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Quantitative evaluation of the effects of several weeks of static stretching on the flexibility of the rectus femoris using shear wave elastography: a before–after study Cover

Quantitative evaluation of the effects of several weeks of static stretching on the flexibility of the rectus femoris using shear wave elastography: a before–after study

Open Access
|Nov 2024

Figures & Tables

Fig. 1.

Static stretching methods. The participants grasped their right foot, extended their right hip, and flexed their right knee
Static stretching methods. The participants grasped their right foot, extended their right hip, and flexed their right knee

Fig. 2.

Measurement position of the Young’s modulus. The participants rested in a supine position with their legs hanging off the bed with knees bent at 90°
Measurement position of the Young’s modulus. The participants rested in a supine position with their legs hanging off the bed with knees bent at 90°

Fig. 3.

Measurement sites for the Young’s modulus. The measurement sites for the Young’s modulus were the rectus femoris muscle belly 2 cm proximal to the muscle-tendon transition (A, A’, and A’’) and the patellar tendon 1 cm distal to the patella (B, B’, and B’’). No quotation marks denote before the stretching program started, (‘) denotes after two weeks of stretching, and (“) denotes after four weeks of stretching. The double arrow indicates the rectus femoris muscle and the single arrow indicates the muscle tendon transition in (A). The double arrow indicates the patellar tendon, and the single arrow indicates the patella in (B). The left side of each SWE image is proximal, and the right side is distal. (C) Grey and color scale
Measurement sites for the Young’s modulus. The measurement sites for the Young’s modulus were the rectus femoris muscle belly 2 cm proximal to the muscle-tendon transition (A, A’, and A’’) and the patellar tendon 1 cm distal to the patella (B, B’, and B’’). No quotation marks denote before the stretching program started, (‘) denotes after two weeks of stretching, and (“) denotes after four weeks of stretching. The double arrow indicates the rectus femoris muscle and the single arrow indicates the muscle tendon transition in (A). The double arrow indicates the patellar tendon, and the single arrow indicates the patella in (B). The left side of each SWE image is proximal, and the right side is distal. (C) Grey and color scale

Fig. 4.

Measurement position of the knee-flexion range of motion. The participants were instructed to lie prone with their left leg lifted off the bed and their left hip joint flexed at 120°
Measurement position of the knee-flexion range of motion. The participants were instructed to lie prone with their left leg lifted off the bed and their left hip joint flexed at 120°

Changes in measured values

Pre2w4wPre-2wPre-4w
Mean95% CIMean95% CIMean95% CItp valuetp value
Young’s modulus of the rectus femoris muscle (kPa)35.631.0–40.229.524.9–34.128.023.4–32.6−4.0280.0004*−5.027<0.0001*
Young’s modulus of the patellar tendon (kPa)162.9118.0–207.8144.899.9–189.7143.999.0–188.8−1.3540.1864−1.4220.1660
Knee-flexion range of motion (°)122.6113.9–131.4130.3121.5–139.0137.5128.7–146.24.1180.0003*7.986<0.0001*

Physical characteristics of the participants

Physical characteristicsParticipants (n = 15)
Age (years)26.4 ± 2.2a
Height (m)1.73 ± 0.03a
Body weight (kg)66.0 ± 6.9a
BMI (kg/m2)22.0 ± 1.9a

Effect of the Young’s modulus and stretching duration on the kneeflexion range of motion

Model 1Model 2
tp valuetp value
Intercept17.284<0.0001*16.795<0.0001*
Time (4w)4.483<0.0001*3.3930.0016*
Time (2w)1.9380.05970.8660.3918
Time (pre)
Young’s modulus of the rectus femoris muscle−2.4020.0210*−2.3450.0242*
Young’s modulus of the patellar tendon−0.7770.4419
Young’s modulus of the rectus femoris muscle*Time (4w) −2.0410.0481*
Young’s modulus of the rectus femoris muscle*Time (2w) −0.1950.8461
Young’s modulus of the rectus femoris muscle*Time (pre)
AICC314.626307.634
BIC317.679310.628
DOI: https://doi.org/10.15557/jou.2024.0025 | Journal eISSN: 2451-070X | Journal ISSN: 2084-8404
Language: English
Page range: 1 - 6
Submitted on: Feb 28, 2024
Accepted on: Jun 5, 2024
Published on: Nov 30, 2024
Published by: MEDICAL COMMUNICATIONS Sp. z o.o.
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2024 Bungo Ebihara, Hayato Miyasaka, Takashi Fukaya, Hirotaka Mutsuzaki, published by MEDICAL COMMUNICATIONS Sp. z o.o.
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.