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C o p j r i g h t 0 Munksgaard 1996
Scandinavian Journal of
M E D I C I N E & SCIENCE
I N SPORTS
lSSN 0905-7188
The present study sought to investigate the role of EMG activity during passive static stretch. EMG and passive resistance were measured during static
stretching of human skeletal muscle in eight neurologically intact control subjects and six spinal cord-injured (SCI) subjects with complete motor loss.
Resistance to stretch offered by the hamstring muscles during passive knee
extension was defined as passive torque (Nm). The knee was passively
extended at 5"/s to a predetermined final position, where it remained stationary for 90 s (static phase) while force and integrated EMG of the hamstring
muscle were recorded. EMG was sampled for frequency domain analysis in a
second stretch maneuver in five control and three SCI subjects. There was a
decline in passive torque in the 90-s static phase for both control and SCI subjects, P<0.05. Although peak passive torque was greater in control subjects,
PxO.05, there was no difference in time-dependent passive torque response
between control (33%) and SCI (38%) subjects. Initial and final 5-s IEMG
ranged from 1.8 to 3.4 pV.s and did not change during a stretch or differ
between control and SCI subjects. Frequency domain analysis yielded similar
results in both groups, with an equal energy distribution in all harmonics,
indicative of 'white noise'. The present data demonstrate that no measurable
EMG activity was detected in either group during the static stretch maneuver.
Therefore, the decline in resistance to static stretch was a viscoelastic stress
relaxation response.
Despite the prevalence of stretching exercises in rehabilitation and sports, the mechanism behind its
proposed effect remains ambiguous. Although
stretching has been demonstrated to bring about
acute and chronic changes in maximal joint range of
motion in humans, the mechanism by which it
works has yet to be clearly demonstrated (1-8).
The acute mechanism of stretching has been explained in neurophysiological terms, which suggests
that the neural component of the target muscle is activated and consequently contributes significant resistance to stretch. Accordingly, the aim of the
stretching is to lower this neural component,
thereby decreasing the resistance to the stretch (9).
Paradoxically, studies on humans show that stretching exercises that produce the greatest improvement
S. P. Magnusson',
E. 8. Simonsen2,
P. Dyhre-Poulsen3, P. Aagaard3,
T. Mohr", M. Kjaer'
'Team Danmark Test Center, Rigshospitalet,
TTA, 'Institute of Medical Anatomy, 31nstitute of
Medical Physiology, Department of
Neurophysiology, 'Institute of Medical
Physiology, Panum Institute, University of
Copenhagen, 5Department of Rheumatology,
Bispebjerg Hospital, Copenhagen Muscle
Research Center, Copenhagen, Denmark
in joint range of motion yield the largest EMG response (3, 8, 10). Therefore, the contribution and
the role of EMG activity of a muscle undergoing a
stretch remains questionable.
Alternatively, stretching has been described in
biomechanical terms (11). During passive stretch
the muscle-tendon unit is considered to respond
viscoelastically (1 1). Viscoelastic material when
stretched to a new constant length, analogous to the
static stretching technique, will decline in tension
over time. Viscoelastic stress relaxation of the muscle and tendon have been demonstrated in vitro (1 113) and in vivo in human skeletal muscle (14, 15).
Studies on human subjects have concentrated on
EMG activity and joint range of motion during
stretch, while the viscoelastic response has largely
323
Magnusson et al.
unteered to participate in the study (35.5k5.9 years,
78.7k12.9 kg, 1.79f0.07 m). All SCI subjects had
complete paralysis of the lower extremities. Three
subjects were sensory incomplete. The level of spinal cord lesion ranged from C6 to T5. The SCI subjects were 5-22 years (range) post-injury and performed stretching of the hamstring muscle group as
part of their activities of daily living.
Instrumentation
Fig. 1. Test apparatus and position for stretch maneuver. 1) Platform for distal thigh. 2) Thigh strap. 3 ) Pelvic strap. 4) KinCom
ankle attachment with load cell.
been limited to animal investigations. Few investigations have simultaneously examined the EMG response and the resistance to stretch in vivo (14, 15).
A lack of a relationship between EMG response and
viscoelastic stress relaxation during a static stretch
(14, 15), and the apparent incongruity between the
observed EMG response and the most effective
stretching technique (3, 8, 10) shows that the role of
the EMG response during stretching remains unanswered.
Spinal isolation is a useful electrically silent
preparation for studying muscular behavior in the
absence of EMG activity (16). Therefore, humans
who have sustained spinal cord injuries that result in
complete motor loss of the lower extremities may
serve as a model to investigate the effect of stretching in the absence of EMG compared to control subjects. The purpose of the present study was to examine EMG and resistance to stretch during passive
static stretching of human skeletal muscle, in vivo,
in spinal cord-injured (SCI) and neurologically intact control subjects.
