Ann Rehabil Med.  2020 Apr;44(2):125-130. 10.5535/arm.2020.44.2.125.

Comparison of Two Static Stretching Techniques for the Triceps Surae in Healthy Individuals: Wall and Inclined Board Stretchings

Affiliations
  • 1Department of Rehabilitation Medicine, Konkuk University Chungju Hospital, Chungju, Korea
  • 2Department of Rehabilitation Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea

Abstract


Objective
To compare the effectiveness of static stretching techniques for correcting the tightness of the triceps surae.
Methods
In this observational, cross-sectional study, participants (30 healthy volunteers) completed 10 repetitions of each stretching exercise, holding each stretch for 10 seconds, with a 1-minute rest period between repetitionsand a 1-hour rest period between the two stretching techniques, namely, wall and inclined board stretchings. The length of the triceps surae and range of ankle dorsiflexion were measured on lateral view radiographs. The muscle activity during the stretch was measured using quantified surface electromyography of the lateral gastrocnemius. The subjective stretching sensation was evaluated using the visual analog scale.
Results
Both stretching techniques showed statistical differences in all the parameters. Stretching on an inclined board yielded a greater increase in the triceps surae length than did wall stretching (mean difference, 0.72; p=0.02). The range of ankle dorsiflexion was higher with inclined board stretching than with wall stretching (mean difference, 2.57; p=0.03). The mean muscle activity was significantly lower withinclined board stretching than with wall stretching (mean difference, 53.72; p<0.01). The visual analog scale score was higher with inclined board stretching than with wall stretching (mean difference, 2.07; p<0.01).
Conclusion
In this study, inclined board stretching was more effective than wall stretching for correcting tightness of the triceps surae. Therefore, inclined board stretching should be encouraged for the triceps surae.

Keyword

Achilles tendon; Inclined board; Triceps surae; Wall stretch

Figure

  • Fig. 1. Flow of participants through the study. EMG, electromyography.

  • Fig. 2. Wall stretching.

  • Fig. 3. Inclined board stretching. (A, B) The participant was to lean forward with their hands on the wall and then to bend their elbows until they felt a stretch in the triceps surae bilaterally.

  • Fig. 4. Lateral view radiographs. (A) The length of the triceps surae was measured as the distance between the approximate insertion point of the tendon (circle) and the origin point of the gastrocnemius muscle (star). (B) The angle of ankle dorsiflexion was measured as the angle formed between the shaft of the fibula and the 5th metatarsal on lateral view radiographs.


Reference

1. Malhotra K, Chan O, Cullen S, Welck M, Goldberg AJ, Cullen N, et al. Prevalence of isolated gastrocnemius tightness in patients with foot and ankle pathology: a population-based study. Bone Joint J. 2018; 100B:945–52.
2. Radford JA, Burns J, Buchbinder R, Landorf KB, Cook C. Does stretching increase ankle dorsiflexion range of motion? A systematic review. Br J Sports Med. 2006; 40:870–5.
3. Baumbach SF, Braunstein M, Regauer M, Bocker W, Polzer H. Diagnosis of Musculus Gastrocnemius Tightness - Key Factors for the Clinical Examination. J Vis Exp. 2016; (113):53446.
Article
4. Jeon IC, Kwon OY, Yi CH, Cynn HS, Hwang UJ. Ankledorsiflexion range of motion after ankle self-stretching using a strap. J Athl Train. 2015; 50:1226–32.
Article
5. Macklin K, Healy A, Chockalingam N. The effect of calf muscle stretching exercises on ankle joint dorsiflexion and dynamic foot pressures, force and related temporal parameters. Foot (Edinb). 2012; 22:10–7.
Article
6. Thacker SB, Gilchrist J, Stroup DF, Kimsey CD Jr. The impact of stretching on sports injury risk: a systematic review of the literature. Med Sci Sports Exerc. 2004; 36:371–8.
Article
7. Peters JA, Zwerver J, Diercks RL, Elferink-Gemser MT, van den Akker-Scheek I. Preventive interventions for tendinopathy: A systematic review. J Sci Med Sport. 2016; 19:205–11.
Article
8. Youdas JW, Krause DA, Egan KS, Therneau TM, Laskowski ER. The effect of static stretching of the calf muscle-tendon unit on active ankle dorsiflexion range of motion. J Orthop Sports Phys Ther. 2003; 33:408–17.
Article
9. Kuzma SA, McNeil SP. A comparison of prostretch versus incline board stretching on active ankle dorsiflexion range of motion. UWL J Undergrad Res. 2005; 8:1–6.
10. DiGiovanni BF, Nawoczenski DA, Lintal ME, Moore EA, Murray JC, Wilding GE, et al. Tissue-specific plantar fascia-stretching exercise enhances outcomes in patients with chronic heel pain: a prospective, randomized study. J Bone Joint Surg Am. 2003; 85:1270–7.
11. Mizuno T, Matsumoto M, Umemura Y. Viscoelasticity of the muscle-tendon unit is returned more rapidly than range of motion after stretching. Scand J Med Sci Sports. 2013; 23:23–30.
Article
12. Russell JA, Shave RM, Kruse DW, Nevill AM, Koutedakis Y, Wyon MA. Is goniometry suitable for measuring ankle range of motion in female ballet dancers? An initial comparison with radiographic measurement. Foot Ankle Spec. 2011; 4:151–6.
Article
13. Hermens HJ, Freriks B, Disselhorst-Klug C, Rau G. Development of recommendations for SEMG sensors and sensor placement procedures. J Electromyogr Kinesiol. 2000; 10:361–74.
Article
14. Reid D, McNair PJ, Johnson S, Potts G, Witvrouw E, Mahieu N. Electromyographic analysis of an eccentric calf muscle exercise in persons with and without Achilles tendinopathy. Phys Ther Sport. 2012; 13:150–5.
Article
15. Min BC, Kim JH, Jeon KJ, Lee DH, Kim JS. EMG fatigue comparative study of stair ascending and descending. In : Proceedings of the Society of Korea Industrial and Systems Engineering Spring Conference; 2006 May; p. 234–7.
16. Gajdosik RL, Allred JD, Gabbert HL, Sonsteng BA. A stretching program increases the dynamic passive length and passive resistive properties of the calf muscle-tendon unit of unconditioned younger women. Eur J Appl Physiol. 2007; 99:449–54.
Article
17. Foure A, Nordez A, Cornu C. Effects of eccentric training on mechanical properties of the plantar flexor muscle-tendon complex. J Appl Physiol (1985). 2013; 114:523–37.
Full Text Links
  • ARM
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2022 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr