Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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Sex Differences in Hamstring Flexibility Changes After Specific Warm-up

  • Wootaek Lim (Department of Physical Therapy, College of Health and Welfare, Woosong University)
  • Received : 2023.11.14
  • Accepted : 2023.11.20
  • Published : 2023.11.20
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Abstract

Background: Although warm-ups before exercise are widely accepted, research on sex differences in improving hamstring flexibility is limited. Differences in the physical and physiological characteristics between males and females may result in different responses to warm-ups. Objects: This study aimed to examine sex differences in the effects of specific warm-up on hamstring flexibility. Methods: This study included 24 young adults with hamstring tightness. The participants performed five maximal knee extensions and flexions at 90° flexion of the hip, and the maximal knee extension angle was measured in real-time using a smartphone clinometer application. Results: The groups did not significantly affect the maximal knee extension angle but showed a significant effect for repetition (p = 0.002) and group-repetition interaction (p = 0.002). Males had no significant change in hamstring flexibility; however, females showed a significant increase in flexibility in the 5th trial compared with the 1st trial (p = 0.041). These results demonstrated sex-specific differences in flexibility improvement over time. Conclusion: The findings of this study suggest that specific warm-up can successfully improve hamstring flexibility in females. This may be due to various factors, such as muscle stiffness of the lower extremity, estrogen levels, and temperature sensitivity. In clinical settings, specific warm-up might be helpful for females who participate in sports or activities, such as running or jumping, which require a full range of motion in the hip and knee joints.

