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      The test-induced warm-up effect on hamstring flexibility tests

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          Abstract

          Background:

          Although the effect of active warm-up (WU) on acute flexibility enhancement is well documented, the test-induced WU effect in muscle length test has not been widely studied.

          Objective:

          This study aimed to verify the test-induced WU effect on hamstring flexibility tests.

          Methods:

          The active knee extension (AKE) was performed using the right leg, whereas the straight leg raise (SLR) was performed using the left leg. Ten trials of AKE or SLR were performed: two as the pre-intervention trials (Pre); six as the WU intervention; and another two trials as the post-intervention (Post). During WU, subjects in the WO-Hold group performed six trials of the AKE or SLR without hold, and those in the W-Hold group performed six trials of the AKE or SLR with a 5 s hold.

          Results:

          A significant difference was noted between Pre-AKE and Post-AKE, and between Pre-SLR and Post-SLR, respectively, in both the groups. The effect of WU is clear when performing consecutive AKE or SLR without any additional hold.

          Conclusion:

          Practitioners should be cautious in interpreting the testing result to avoid overestimation of the treatment effect since the test itself may induce substantial WU effect to the target tissues.

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          Most cited references38

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          Warm up I: potential mechanisms and the effects of passive warm up on exercise performance.

          Despite limited scientific evidence supporting their effectiveness, warm-up routines prior to exercise are a well-accepted practice. The majority of the effects of warm up have been attributed to temperature-related mechanisms (e.g. decreased stiffness, increased nerve-conduction rate, altered force-velocity relationship, increased anaerobic energy provision and increased thermoregulatory strain), although non-temperature-related mechanisms have also been proposed (e.g. effects of acidaemia, elevation of baseline oxygen consumption (.VO(2)) and increased postactivation potentiation). It has also been hypothesised that warm up may have a number of psychological effects (e.g. increased preparedness). Warm-up techniques can be broadly classified into two major categories: passive warm up or active warm up. Passive warm up involves raising muscle or core temperature by some external means, while active warm up utilises exercise. Passive heating allows one to obtain the increase in muscle or core temperature achieved by active warm up without depleting energy substrates. Passive warm up, although not practical for most athletes, also allows one to test the hypothesis that many of the performance changes associated with active warm up can be largely attributed to temperature-related mechanisms.
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            Stress-strain curve and Young's modulus of a collagen molecule as determined by the X-ray diffraction technique.

            The purpose of the work described in this paper was to make a stress-strain curve for a collagen molecule and estimate Young's modulus of a molecule along the molecular axis. X-ray diffractometry was performed on bovine Achilles tendon in order to measure strain in the collagen molecule along the molecular axis as a response to a macroscopically applied force. By geometrical calculations and experiments, cross-sectional areas of a molecule and molecules in a tendon collagen fiber were determined. The applied force was translated to the stress and the stress-strain curve of the collagen molecule was constructed, which was found to be almost linear. Young's modulus of the molecule was determined to be slightly smaller than when determined by dynamic mechanical methods. The difference was considered to suggest the existence of a viscoelastic component within the molecule as well as the difference in the mechanical properties of collagen in different tissues. The expected viscoelasticity was speculated to be related to the hydrogen bond network in the collagen molecule.
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              Concurrent validity of four clinical tests used to measure hamstring flexibility.

              The purpose of this study was to examine the concurrent validity of 4 clinical tests used to measure hamstring muscle length. A pilot study (N = 10) was conducted to determine the intratester reliability of 4 hamstring length measures: knee extension angle (KEA), sacral angle (SA), straight leg raise (SLR), and sit and reach (SR). The pilot investigation revealed good to excellent intratester reliability (intraclass correlation coefficient = 0.92-0.95) for each of the 4 tests. Eighty-one subjects (42 men and 39 women) participated in the main investigation. Subjects were randomly tested for each of 4 assessments of hamstring length. Concurrent validity was determined using linear regression, correlation, and kappa statistics. Correlation coefficients corresponding to the concurrent validity of the six combinations of the 4 clinical tests revealed poor to fair correlation (r = 0.45-0.65). The correlation coefficients for each pair from greatest to least were SR-SA= 0.65, SLR-SR = 0.65, KEA-SLR = 0.63, KEA-SR = 0.57, SLR-SA = 0.50, and KEA-SA = 0.45. Despite the common clinical use of these measures to assess hamstring length, these tests do not have sufficient concurrent validity to be used interchangeably or to assume that they each measure the same construct (hamstring length). Based on the results of this investigation and a review of the literature, the authors recommend that researchers, clinicians, and strength and conditioning specialists adopt the KEA test as the gold standard measure for hamstring muscle length.
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                Author and article information

                Journal
                Hong Kong Physiother J
                Hong Kong Physiother J
                HKPJ
                Hong Kong Physiotherapy Journal
                World Scientific Publishing Company
                1013-7025
                1876-441X
                December 2024
                24 November 2023
                : 44
                : 2
                : 119-125
                Affiliations
                [1 ]Department of Physical Therapy, College of Health and Welfare, Woosong University, Daejeon, Republic of Korea
                [2 ]Department of Digital Bio-Health Convergence, College of Health and Welfare, Woosong University, Daejeon, Republic of Korea
                wootaeklimpt@ 123456wsu.ac.kr
                Author information
                https://orcid.org/0000-0002-5523-6294
                Article
                10.1142_S1013702524500094
                10.1142/S1013702524500094
                10949106
                38510156
                7c35f561-696b-4f05-b00a-c27f4e33e62d
                © Hong Kong Physiotherapy Association

                This is an Open Access article published by World Scientific Publishing Company. It is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 (CC BY-NC-ND) License which permits use, distribution and reproduction, provided that the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

                History
                : 12 March 2023
                : 30 October 2023
                Page count
                Figures: 3, Tables: 1, References: 38, Pages: 7
                Funding
                Funded by: Woosong University, doi 10.13039/501100002570;
                Award ID: 2022 Academic Research Funding
                Award Recipient : Wootaek Lim
                Categories
                Research Paper

                active knee extension,muscle tightness,range of motion,straight leg raise

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