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Relacao entre a tensao aplicada e a sensacao de desconforto nos musculos isquiotibiais durante o alongamento (Relationship between tension applied and sensations of discomfort in the hamstring muscle during stretching) [Portuguese]
Branco VR, Negrao Filho RF, Padovani CR, Azevedo FM, Alves N, Carvalho AC
Revista Brasileira de Fisioterapia [Brazilian Journal of Physical Therapy] 2006 Oct-Dec;10(4):465-472
clinical trial
3/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; 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*

BACKGROUND: Muscle stretching is widely used in the prevention and treatment of musculoskeletal diseases. Previous studies have used subjective information like discomfort and tension without pain for limiting the intensity of stretching, but without establishing appropriate tensions for stretching. OBJECTIVE: To study the relationship between applied tension and subjective information during static passive stretching, in order to analyze the reproducibility and variability of sensorial information. METHOD: Twenty subjects (mean age 20 +/- 2.25 years) without previous experience of stretching programs were recruited and divided into two groups. G1 participated in a hamstring muscle stretching program, while G2 did not follow a stretching program. Both groups underwent three evaluations to quantify torque and electromyographic activity, in positions that produced a sensation of discomfort without pain (SD) and a sensation of discomfort with pain (SDP), using a signal acquisition system consisting of a signal conditioner, active bipolar surface electrode, load cell, electrogoniometer, pressure sensor and biomechanical model. RESULTS: The torque analyses in the SD and SDP positions showed similar behavior in the two groups, without significant differences between the three evaluations (p > 0.05), thereby demonstrating the reproducibility of the subjective information from the groups in the two positions. Electromyography in the SD and SDP positions did not show significant differences in relation to the findings at rest. CONCLUSION: This study demonstrated that the subjective information on stretching sensations is reliable and secure, and can be reproduced clinically.

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