Influence of Long-Lasting Static Stretching Intervention on Functional and Morphological Parameters in the Plantar Flexors: A Randomized Controlled Trial

Warneke, K, Keiner, M, Wohlann, T, Lohmann, LH, Schmitt, T, Hillebrecht, M, Brinkmann, A, Hein, A, Wirth, K, and Schiemann, S. Influence of long-lasting static stretching intervention on functional and morphological parameters in the plantar flexors: a randomised controlled trial. J Strength Cond Res 37(10): 1993-2001, 2023-Animal studies show that long-lasting stretching training can lead to significant hypertrophy and increases in maximal strength. Accordingly, previous human studies found significant improvements in maximal voluntary contraction (MVC), flexibility, and muscle thickness (MTh) using constant angle long-lasting stretching. It was hypothesized that long-lasting stretching with high intensity will lead to sufficient mechanical tension to induce muscle hypertrophy and maximal strength gains. This study examined muscle cross-sectional area (MCSA) using magnetic resonance imaging (MRI). Therefore, 45 well-trained subjects (f: 17, m: 28, age: 27.7 +/- 3.0 years, height: 180.8 +/- 4.9 cm, mass: 80.4 +/- 7.2 kg) were assigned to an intervention group (IG) that stretched the plantar flexors 6 x 10 minutes per day for 6 weeks or a control group (CG). Data analysis was performed using 2-way ANOVA. There was a significant Time x Group interaction in MVC (p < 0.001-0.019, eta(2) = 0.158-0.223), flexibility (p < 0.001, eta(2) = 0.338-0.446), MTh (p = 0.002-0.013, eta(2) = 0.125-0.172), and MCSA(p = 0.003-0.014, eta(2) = 0.143-0.197). Post hoc analysis showed significant increases inMVC(d = 0.64-0.76), flexibility (d = 0.85-1.12), MTh (d = 0.53-0.6), and MCSA (d = 0.16-0.3) in IG compared with CG, thus confirming previous results in well-trained subjects. Furthermore, this study improved the quality for the morphological examination by investigating both heads of the gastrocnemius with MRI and sonography. Because stretching can be used passively, an application in rehabilitation settings seems plausible, especially if no commonly used alternatives such as strength training are applicable.