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References

  1. Gogte K, Srivastav P, Miyaru GB. Effect of passive, active and combined warm up on lower limb muscle performance and dynamic stability in recreational sports players. J Clin Diagn Res 2017;11(3):YC05-8. https://doi.org/10.7860/JCDR/2017/24766.9595
  2. Bishop D. Warm up I: potential mechanisms and the effects of passive warm up on exercise performance. Sports Med 2003;33(6):439-54. https://doi.org/10.2165/00007256-200333060-00005
  3. Ostrowski J, Herb CC, Scifers J, Gonzalez T, Jennings A, Breton D. Comparison of muscle temperature increases produced by moist hot pack and ThermoStim Probe. J Sport Rehabil 2019;28(5):459-63. https://doi.org/10.1123/jsr.2017-0294
  4. Takeuchi K, Takemura M, Nakamura M, Tsukuda F, Miyakawa S. Effects of active and passive warm-ups on range of motion, strength, and muscle passive properties in ankle plantarflexor muscles. J Strength Cond Res 2021;35(1):141-6. https://doi.org/10.1519/JSC.0000000000002642
  5. Samson M, Button DC, Chaouachi A, Behm DG. Effects of dynamic and static stretching within general and activity specific warm-up protocols. J Sports Sci Med 2012;11(2):279-85.
  6. Miyamoto N, Hirata K, Miyamoto-Mikami E, Yasuda O, Kanehisa H. Associations of passive muscle stiffness, muscle stretch tolerance, and muscle slack angle with range of motion: individual and sex differences. Sci Rep 2018;8(1):8274.
  7. Cejudo A. Lower extremity flexibility profile in basketball players: gender differences and injury risk identification. Int J Environ Res Public Health 2021;18(22):11956.
  8. Lim WT. Sex differences in repeatability of measurement for hamstring strength during maximal voluntary contractions. J Korean Acad Phys Ther Sci 2020;27(1):9-17. https://doi.org/10.26862/jkpts.2020.06.27.1.9
  9. Franke A, Welsh L, Carrington S, Kalinski C, Omelchenko N. Muscle fatigue: gender differences. Proc W Va Acad Sci 2017;89(1).
  10. Lephart SM, Ferris CM, Riemann BL, Myers JB, Fu FH. Gender differences in strength and lower extremity kinematics during landing. Clin Orthop Relat Res 2002;(401):162-9.
  11. Miller AE, MacDougall JD, Tarnopolsky MA, Sale DG. Gender differences in strength and muscle fiber characteristics. Eur J Appl Physiol Occup Physiol 1993;66(3):254-62. https://doi.org/10.1007/BF00235103
  12. Hoge KM, Ryan ED, Costa PB, Herda TJ, Walter AA, Stout JR, et al. Gender differences in musculotendinous stiffness and range of motion after an acute bout of stretching. J Strength Cond Res 2010;24(10):2618-26. https://doi.org/10.1519/JSC.0b013e3181e73974
  13. Yu S, Lin L, Liang H, Lin M, Deng W, Zhan X, et al. Gender difference in effects of proprioceptive neuromuscular facilitation stretching on flexibility and stiffness of hamstring muscle. Front Physiol 2022;13:918176.
  14. Influence of sex on the acute effect of stretching on V sit-and-reach scores in university students. Cent Eur J Sport Sci Med 2014;6(2):13-9.
  15. Park S, Lim W. Effects of proprioceptive neuromuscular facilitation stretching at low-intensities with standing toe touch on developing and maintaining hamstring flexibility. J Bodyw Mov Ther 2020;24(4):561-7. https://doi.org/10.1016/j.jbmt.2020.08.003
  16. Miley EN, Reeves AJ, Baker RT, Baker J, Hanna S. Reliability and validity of the Clinometer™ smartphone application for measuring knee flexion. Int J Athl Ther Train 2023;28(2):97-103. https://doi.org/10.1123/ijatt.2021-0019
  17. Lim W. Easy method for measuring stretching intensities in real clinical settings and effects of different stretching intensities on flexibility. J Back Musculoskelet Rehabil 2019;32(4):579-85. https://doi.org/10.3233/BMR-181243
  18. Pua YH, Wrigley TV, Cowan SM, Bennell KL. Intrarater test-retest reliability of hip range of motion and hip muscle strength measurements in persons with hip osteoarthritis. Arch Phys Med Rehabil 2008;89(6):1146-54. Erratum in: Arch Phys Med Rehabil 2008;89(8):1628.
  19. Lewis NL, Brismee JM, James CR, Sizer PS, Sawyer SF. The effect of stretching on muscle responses and postural sway responses during computerized dynamic posturography in women and men. Arch Phys Med Rehabil 2009;90(3):454-62. https://doi.org/10.1016/j.apmr.2008.09.570
  20. Hancock GE, Hepworth T, Wembridge K. Accuracy and reliability of knee goniometry methods. J Exp Orthop 2018;5(1):46.
  21. Blackburn JT, Riemann BL, Padua DA, Guskiewicz KM. Sex comparison of extensibility, passive, and active stiffness of the knee flexors. Clin Biomech (Bristol, Avon) 2004;19(1):36-43. https://doi.org/10.1016/j.clinbiomech.2003.09.003
  22. Morse CI. Gender differences in the passive stiffness of the human gastrocnemius muscle during stretch. Eur J Appl Physiol 2011;111(9):2149-54. https://doi.org/10.1007/s00421-011-1845-z
  23. Sarver DC, Kharaz YA, Sugg KB, Gumucio JP, Comerford E, Mendias CL. Sex differences in tendon structure and function. J Orthop Res 2017;35(10):2117-26. https://doi.org/10.1002/jor.23516
  24. Kato E, Oda T, Chino K, Kurihara T, Nagayoshi T, Fukunaga T, et al. Musculotendinous factors influencing difference in ankle joint flexibility between women and men. Int J Sport Health Sci 2005;3(Special Issue 2005):218-25. https://doi.org/10.5432/ijshs.3.218
  25. Kubo K, Kanehisa H, Fukunaga T. Gender differences in the viscoelastic properties of tendon structures. Eur J Appl Physiol 2003;88(6):520-6. https://doi.org/10.1007/s00421-002-0744-8
  26. Kendall B, Eston R. Exercise-induced muscle damage and the potential protective role of estrogen. Sports Med 2002;32(2):103-23. https://doi.org/10.2165/00007256-200232020-00003
  27. Chidi-Ogbolu N, Baar K. Effect of estrogen on musculoskeletal performance and injury risk. Front Physiol 2019;9:1834.
  28. Moran AL, Nelson SA, Landisch RM, Warren GL, Lowe DA. Estradiol replacement reverses ovariectomy-induced muscle contractile and myosin dysfunction in mature female mice. J Appl Physiol (1985) 2007;102(4):1387-93. https://doi.org/10.1152/japplphysiol.01305.2006
  29. Chandrashekar N, Mansouri H, Slauterbeck J, Hashemi J. Sexbased differences in the tensile properties of the human anterior cruciate ligament. J Biomech 2006;39(16):2943-50. https://doi.org/10.1016/j.jbiomech.2005.10.031
  30. Bell DR, Myrick MP, Blackburn JT, Shultz SJ, Guskiewicz KM, Padua DA. The effect of menstrual-cycle phase on hamstring extensibility and muscle stiffness. J Sport Rehabil 2009;18(4):553-63. https://doi.org/10.1123/jsr.18.4.553
  31. Sung ES, Kim JH. The difference effect of estrogen on muscle tone of medial and lateral thigh muscle during ovulation. J Exerc Rehabil 2018;14(3):419-23. https://doi.org/10.12965/jer.1836110.055
  32. Bell DR, Blackburn JT, Norcross MF, Ondrak KS, Hudson JD, Hackney AC, et al. Estrogen and muscle stiffness have a negative relationship in females. Knee Surg Sports Traumatol Arthrosc 2012;20(2):361-7. Erratum in: Knee Surg Sports Traumatol Arthrosc 2018;26(7):2214.
  33. Xiong J, Lian Z, Zhou X, You J, Lin Y. Investigation of gender difference in human response to temperature step changes. Physiol Behav 2015;151:426-40. https://doi.org/10.1016/j.physbeh.2015.07.037
  34. Kenny GP, Jay O. Sex differences in postexercise esophageal and muscle tissue temperature response. Am J Physiol Regul Integr Comp Physiol 2007;292(4):R1632-40. https://doi.org/10.1152/ajpregu.00638.2006
  35. Dewhurst S, Macaluso A, Gizzi L, Felici F, Farina D, De Vito G. Effects of altered muscle temperature on neuromuscular properties in young and older women. Eur J Appl Physiol 2010;108(3):451-8. https://doi.org/10.1007/s00421-009-1245-9
  36. Sargeant AJ. Effect of muscle temperature on leg extension force and short-term power output in humans. Eur J Appl Physiol Occup Physiol 1987;56(6):693-8. https://doi.org/10.1007/BF00424812
  37. Pinfold SC, Harnett MC, Cochrane DJ. The acute effect of lower-limb warm-up on muscle performance. Res Sports Med 2018;26(4):490-9. https://doi.org/10.1080/15438627.2018.1492390
  38. Stewart D, Macaluso A, De Vito G. The effect of an active warm-up on surface EMG and muscle performance in healthy humans. Eur J Appl Physiol 2003;89(6):509-13. https://doi.org/10.1007/s00421-003-0798-2
  39. Andrade DC, Henriquez-Olguin C, Beltran AR, Ramirez MA, Labarca C, Cornejo M, et al. Effects of general, specific and combined warm-up on explosive muscular performance. Biol Sport 2015;32(2):123-8.