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Biomechanical Responses to Repeated Stretches in Human Hamstring Muscle In Vivo

Team Denmark Test Center, Rigshospitalet

Erik B. Simonsen, PhD

Institute of Medical Anatomy, Panum Institute, University of Copenhagen

Per Aagaard, MS

Team Denmark Test Center, Rigshospitalet

Michael Kjaer, MD, PhD

Copenhagen Muscle Research Center, University of Copenhagen, Rigshospitalet, and Department of Rheumatology, Bispebjerg Hospital, Copenhagen, Denmark

To examine stiffness, energy, and passive torque in the dynamic and static phases of a stretch maneuver in the human hamstring muscle in vivo we used a test- retest protocol and a repeated stretches protocol. Re sistance to stretch was defined as passive torque (in newton-meters) offered by the hamstring muscle group during passive knee extension as measured using an isokinetic dynamometer with a modified thigh pad. In 13 uninjured subjects, the knee was passively ex tended to a predetermined final position (0.0875 rad/ sec, dynamic phase) where it remained stationary for 90 seconds (static phase). The test-retest protocol in cluded two tests administered 1 hour apart. On a sep arate occasion, five consecutive static stretches were administered separated by 30 seconds and followed by a sixth stretch 1 hour later. For the test-retest phase, stiffness and energy in the dynamic phase and passive torque in the static phase did not differ and yielded correlations of r = 0.91 to 0.99. During the static phase, passive torque declined in both tests (P < 0.0001). For the repeated stretches, decreases were observed for energy (P < 0.01) and stiffness (P < 0.05) in the dynamic phase and for passive torque (P < 0.0001) in the static phase. However, the decline in the variables returned to baseline within 1 hour. The data show that the method employed is a useful tool for measuring biomechanical variables during a stretch maneuver. This may provide a more detailed method to examine skeletal muscle flexibility.

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