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Reeducacao postural global e alongamento estatico segmentar na melhora da flexibilidade, forca muscular e amplitude de movimento: um estudo comparativo (Global posture reeducation and static muscle stretching on improving flexibility, muscle strength, and range of motion: a comparative study) [Portuguese]
do Rosario JLP, de Sousa A, Cabral CMN, Joao SMA, Marques AP
Fisioterapia e Pesquisa [Physical Therapy and Research] 2008 Jan-Mar;15(1):12-28
clinical trial
4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; 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*

Stretching exercises are prescribed to increase flexibility and range of motion (ROM). Two current stretching methods are the global posture reeducation (GPR), where muscle chains are stretched, and segmentary exercises, where a single muscle or muscle group is stretched. The aim of this study was to compare these two techniques, assessing their effects on improving flexibility, ROM and muscle strength. Thirty women were randomly distributed into three groups (n = 10 each): global group performed stretching following GPR method; segment group performed segment stretching exercises; and control group did no exercise. Before and after treatment, in all groups, knee extension ROM, flexibility by means of the fingertip-to-floor test, and isometric muscular strength at 45 degrees and 90 degrees knee flexion were measured. Each treated group performed eight stretching 30-minute sessions for four weeks, twice a week. Data were statistically analysed and the significance level set at p < 0.05. Global and segment group results were similar and better than control groups concerning ROM, flexibility and muscle strength at 45 degrees and 90 degrees knee flexion (p < 0.05). When assessing improvement inter-sessions, both groups had better ROM improvement at the first sessions, decreasing along the others. Both global and segmentary stretching techniques were hence found effective in improving flexibility, ROM and leg muscle strength.

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