Estiramiento activo y relación longitud-tensión excéntrica de la musculatura isquiosural

  1. Francisco Ayala Rodríguez
  2. María del Pilar Sainz de Baranda Andújar
  3. Mark De Ste Croix
  4. Fernando Santonja Medina
Revista:
Revista Internacional de Medicina y Ciencias de la Actividad Física y del Deporte

ISSN: 1577-0354

Año de publicación: 2014

Volumen: 14

Número: 53

Páginas: 135-152

Tipo: Artículo

Otras publicaciones en: Revista Internacional de Medicina y Ciencias de la Actividad Física y del Deporte

Resumen

El objetivo de este estudio fue investigar el efecto agudo de una rutina de estiramientos estático activos para la extremidad inferior, con parámetros de la carga contextualizados respecto a la realidad físico-deportiva, sobre la relación tensión-longitud excéntrica de la musculatura isquiosural. 49 deportistas recreativos completaron tres sesiones de evaluación, una inicial de amiliarización y dos experimentales (control y estiramientos). Inmediatamente después de ambos tratamientos (control y estiramientos), se valoraron los parámetros isocinéticos pico de fuerza máxima excéntrico, ángulo de fuerza máxima excéntrico y trabajo total excéntrico empleando para ello una posición de tendido prono. Si la modificación de la curva tensión-longitud excéntrica puede ser utilizada como factor de riesgo primario de distensiones de la musculatura isquiosural, los hallazgos de este estudio sugieren que el estiramiento estático activo podría no alterar el riesgo relativo de lesión de la musculatura isquiosural.

