Acute effects of proprioceptive neuromuscular facilitation stretching on rectus femoris muscle stiffness: a dose-response shear-wave elastography study

IntroductionProprioceptive neuromuscular facilitation (PNF) stretching is widely used to increase range of motion, but its underlying mechanisms are not well understood. This experimental, parallel group design study investigated the acute effects of PNF stretching on rectus femoris muscle stiffness...

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Main Authors: Sara Kranjc, Mojca Fink, Masatoshi Nakamura, Žiga Kozinc
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Physiology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2024.1496825/full
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author Sara Kranjc
Mojca Fink
Masatoshi Nakamura
Žiga Kozinc
author_facet Sara Kranjc
Mojca Fink
Masatoshi Nakamura
Žiga Kozinc
author_sort Sara Kranjc
collection DOAJ
description IntroductionProprioceptive neuromuscular facilitation (PNF) stretching is widely used to increase range of motion, but its underlying mechanisms are not well understood. This experimental, parallel group design study investigated the acute effects of PNF stretching on rectus femoris muscle stiffness and explored a potential dose-response relationship.MethodsThirty healthy young adults (23 females, 7 males) were randomly assigned to either a PNF stretching group (n = 15; 22.96 ± 2.2 years) or a control group (n = 15; 23.3 ± 2.1 years). Rectus femoris stiffness was measured using shear-wave elastography (Resona 7, Mindray, China) at two locations (distal and proximal) before and after the second, fourth, and sixth sets of PNF stretching. The protocol involved six sets, each with three 10-s stretches and 5-s maximal contractions.ResultsThe results indicate that PNF stretching had no statistically significant effect on muscle stiffness, with no main effects of group (F = 0.05; p = 0.830) or time (F = 0.545; p = 0.653), and no significant interactions. However, the proximal location showed a substantially higher shear modulus compared to the distal location (F = 63.6; p < 0.001; η2 = 0.69), independent of group or time.DiscussionThese findings highlight a location-specific difference in muscle stiffness that was unaffected by the intervention. In conclusion, PNF stretching did not acutely reduce rectus femoris stiffness compared to passive rest, regardless of the number of stretching sets performed. Further research is needed to understand the muscle-specific effects of PNF stretching.
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spelling doaj-art-07928967c50c4d0a987786428a578fd02025-01-09T06:10:23ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2025-01-011510.3389/fphys.2024.14968251496825Acute effects of proprioceptive neuromuscular facilitation stretching on rectus femoris muscle stiffness: a dose-response shear-wave elastography studySara Kranjc0Mojca Fink1Masatoshi Nakamura2Žiga Kozinc3Faculty of Health Sciences, University of Primorska, Koper, SloveniaFaculty of Health Sciences, University of Primorska, Koper, SloveniaFaculty of Rehabilitation Sciences, Nishi Kyushu University, Kanzaki, Saga, JapanFaculty of Health Sciences, University of Primorska, Koper, SloveniaIntroductionProprioceptive neuromuscular facilitation (PNF) stretching is widely used to increase range of motion, but its underlying mechanisms are not well understood. This experimental, parallel group design study investigated the acute effects of PNF stretching on rectus femoris muscle stiffness and explored a potential dose-response relationship.MethodsThirty healthy young adults (23 females, 7 males) were randomly assigned to either a PNF stretching group (n = 15; 22.96 ± 2.2 years) or a control group (n = 15; 23.3 ± 2.1 years). Rectus femoris stiffness was measured using shear-wave elastography (Resona 7, Mindray, China) at two locations (distal and proximal) before and after the second, fourth, and sixth sets of PNF stretching. The protocol involved six sets, each with three 10-s stretches and 5-s maximal contractions.ResultsThe results indicate that PNF stretching had no statistically significant effect on muscle stiffness, with no main effects of group (F = 0.05; p = 0.830) or time (F = 0.545; p = 0.653), and no significant interactions. However, the proximal location showed a substantially higher shear modulus compared to the distal location (F = 63.6; p < 0.001; η2 = 0.69), independent of group or time.DiscussionThese findings highlight a location-specific difference in muscle stiffness that was unaffected by the intervention. In conclusion, PNF stretching did not acutely reduce rectus femoris stiffness compared to passive rest, regardless of the number of stretching sets performed. Further research is needed to understand the muscle-specific effects of PNF stretching.https://www.frontiersin.org/articles/10.3389/fphys.2024.1496825/fullmuscle elasticityacute effectsdose-responseultrasound elastographystretching intervention
spellingShingle Sara Kranjc
Mojca Fink
Masatoshi Nakamura
Žiga Kozinc
Acute effects of proprioceptive neuromuscular facilitation stretching on rectus femoris muscle stiffness: a dose-response shear-wave elastography study
Frontiers in Physiology
muscle elasticity
acute effects
dose-response
ultrasound elastography
stretching intervention
title Acute effects of proprioceptive neuromuscular facilitation stretching on rectus femoris muscle stiffness: a dose-response shear-wave elastography study
title_full Acute effects of proprioceptive neuromuscular facilitation stretching on rectus femoris muscle stiffness: a dose-response shear-wave elastography study
title_fullStr Acute effects of proprioceptive neuromuscular facilitation stretching on rectus femoris muscle stiffness: a dose-response shear-wave elastography study
title_full_unstemmed Acute effects of proprioceptive neuromuscular facilitation stretching on rectus femoris muscle stiffness: a dose-response shear-wave elastography study
title_short Acute effects of proprioceptive neuromuscular facilitation stretching on rectus femoris muscle stiffness: a dose-response shear-wave elastography study
title_sort acute effects of proprioceptive neuromuscular facilitation stretching on rectus femoris muscle stiffness a dose response shear wave elastography study
topic muscle elasticity
acute effects
dose-response
ultrasound elastography
stretching intervention
url https://www.frontiersin.org/articles/10.3389/fphys.2024.1496825/full
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