Background: Unilateral fatigue and static stretching (SS) can impair performance and increase range of motion of a non-exercised or non-stretched muscle respectively. An underdeveloped research area is the effect of unilateral stretching on non-local force output.Objective: The objective of this review was to describe the effects of unilateral SS on contralateral, non-stretched, muscle force and identify gaps in the literature for future research.Methods: A systematic literature search following the Preferred Reporting Items for Systematic Review and Meta-Analyses Protocols guidelines was performed according to prescribed inclusion and exclusion criteria. Weighted means and ranges highlighted the non-local force output response to unilateral stretching. The Physiotherapy Evidence Database (PEDro) scale was used to assess study risk of bias and methodological quality.Results: Unilateral stretching protocols, from six studies, involved 6.3±2 repetitions of 36.3±7.4 seconds with 19.3±5.7 seconds recovery between stretches. The mean stretch-induced force deficits exhibited small magnitude effect sizes for both the stretched (-0.35: 0.01 to -1.8) and contralateral, non-stretched, muscles (-0.22: 0.08 to -1.1). Control measures exhibited trivial deficits. Further research should investigate effects of lower intensity stretching, upper versus lower body stretching, different age groups, incorporate full warm-ups, and identify predominant mechanisms among others.
Conclusion:The limited literature examining non-local effects of prolonged SS revealed that both the stretched and contralateral, non-stretched, limbs of young adults demonstrate small magnitude decrements in force output. However, the frequency of these effects were similar with three measures demonstrating deficits, and four measures showing trivial changes. These results highlight the possible global effects of prolonged SS.