Referencias bibliográficas

  • Agel, J., Arendt, E.A. & Bershadsky, B. (2005). Anterior cruciate ligament injury in National Collegiate Athletic Association basketball and soccer: a 13- year review. American Journal of Sports Medicine, 33(4), 524-530.
  • Arnason, A., Gudmundsson, A., Dahl, H.A. & Johannsson, E. (1996). Soccer injuries in Iceland. Scandinavian Journal of Medicine & Science in Sports, 6, 40-45.
  • Arnason, A., Sigurdssin, S.B., Gudmundsson, A., Holeme, I., Engebretsen, L. & Bahr, R. (2004). Risk factors for injuries in football. American Journal of Sports Medicine, 32(S), 5-16.
  • Atkinson, G. & Nevill, A.M. (1998). Statistical methods for assessing measurement error (reliability) in variables relevant to sports medicine. Sports Medicine, 26, 217-238.
  • Bahr, R. & Krosshaug, T. (2005). Understanding the injury mechanisms: a key component to prevent injuries in sport. British Journal of Sports Medicine, 39, 324-329.
  • Behm, D.G., Bradbury, E.E., Haynes, A.T., Odre, J.N., Leonard, A.M. & Paddock, N. (2006). Flexibility is not related to stretch-induced deficits in force or power. Journal of Sports Science and Medicine, 5, 33-42.
  • Bell, D.R., Myrick, M.P., Blackburn, J.T., Shultz, S.J., Guskiewicz, K.M. & Padua, D.A. (2009). The effect of menstrual-cycle phase on hamstring extensibility and muscle stiffness. Journal of Sport Rehabilitation, 18, 553-563.
  • Beynnon, B.D., Johnson, R.J., Abate, J.A., Fleming, B.C. & Nichols, C.E. (2005). Treatment of anterior cruciate ligament injuries, part 1. American Journal of Sports Medicine, 33, 1579-1602.
  • Brockett, C.L., Morgan, D.L. & Proske, U. (2004). Predicting hamstring strain injury in elite athletes. Medicine & Science in Sports & Exercise, 36(3), 379-387.
  • Brown, L.E., Whitehurst, M. & Buchalter, D.N. (1994). Comparison of bilateral isokinetic knee extension/flexion and cycle ergometry tests of power. Journal of Strength and Conditioning Research, 83(3), 139-143.
  • Cramer, J.T., Beck, T.W., Housh, T.J., Massey, L.L., Marek, S.M., Danglemeier, S., Purkayastha, S., Culbertson, J.Y., Fitz, K. & Egan, A. (2007). Acute effects of static stretching on characteristics of the isokinetic angle–torque relationship, surface electromyography, and mechanomyography. Journal of Sports Sciences, 25(6), 687-698.
  • Cramer, J.T., Housh, T.J., Coburn, J.W., Beck, T.W. & Johnson, G.O. (2006). Acute effects of static stretching on maximal eccentric torque production in women. Journal of Strength and Conditioning Research, 20(2), 354-358.
  • Cramer, J.T., Housh, T.J., Johnson, G.D., Weir, J.P., Beck, T.W. & Coburn, J.W. (2007). An acute bout of static stretching does not affect maximal eccentric isokinetic Peak torque, the joint angle at peak torque, mean power, electromyography, or mechanomyography. Journal of Orthopaedic and Sports Physical Therapy, 37(3), 130-139.
  • Cramer, J.T., Housh, T.J., Jonson, G.O., Millar, J.M., Coburn, J.W. & Beck, T.W. (2004). Acute effects of static stretching on peak torque in women. Journal of Strength and Conditioning Research, 18(2), 236-241.
  • Croisier, J.L. (2004). Factors associated with recurrent hamstring injuries. Sports Medicine, 34, 681-695.
  • Croisier, J.L., Forthomme, B., Namurois, M.H., Vanderthommen, M. & Crielaard, J.M. (2002). Hamstring muscle strain recurrence and strength performance disorders. American Journal of Sports Medicine, 30(2), 199-203.
  • Drouin, J.M., Valovich-McLeon, T.C., Shultz, S.J., Gansneder, B.M. & Perrin, D.H. (2004). Reliability and validity of the Biodex system 3 pro isokinetic dynamometer velocity, torque and position measurements. European Journal of Applied Physiology, 91, 22-29.
  • Eiling, E., Bryant, A.L., Petersen, W., Murphy, A. & Hohmann E. (2007). Effects of menstrual-cycle hormone fluctuations on musculotendinous stiffness and knee joint laxity. Knee Surgery Sports Traumatology Arthroscopy, 15, 126-132.
  • Faul, F., Erdfelder, E., Buchner, A., & Lang, A.G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behaviour Research Methods, 41, 1149-1160
  • Faul, F., Erdfelder, E., Lang, A.G. & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behaviour Research Methods, 39, 175-191.
  • Gaul, C. (1996). Muscular strength and endurance (225-258). In: Measurement in Pediatric Exercise Science, D. Docherty (Ed.). Champaign, IL: Human Kinetics.
  • Hawkins, R.D., Hulse, M.A., Wilkinson, C., Hodson, A. & Gibson, M. (2001). The association football medical research programme: an audit of injuries in professional football. British Journal of Sports Medicine, 35, 43-47.
  • Herda, T.J., Cramer, J.T., Ryanm, E.D., Mchugh, M.P. & Stout, J.R. (2008). Acute effects of static versus dynamic stretching on isometric peak torque, electromyography, and mechanomyography of the biceps femoris muscle. Journal of Strength and Conditioning Research, 22(3), 809-817.
  • Hootman, J.M., Dick, R. & Agel, J. (2007). Epidemiology of Collegiate Injuries for 15 Sports: Summary and Recommendations for Injury Prevention Initiatives. Journal of Athletic Training, 42(2), 311-319.
  • Impellizzeri, F.M., Bizzini, M., Rampinini, E., Cereda, F., & Maffiulet, N.A. (2008). Reliability of isokinetic strength imbalance ratios measured using the Cybex NORM dynamometer. Clinical Physiology and Functional Imaging, 28,(2), 113-119.
  • Maffiuletti, N.A., Bizzini, M., Desbrosses, K., Babault, N. & Munzinge, U. (2007). Reliability of knee extension and flexion measurements using the Con-Trex isokinetic dynamometer. Clinical Physiology and Functional Imaging, 27, 6, 346-353.
  • Manoel, M., Harris-Love, M., Danoff, J. & Miller, T. (2008). Acute effects of static, dynamic, and proprioceptive neuromuscular facilitation stretching on muscle power in women. Journal of Strength and Conditioning Research, 22, 1528-1534.
