A 120-second stretch improves postural control and plantar pressure: quasi-experimental study

ABSTRACT BACKGROUND: There are no studies on long-term bilateral calf stretching in relation to balance and plantar pressure. OBJECTIVES: To demonstrate that there is better control of posture and pressures after continuous stretching of the posterior calf muscles. DESIGN AND SETTING: Pre and pos...

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Main Authors: Eva María Martínez-Jiménez, Marta Elena Losa-Iglesias, Sara González-Martín, Daniel López-López, Andrea Roca-Dols, David Rodriguez-Sanz, Ricardo Becerro-de-Bengoa-Vallejo, César Calvo-Lobo
Format: Article
Language:English
Published: Associação Paulista de Medicina 2022-05-01
Series:São Paulo Medical Journal
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022005009205&lng=en&tlng=en
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author Eva María Martínez-Jiménez
Marta Elena Losa-Iglesias
Sara González-Martín
Daniel López-López
Andrea Roca-Dols
David Rodriguez-Sanz
Ricardo Becerro-de-Bengoa-Vallejo
César Calvo-Lobo
author_facet Eva María Martínez-Jiménez
Marta Elena Losa-Iglesias
Sara González-Martín
Daniel López-López
Andrea Roca-Dols
David Rodriguez-Sanz
Ricardo Becerro-de-Bengoa-Vallejo
César Calvo-Lobo
author_sort Eva María Martínez-Jiménez
collection DOAJ
description ABSTRACT BACKGROUND: There are no studies on long-term bilateral calf stretching in relation to balance and plantar pressure. OBJECTIVES: To demonstrate that there is better control of posture and pressures after continuous stretching of the posterior calf muscles. DESIGN AND SETTING: Pre and post-intervention study conducted in a private clinic. METHODS: We measured static footprints and stabilometry before and after continuous passive plantar flexor stretching of duration 120 seconds, among 24 healthy subjects. RESULTS: We found differences in Y displacement with eyes closed (P = 0.010), but not among other variables with eyes closed: X displacement (P = 0.263); surface (P = 0.940); laterolateral speed displacement (P = 0.279); and anteroposterior speed displacement (P = 0.914). There were also no differences in eyes-open variables: X displacement (P = 0.341); Y displacement (P = 0.491); surface (P = 0.167); laterolateral speed displacement (P = 0.852); and anteroposterior speed displacement (P = 0.079). The plantar pressures in the heel (maximum pressure, P = 0.048; mean pressure, P = 0.001) and in the midfoot (maximum pressure, P = 0.004; mean pressure, P = 0.004) were reduced, but not in the forefoot (maximum pressure, P = 0.391; mean pressure, P = 0.225). The surface became larger in the forefoot (P = 0.000) and midfoot (P = 0.021). CONCLUSIONS: Continuous static stretching of plantar flexors for 120 seconds improved stance balance and reduced plantar pressures (maximum and mean) in the rearfoot and midfoot. It also increased the surface in the midfoot and forefoot. TRIAL REGISTRATION: at clinicaltrials.gov, under the number NTC03743168.
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spelling doaj.art-ee33e4ccf5db41c382c98233dabc8dac2022-12-22T00:34:33ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-94602022-05-0110.1590/1516-3180.2021.0255.23072021A 120-second stretch improves postural control and plantar pressure: quasi-experimental studyEva María Martínez-Jiménezhttps://orcid.org/0000-0003-0926-5200Marta Elena Losa-Iglesiashttps://orcid.org/0000-0001-7588-2069Sara González-Martínhttps://orcid.org/0000-0001-5862-2943Daniel López-Lópezhttps://orcid.org/0000-0002-9818-6290Andrea Roca-Dolshttps://orcid.org/0000-0002-6628-4902David Rodriguez-Sanzhttps://orcid.org/0000-0002-3629-6590Ricardo Becerro-de-Bengoa-Vallejohttps://orcid.org/0000-0003-1568-7602César Calvo-Lobohttps://orcid.org/0000-0002-6569-1311ABSTRACT BACKGROUND: There are no studies on long-term bilateral calf stretching in relation to balance and plantar pressure. OBJECTIVES: To demonstrate that there is better control of posture and pressures after continuous stretching of the posterior calf muscles. DESIGN AND SETTING: Pre and post-intervention study conducted in a private clinic. METHODS: We measured static footprints and stabilometry before and after continuous passive plantar flexor stretching of duration 120 seconds, among 24 healthy subjects. RESULTS: We found differences in Y displacement with eyes closed (P = 0.010), but not among other variables with eyes closed: X displacement (P = 0.263); surface (P = 0.940); laterolateral speed displacement (P = 0.279); and anteroposterior speed displacement (P = 0.914). There were also no differences in eyes-open variables: X displacement (P = 0.341); Y displacement (P = 0.491); surface (P = 0.167); laterolateral speed displacement (P = 0.852); and anteroposterior speed displacement (P = 0.079). The plantar pressures in the heel (maximum pressure, P = 0.048; mean pressure, P = 0.001) and in the midfoot (maximum pressure, P = 0.004; mean pressure, P = 0.004) were reduced, but not in the forefoot (maximum pressure, P = 0.391; mean pressure, P = 0.225). The surface became larger in the forefoot (P = 0.000) and midfoot (P = 0.021). CONCLUSIONS: Continuous static stretching of plantar flexors for 120 seconds improved stance balance and reduced plantar pressures (maximum and mean) in the rearfoot and midfoot. It also increased the surface in the midfoot and forefoot. TRIAL REGISTRATION: at clinicaltrials.gov, under the number NTC03743168.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022005009205&lng=en&tlng=enMuscle stretching exercisesPostural balanceExerciseAnkleStabilometryPlatformMotor controlContinuous passive stretchingAnkle plantar flexor stretching
spellingShingle Eva María Martínez-Jiménez
Marta Elena Losa-Iglesias
Sara González-Martín
Daniel López-López
Andrea Roca-Dols
David Rodriguez-Sanz
Ricardo Becerro-de-Bengoa-Vallejo
César Calvo-Lobo
A 120-second stretch improves postural control and plantar pressure: quasi-experimental study
São Paulo Medical Journal
Muscle stretching exercises
Postural balance
Exercise
Ankle
Stabilometry
Platform
Motor control
Continuous passive stretching
Ankle plantar flexor stretching
title A 120-second stretch improves postural control and plantar pressure: quasi-experimental study
title_full A 120-second stretch improves postural control and plantar pressure: quasi-experimental study
title_fullStr A 120-second stretch improves postural control and plantar pressure: quasi-experimental study
title_full_unstemmed A 120-second stretch improves postural control and plantar pressure: quasi-experimental study
title_short A 120-second stretch improves postural control and plantar pressure: quasi-experimental study
title_sort 120 second stretch improves postural control and plantar pressure quasi experimental study
topic Muscle stretching exercises
Postural balance
Exercise
Ankle
Stabilometry
Platform
Motor control
Continuous passive stretching
Ankle plantar flexor stretching
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022005009205&lng=en&tlng=en
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