HJ, Chagas MH. Acute effect of constant torque and angle stretching on range of motion, muscle passive properties, and stretch discomfort perception. J Strength Cond Res 2013;28:1050–7.
Magnusson SP, Simonsen EB, Aagaard P, Boesen J, Johannsen F, Kjaer M. Determinants of musculoskeletal flexibility: viscoelastic properties, cross-sectional area, EMG and stretch tolerance. Scand J Med Sci Sports 1997;7:195–202.
Behm DG, Blazevich AJ, Kay AD, Mchugh M. Acute effects of muscle stretching on physical performance, range of motion, and injury incidence in healthy active individuals: a systematic review. Appl Physiol Nutr Metab 2016;11:1–11.
Ryan ED, Herda TJ, Costa PB, Herda AA, Cramer JT. Acute effects of passive stretching of the plantarflexor muscles on neuromuscular function: the influence of age. Age (Dordr) 2014;36:9672.
Bishop MD, George SZ. Pain sensitivity and torque used during measurement predicts change in range of motion at the knee. J Pain Res 2017;10:2711–6.
Law RY, Harvey LA, Nicholas MK, Tonkin L, De Sousa M, Finniss DG. Stretch exercises increase tolerance to stretch in patients with chronic musculoskeletal pain: a randomized controlled trial. Phys Ther 2009;89:1016–26.
Sharman MJ, Cresswell AG, Riek S. Proprioceptive neuromuscular facilitation stretching : mechanisms and clinical implications. Sport Med 2006;36:929–39.
Knudson D. The biomechanics of stretching. J Exerc Sci Physiother 2006;2:3–12.
Purves D. Neuroscience. 5th ed. Sunderland, Mass.: Sinauer Associates, 2012.
Moont R, Pud D, Sprecher E, Shavrit G, Yarnitsky D. “Pain inhibits pain” mechanisms: is pain modulation simply due to distraction? Pain 2010;150:113–20.
Vaegter HB, Handberg G, Graven-Nielsen T. Hypoalgesia after exercise and the cold pressor test is reduced in cronic musculoskeletal pain patients with high pain sensitivity. Clin J Pain 2016;32:58–69.
Rezaii T, Hirschberg AL, Carlström K, Ernberg M. The influence of menstrual phases on pain modulation in healthy women. J Pain 2012;13:646–55.
IKDC. IKDC knee forms. Heal San Fr 2000;53:172–7.
Shelbourne KD, Urch SE, Gray T, Freeman H. Loss of normal knee motion after anterior cruciate ligament reconstruction is associated with radiographic arthritic changes after surgery. Am J Sports Med 2012;40:108–13.
Jagodzinski M, Kleemann V, Angele P, Schönhaar V, Iselborn KW, Mall G, Nerlich M. Experimental and clinical assessment of the accuracy of knee extension measurement techniques. Knee Surg Sports Traumatol Arthrosc 2000;8:329–36.
Laessøe U, Voigt M. Modification of stretch tolerance in a stooping position. Scand J Med Sci Sport 2004;14: 239–44.
Magnusson SP, Simonsen EB, Aagaard P, Dyhre-Poulsen P, McHugh MP, Kjaer M. Mechanical and physical responses to stretching with and without preisometric contraction in human skeletal muscle. Arch Phys Med Rehabil 1996;77:373–8.
Herda TJ, Costa PB, Walter AA, Ryan ED, Hoge KM, Kerksick CM, Stout JR, Cramer JT. Effects of two modes of static stretching on muscle strength and stiffness. Med Sci Sport Exerc 2011;43:1777–84.
Drouin BJM, Valovich-mcleod TC, Shultz SJ, Gansneder BM, Perrin DH. Reliability and Validity of the Biodex system 3 pro isokinetic dynamometer velocity, torque and postition measurements. Eur J Appl Physiol 2004;91:22–9.
Perotto A, Delagi EF. Anatomical guide for the electromyographer: the limbs and trunk. 5th ed. Springfield, Ill.: Charles C. Thomas Publisher, 2011.
Konrad A, Tilp M. Effects of ballistic stretching training on the properties of human muscle and tendon structures. J Appl Physiol 2014;117:29–35.
Konrad A, Tilp M. Increased range of motion after static stretching is not due to changes in muscle and tendon structures. Clin Biomech 2014;29:636–42.
De Luca CJ, Donald Gilmore L, Kuznetsov M, Roy SH. Filtering the surface EMG signal: movement artifact and baseline noise contamination. J Biomech 2010;43:1573–9.
Koenig J, Jarczok MN, Ellis RJ, Bach C, Thayer JF, Hillecke TK. Two-week test-retest stability of the cold pressor task procedure at two different temperatures as a measure of pain threshold and tolerance. Pain Pract 2014;14:126–35.
Defrin R, Tsedek I, Lugasi I, Moriles I, Urca G. The interactions between spatial summation and DNIC: effect of the distance between two painful stimuli and attentional factors on pain perception. Pain 2010;151:489–95.
Yarnitsky D. Conditioned pain modulation (the diffuse noxious inhibitory control-like effect): its relevance for acute and chronic pain states. Curr Opin Anaesthesiol 2010;23:611–5.
Pud D, Granovsky Y, Yarnitsky D. The methodology of experimentally induced diffuse noxious inhibitory control (DNIC)-like effect in humans. Pain 2009;144:16–9.
O’Hora J, Cartwright A, Wade DC, Hough DA, Shum LKG. Efficacy of static stretching and proprioceptive neuromuscular facilitation stretch on hamstrings length after a single session. J Strength Cond Res 2011;25:1586–91.
Thompson WR. ACSM’s guidelines for exercise testing and prescription. 8th ed. Philadelphia, Pa.: Lippincott Williams and Wilkins, 2010.
Koltyn KF. Analgesia following exercise: a review. Sport Med 2000;2:85–98.
Koltyn KF, Brellenthin AG, Cook DB, Sehgal N, Hillard C. Mechanisms of exercise-induced hypoalgesia. J Pain 2014;15:1294–304.
Vaegter HB, Handberg G, Graven-Nielsen T. Similarities between exercise-induced hypoalgesia and conditioned pain modulation in humans. Pain 2013;155:158–67.
Tompra N, van Dieën JH, Coppieters MW. Central pain processing is altered in people with Achilles tendinopathy. Br J Sports Med 2016;50:1004 LP-1007.
Suzuki R, Dickenson A. Spinal and supraspinal contributions to central sensitization in peripheral neuropathy. NeuroSignals 2005;14:175–81.
Magnusson SP. Passive properties of human skeletal muscle during stretch maneuvers. A review. Scand J Med Sci Sports 1998;8:65–77.
Guissard N, Duchateau J. Neural aspects of muscle stretching. Exerc Sport Sci Rev 2006;34:154–8.
Arendt-Nielsen L, Sluka AK, Nie HL. Experimental muscle pain impairs descending inhibition. Int Assoc Study Pain 2008;140:465–71.