“…Regarding the 40 low quality studies, 25 had participants stretch to discomfort of which 15 in combination with a loaded stretch (Wessel and Wan, 1994 ; Chan et al, 2001 ; Mahieu et al, 2007 ; McClure et al, 2007 ; Mahieu et al, 2009 ; Meroni et al, 2010 ; Aguilar et al, 2012 ; de Oliveira et al, 2012 ; Hayes et al, 2012 ; Morais de Oliveira et al, 2012 ; Nakamura et al, 2012 ; Chen et al, 2013 ; Konrad and Tilp, 2014 ; McGrath et al, 2014 ; Freitas and Mil-Homens, 2015 ; Muanjai and Namsawang, 2015 ), four used therapists (Rodenburg et al, 1994 ; Cornelius et al, 1995 ; Fantini et al, 2006 ; O'Hora et al, 2011 ), while the remaining six made use of machines (Ryan et al, 2008a , b ; Winke et al, 2010 ; Herda et al, 2012 ; Mizuno et al, 2012 ; Cabido et al, 2014 ). In turn, of the 25 articles four suggested that the changes observed with stretching were due to stretch tolerance rather than mechanical (Mahieu et al, 2009 ; Hayes et al, 2012 ; Cabido et al, 2014 ; Konrad and Tilp, 2014 ).…”