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Prophylactic stretching does not reduce cramp susceptibility
Authors:Kevin C. Miller PhD  ATC  James D. Harsen DPT  Blaine C. Long PhD  ATC
Affiliation:School of Rehabilitation and Medical Sciences, Central Michigan University, 1208 Health Professions Building, Mount Pleasant, Michigan, USA
Abstract:Introduction: Some clinicians advocate stretching to prevent muscle cramps. It is unknown whether static or proprioceptive neuromuscular facilitation (PNF) stretching increases cramp threshold frequency (TFc), a quantitative measure of cramp susceptibility. Methods: Fifteen individuals completed this randomized, counterbalanced, cross‐over study. We measured passive hallux range of motion (ROM) and then performed 3 minutes of either static stretching, PNF stretching (hold–relax—with agonist contraction), or no stretching. ROM was reassessed and TFc was measured. Results: PNF stretching increased hallux extension (pre‐PNF 81 ± 11°, post‐PNF 90 ± 10°; P < 0.05) but not hallux flexion (pre‐PNF 40 ± 7°, post‐PNF 40 ± 7°; P > 0.05). Static stretching increased hallux extension (pre‐static 80 ± 11°, post‐static 88 ± 9°; P < 0.05) but not hallux flexion (pre‐static 38 ± 9°, post‐static 39 ± 8°; P > 0.05). No ROM changes occurred with no stretching (P > 0.05). TFc was unaffected by stretching (no stretching 18 ± 7 Hz , PNF 16 ± 4 Hz , static 16 ± 5 Hz ; P = 0.37). Discussion: Static and PNF stretching increased hallux extension, but neither increased TFc. Acute stretching may not prevent muscle cramping. Muscle Nerve 57 : 473–477, 2018
Keywords:electrical stimulation  flexor hallucis brevis  inhibition  proprioceptive neuromuscular facilitation  range of motion  static stretching  threshold frequency
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