Comparison of Stretching Versus Strengthening for Increasing Active Ankle Dorsiflexion Range of Motion

Kasser, Richard J.; Pridmore, Kevin; Hoctor, Karen; Loyd, Leah; Wortman, F. Auston

doi:10.1097/tgr.0b013e3181b02d4a

Cited by 4 publications

(14 citation statements)

References 21 publications

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“…Two studies suggested that the increase in ROM was due to stretch tolerance (Halbertsma and Goeken, 1994 ; Blazevich et al, 2014 ). The last two low quality studies referred to gentle loaded stretches (Bandy et al, 1998 ; Kasser et al, 2009 ).…”

Section: Resultsmentioning

confidence: 99%

The relevance of stretch intensity and position—a systematic review

et al. 2015

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Stretching exercises to increase the range of motion (ROM) of joints have been used by sports coaches and medical professionals for improving performance and rehabilitation. The ability of connective and muscular tissues to change their architecture in response to stretching is important for their proper function, repair, and performance. Given the dearth of relevant data in the literature, this review examined two key elements of stretching: stretch intensity and stretch position; and their significance to ROM, delayed onset muscle soreness (DOMS), and inflammation in different populations. A search of three databases, Pub-Med, Google Scholar, and Cochrane Reviews, identified 152 articles, which were subsequently categorized into four groups: athletes (24), clinical (29), elderly (12), and general population (87). The use of different populations facilitated a wider examination of the stretching components and their effects. All 152 articles incorporated information regarding duration, frequency and stretch position, whereas only 79 referred to the intensity of stretching and 22 of these 79 studies were deemed high quality. It appears that the intensity of stretching is relatively under-researched, and the importance of body position and its influence on stretch intensity, is largely unknown. In conclusion, this review has highlighted areas for future research, including stretch intensity and position and their effect on musculo-tendinous tissue, in relation to the sensation of pain, delayed onset muscle soreness, inflammation, as well as muscle health and performance.

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Section: Resultsmentioning

confidence: 99%

The relevance of stretch intensity and position—a systematic review

et al. 2015

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“…Results from quality assessment are presented in Table 1 . Of the studies selected for inclusion, 13 featured a control group [ 2 , 3 , 5 , 12 , 16 , 18 , 19 , 21 ],[ 23 , 25 , 29 , 31 , 32 , 38 ]. Sixteen of the included studies randomly assigned participants to treatment groups [ 1 - 3 , 5 , 12 , 14 - 16 , 18 , 19 , 21 , 23 ],[ 25 , 29 , 31 , 32 ], nine studies featured blinding of the participants, assessors or therapists [ 1 , 2 , 12 , 13 , 16 , 19 , 21 , 31 ],[ 38 ] and 13 studies reported on the reliability of the measures used [ 1 , 3 , 5 , 12 , 14 , 16 , 23 , 25 ],[ 27 , 29 - 32 ].…”

Section: Resultsmentioning

confidence: 99%

“…Eighteen studies investigated stretching interventions [ 1 , 3 , 5 , 6 , 12 , 14 , 15 , 18 ],[ 19 , 21 - 23 , 25 , 27 , 29 - 32 ] and six of the 18 studies investigated the effects of combining stretching with interventions such as ultrasound therapy or strengthening exercises [ 14 , 19 , 21 - 23 , 30 ]. Two studies investigated manipulation therapy [ 13 , 16 ], two studies investigated mobilisation therapy [ 38 , 39 ] and one investigated soleal trigger point therapy [ 2 ].…”

Section: Resultsmentioning

confidence: 99%

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Interventions for increasing ankle joint dorsiflexion: a systematic review and meta‐analysis

Young

Nix

Wholohan

et al. 2013

Journal of Foot and Ankle Research

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BackgroundAnkle joint equinus, or restricted dorsiflexion range of motion (ROM), has been linked to a range of pathologies of relevance to clinical practitioners. This systematic review and meta-analysis investigated the effects of conservative interventions on ankle joint ROM in healthy individuals and athletic populations.MethodsKeyword searches of Embase, Medline, Cochrane and CINAHL databases were performed with the final search being run in August 2013. Studies were eligible for inclusion if they assessed the effect of a non-surgical intervention on ankle joint dorsiflexion in healthy populations. Studies were quality rated using a standard quality assessment scale. Standardised mean differences (SMDs) and 95% confidence intervals (CIs) were calculated and results were pooled where study methods were homogenous.ResultsTwenty-three studies met eligibility criteria, with a total of 734 study participants. Results suggest that there is some evidence to support the efficacy of static stretching alone (SMDs: range 0.70 to 1.69) and static stretching in combination with ultrasound (SMDs: range 0.91 to 0.95), diathermy (SMD 1.12), diathermy and ice (SMD 1.16), heel raise exercises (SMDs: range 0.70 to 0.77), superficial moist heat (SMDs: range 0.65 to 0.84) and warm up (SMD 0.87) in improving ankle joint dorsiflexion ROM.ConclusionsSome evidence exists to support the efficacy of stretching alone and stretching in combination with other therapies in increasing ankle joint ROM in healthy individuals. There is a paucity of quality evidence to support the efficacy of other non-surgical interventions, thus further research in this area is warranted.

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“…24 Dorsi fleksyon hareket açıklığının arttırılması germe ve/veya güçlendirme ile başarı-labilir. 25 Yavaş ve sabit bir esnetme kasın uzatılması için en iyi yöntemlerden biridir. Araştırmalar, plantar fleksörlerin dorsi fleksörlerden önemli derecede daha güçlü olduğunu göstermiştir.…”

Section: Discussionunclassified