  • Marek, S.M., Cramer, J.T., Fincher, A.L., Massey, L.L., Dangelmater, S.M., Purkayastha, S., Fitz, K.A. & Culbertson, J.Y. (2005). Acute effects of static and propioceptive neuromuscular facilitation stretching on muscle strength and power output. Journal of Athletic Training, 40(2), 94-103.
  • McHugh, M.P., & Cosgrave, C.H. (2010). To stretch or not to stretch: the role of stretching in injury prevention and performance. Scandinavian Journal of Medicine & Science in Sports, 20, 169-181.
  • Morton, J.P. (2009). Reviewing scientific manuscripts: how much statistical knowledge should a reviewer really know?. Advances in Physiology Education, 33, 7-9.
  • Ogura, Y., Miyahara, Y., Naito, H., Katamoto, S. & Auki, J. (2007). Duration of static stretching influences muscle force production in hamstring muscles. Journal of Strength and Conditioning Research, 21(3), 788-792.
  • Orchard, J. & Seward, H. (2002). Epidemiology of injuries in the Australian Football League, seasons 1997-2000. British Journal of Sports Medicine, 36,39-45.
  • Portney, L.G. & Watkins, M.P. (2000). Foundations of Clinical research: Applications to Practice. Upperdale Saddle River (NJ), Prentice Hall Health.
  • Shellock, F.G. & Prentice, W.E. (1985). Warming-up and stretching for improved physical performance and prevention of sports-related injuries. Sports Medicine, 2, 267-278.
  • Sherry, M.A. & Best, T.M. (2004). A comparison of 2 rehabilitation programs in the treatment of acute hamstring strains. Journal of Orthopaedics and Sports Physical Therapy, 34(3), 116-125.
  • Shrier, I. (1999). Stretching before exercise does not reduce the risk of local muscle injury: a critical review of the clinical and basic science literature. Clinical Journal of Sport Medicine, 9, 221–227.
  • Sole, G., Hamrén, J., Milosavljevic, S., Nicholson, H., & Sullivan, J. (2007). Test-retest reliability of isokinetic knee extension and flexion. Archives of Physical Medicine and Rehabilitation, 88, 626-631
  • Solomorrow, M., Baratta, R. & D´Ambrosia, R. (1989). The role of hamstrings in the rehabilitation of the anterior cruciate ligament-deficient knee in athletes. Sports Medicine, 7, 42-48. Sugiura, Y., Saito, T., Sakuraba, K., Sakuma, K. & Suzuki, E. (2008). Strength deficits identified with concentric action of the hip extensors and eccentric action of the hamstrings predispose to hamstring injury in elite sprinters. Journal of Orthopaedics and Sports Physical Therapy, 38(8), 457-464.
  • Taylor, N., Sanders, R., Howick, E. & Stanley, S. (1991). Static and dynamic assessment of the Biodex dynamometer. European Journal of Applied Physiology and Occupational Physiology, 62(3), 180-188.
  • Thacker, S.B.J., Gilchrist, J., Stroup, C.D. & Kimsey, J.R. (2004). The impact of stretching on sports injury risk: a systematic review of the literature. Medicine & Science in Sports & Exercise, 36(3), 371-378.
  • Thelen, D.G., Chumanov, E.S., Best, T.M., Swanson, S.C. & Heiderscheit, B.C: (2005). Simulation of Biceps Femoris Musculotendon Mechanics during the Swing Phase of Sprinting. Medicine and Science in Sports and Exercise, 37(11), 1931-1938.
  • Verrall, G.M., Slavotinek, J.P., Barnes, P.G., Fon, G.T. & Spriggins, A.J. (2001). Clinical risk factors for hamstring muscle strain injuries: a prospective study with correlation of injury by magnetic resonance imaging. British Journal of Sports Medicine, 35, 435-440.
  • Weldon. S.M., & Hill. R.H. (2002). The efficacy of stretching for prevention of exercise-related injury: a systematic review of the literature. Manual Therapy, 8, 141-150.
  • White, S.G. & Sahrmann, S.A. (1994). A movement system balance approach to management of musculoskeletal pain. En: R. Grant (Ed.), Physical Therapy of the Cervical and Thoracic Spine. New York: Churchill Livingstone Inc.
  • Wilson, G.J.; Murphy, A.J. & Pryor, J.F. (1994). Musculotendinous stiffness: Its relationship to eccentric, isometric and concentric performance. Journal of Applied Physiologic, 76, 2714-2719.
  • Winters, M.V., Blake, C.G., Trost, J.S., Marcello-Binker, T.B., Lowe, L., Garber, M.B. & Wainner, R.S. (2004). Passive versus active stretching of hip flexor muscles in subjects with limited hip extension: A randomized clinical trial. Physical Therapy, 84(9), 800-807.
  • Witvrouw, E., Mahieu, N., Danneels, L. & McNair, P. (2004). Stretching and injury prevention, an obscure relationship. Sports Medicine, 34(7), 443-449.
  • Woods, K., Bishop, P., & Jones, E. (2007). Warm-up and stretching in the prevention of muscular injury. Sports Medicine, 37, 1089-1099.
  • Woods, K., Hawkins, R.D., Maltby, S., Hulse, M., Thomas, A., Hodson, A. (2004). The Football Association Medical Research Programme: an audit of injuries in professional football - analysis of hamstring injuries. British Journal of Sports Medicine, 38, 36-41.
  • Worrel, T.W. & Perrin, D.H. (1992). Hamstring muscle injury: the influence os strength, flexibility warm-up and fatigue. Journal of Orthopaedic and Sports Physical Therapy, 16, 12-18.
  • Worrell, T.W., Denegar, C.R., Armstrong, S.L., & Perrin, D.H. (1990). Effect of body position on hamstring muscle group average torque. Journal of Orthopaedic and Sports Physical Therapy, 11(10), 449-452.
  • Worrell, T.W., Perrin, D.H., & Denegar, C.R. (1989). The influence of hip position on quadriceps and hamstring peak torque and reciprocal muscle group ratio values. Journal of Orthopaedic and Sports Physical Therapy, 11(3), 104-107 Young, W., Elias, G. & Power, J. (2006) Effects of static stretching volume and intensity on plantar flexor explosive force production and range of motion. Journal of Sports Medicine and Physical Fitness, 46(3), 403-411.
  • Zakas, A., Doganis, G., Galazoulas, C. & Vamvakoudis, E. (2006). Acute effects of static stretching duration on isokinetic peak torque in pubescent soccer players. Pediatric Exercise Science, 18(2), 252-261.