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Effect of stretching on ankle and knee angles and gastrocnemius activity during the stance phase of gait
Johanson MA, Cuda BJ, Koontz JE, Stell JC, Abelew TA
Journal of Sport Rehabilitation 2009;18(4):521-534
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

CONTEXT: Stretching exercises are commonly prescribed for patients and healthy individuals with limited extensibility of the gastrocnemius muscle. OBJECTIVE: To determine effects of gastrocnemius stretching on ankle dorsiflexion, knee extension, and gastrocnemius muscle activity during gait. DESIGN: Randomized-control trial. SETTING: Biomechanical laboratory. PARTICIPANTS: Sixteen volunteers (9 men and 7 women, mean age 27 y) with less than 5 degrees of passive ankle-dorsiflexion range of motion randomly assigned to an experimental or control group. INTERVENTION: The experimental group performed gastrocnemius stretching for 3 wk. MAIN OUTCOME MEASURES: Maximum ankle dorsiflexion, maximum knee extension, and EMG amplitude of the gastrocnemius muscles were measured between heel strike and heel-off before and after intervention. RESULTS: No significant effect of group or time was found on maximum ankle dorsiflexion, maximum knee extension, or EMG activity of the medial or lateral gastrocnemius muscles between heel strike and heel-off. The experimental group had significantly greater passive ankle-dorsiflexion range of motion bilaterally at posttest than the control group. CONCLUSIONS: Stretching did not alter joint angles or gastrocnemius muscle activity in the early to midstance phase of gait.
Copyright Human Kinetics. Reprinted with permission from Human Kinetics (Champaign, IL).

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