Eight neurologically intact control subjects volunteered to participate in the study (29.5k3.6 years,
75.1f3.8 kg, 1.79f0.05 m) (meanfSD). These subjects were free of lower extremity or low back pathology at the time of testing. Six SCI subjects vol-
324
60 -
r -90
- 50 E
40-
2 30-
.-
$ 2 0 a
phase2
phase1
-20
20
'
40
60
'
80
'
100
time (s)
technique yielded correlation coefficients of ~ 0 . 9 9 Table 1 shows the peak, final and delta passive
with a coefficient of variation of 6.5% (15).
torque during the first stretch maneuver. There was
Gross electrical activity of the human hamstring
a significant decline in passive torque during the 90muscle group was measured with Ag/AgCl surface
s static phase in both the control and SCI subjects
electrodes (Medicotest, Type QN- 10-A, Denmark)
(P<0.05). Peak passive torque differed significantly
placed midway between the gluteal fold and the
between control and SCI subjects (P<0.05). Final
knee joint (14), with a 3-cm inter-electrode distance.
passive torque did not differ between the groups
Custom-made amplifiers with a frequency response
(P=0.09).There was no significant difference in the
of 20 Hz to 10 KHz and 1:l pre-amplifiers were
delta passive torque between the groups.
used for EMG signal sampling. The EMG signal
The initial 5-s IEMG was 1.8k1.2 pV. s for the
was full wave rectified, integrated, averaged (time
control and 2.4f1.5 pV. s for the SCI subjects. The
final 5 s IEMG was 2.9f1.6 pV. s for the control
constant 200 ms) and expressed as pV. s (IEMG)
and
3.4k1.5 pV. s for the SCI subjects. There was
(18).
To examine the EMG signal further during pasno difference between initial and final 5-s IEMG in
sive static stretch, a second stretch maneuver was
either group, nor were there any differences beadministered to the final position in six control and
tween the groups. The frequency domain analysis
three SCI subjects 10 min following the first stretch
for the second stretch is shown in Table 2. MVC for
maneuver. Additionally, the control subjects were
control subjects yielded power density spectrums
instructed to perform a 5-s maximal isometric hamwith a median frequency of 63-80 Hz. The initial
string contraction (MVC) in the final position at the
and final 2 s of the static phase yielded a median freend of this 90-s stretch. During this stretch maneuquency of 400-548 without a characteristic concenver EMG activity was sampled at 2048 Hz in the initial and final 2 s of 90-s static phase and during
MVC.
Table 1.Passive torque (Nm)
Data analysis
Peak
Final
Delta (Yo)
Control subjects
SCI subjects
34.2k3.8b
23.2+3.Oa
33.2k2.5
12.2k3.Za
38.752.3
19.7k5.0
325
Magnusson et al.
Table 2.Power density spectrum
Median frequency
Control subjects
A
8
C
D
E
SCI subjects
A
8
C
(Hz)
Initial 2 s
Final 2 s
MVC 2 s
542
546
514
526
400
531
548
507
514
477
65
77
80
68
63
540
513
500
501
478
488
Power density spectrum with median frequency (Hz) from the initial and final
2 s during the static phase of the second stretch for the control and SCI subjects. In addition the median frequency from the MVC in the control subjects is
shown.
previous studies (14, 15) have reported IEMG values ranging from 76 to 194 pV. s. Furthermore, the
data show that the low level IEMG activity of the
human hamstring muscle does not change during
the 90-s static phase, which is in agreement with
previous findings using the same stretching technique (15). A significant decline in IEMG over a 45s static phase using a straight leg raise to a maximum tolerated joint range of motion has been
shown (14). It is possible that the disagreements between the studies are related to the definition of the
end point. Alternatively, the positioning and the stabilization may have influenced the results.
Further examination of the EMG signal by way of
frequency domain analysis during the MVC in the
control subjects demonstrated an accustomed response with a median frequency of 63-80 Hz. On
the other hand, the power density spectrum for both
the SCI and control subjects during the stretch was
consistent with white noise. This is evidence that
no physiologically meaningful EMG activity was
500000
400000
1I
400
800
1200
5000,
4000
3000
2000
1I
1000
Discussion
326
400
5000
4000
2000
3000
1000
!I
800
1200
400
800
1200
Frequency (Hz)
20
za,
18
16
,$
14
12
20
40
60
80
100
Time (s)
I
20
20
40
60
80
100
Time (s)
Fig. 4. Graphic representation of the passive torque (Nm) during the 90-s static phase of a static stretch in a SCI subject (a)
and in a control subject (b). Note the similar initial steep and
subsequent gradual relaxation component in the control and
SCI subjects despite the difference in peak passive torque.
327
Magnusson et al.
don and bone in series (24). It is likely that the
present stretch maneuver placed tension on both the
parallel and series elastic components. From an injury standpoint, conceivably, the viscoelastic stress
relaxation is an acute adaptation of the parallel elastic component to lower the imposed load across the
myotendinous junction, where injury is known to
occur (26-28).
In summary, the present study examined EMG
and resistance to stretch during passive static
stretching of human skeletal muscle, in vivo, in control subjects and SCI subjects with complete loss of
motor control in their lower extremity. During the
90-s static phase of the stretch, resistance declined
significantly in both control and SCI subjects. Peak
passive torque was significantly greater in control
subjects; however, the decline over the 90-s period
was similar for control (33%) and SCI (38%) subjects. No measurable EMG activity was detected in
either group during the stretch maneuver. Therefore,
the decline in resistance to static stretch is viscoelastic stress relaxation.
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