Objectives: To compare a passive and an active stretching technique to determine which one would produce and maintain the greatest gain in hamstring flexibility. To determine whether a passive or an active stretching technique results in a greater increase in hamstring flexibility and to compare whether the gains are maintained.
Design: Randomized controlled trial.
Participants: Sixty-five volunteer healthy subjects completed the enrollment questionnaire, 33 completed the required 75% of the treatment after 6 weeks, and 22 were assessed 4 weeks after the training interruption.
Intervention: A 6-week stretching program with subjects divided into 2 groups with group 1 performing active stretching exercises and group 2 performing passive stretching exercises.
Main Outcome Measures: Range of motion (ROM) was measured after 3 and 6 weeks of training and again 4 weeks after the cessation of training and compared with the initial measurement.
Results: After 3 weeks of training, the mean gain in group 1 (active stretching) on performing the active knee extension range of motion (AKER) test was 5.7°, whereas the mean gain in group 2 (passive stretching) was 3° (P = .015). After 6 weeks of training, the mean gain in group 1 was 8.7°, whereas the mean gain in group 2 was 5.3° (P = .006). Twenty-two subjects were reassessed 4 weeks after the cessation of the training with the maintained gain of ROM in group 1 being 6.3°, whereas the maintained gain in group 2 was 0.1° (P = .003).
Conclusions: Active stretching produced the greater gain in the AKER test, and the gain was almost completely maintained 4 weeks after the end of the training, which was not seen with the passive stretching group. Active stretching was more time efficient compared with the static stretching and needed a lower compliance to produce effects on flexibility.
From the Departments of *Neurosciences and Biomedical Technologies; †Clinical Medicine and Prevention, University of Milan Bicocca, Monza, Italy; and ‡Policlinico di Monza, Monza, Italy.
Submitted for publication April 27, 2009; accepted October 5, 2009.
The authors state that they have no financial interest in the products mentioned within this article.
Reprints: Roberto Meroni, PT, Department of Neurosciences and Biomedical Technologies, University of Milano-Bicocca, Via Cadore 48, 20052 Monza, Milano, Italy (e-mail: firstname.lastname@example.org).