Foam rolling and stretching do not provide superior acute flexibility and stiffness improvements compared to any other warm-up intervention: A systematic review with meta-analysis.

Autor:	Warneke K; Institute of Sport Science, University of Klagenfurt, Klagenfurt am Wörthersee 9020, Austria. Electronic address: Konstantin.Warneke@aau.at., Plöschberger G; Institute of Sport Science, University of Klagenfurt, Klagenfurt am Wörthersee 9020, Austria., Lohmann LH; Department of Human Motion Science and Exercise Physiology, Friedrich Schiller University, Jena 07749, Germany., Lichtenstein E; Department Sport, Exercise and Health, University of Basel, Basel 4052, Switzerland., Jochum D; Department of Health Sciences and Technology, ETH Zurich, Zurich 8092, Switzerland., Siegel SD; Department of Human Motion Science and Exercise Physiology, Friedrich Schiller University, Jena 07749, Germany., Zech A; Department of Human Motion Science and Exercise Physiology, Friedrich Schiller University, Jena 07749, Germany., Behm DG; School of Human Kinetics and Recreation, Memorial University of Newfoundland, St. Johns, NL A1C 5S7, Canada.
Jazyk:	angličtina
Zdroj:	Journal of sport and health science [J Sport Health Sci] 2024 Jul; Vol. 13 (4), pp. 509-520. Date of Electronic Publication: 2024 Jan 18.
DOI:	10.1016/j.jshs.2024.01.006
Abstrakt:	Background: Acute improvement in range of motion (ROM) is a widely reported effect of stretching and foam rolling, which is commonly explained by changes in pain threshold and/or musculotendinous stiffness. Interestingly, these effects were also reported in response to various other active and passive interventions that induce responses such as enhanced muscle temperature. Therefore, we hypothesized that acute ROM enhancements could be induced by a wide variety of interventions other than stretching or foam rolling that promote an increase in muscle temperature. Methods: After a systematic search in PubMed, Web of Science, and SPORTDiscus databases, 38 studies comparing the effects of stretching and foam rolling with several other interventions on ROM and passive properties were included. These studies had 1134 participants in total, and the data analysis resulted in 140 effect sizes (ESs). ES calculations were performed using robust variance estimation model with R-package. Results: Study quality of the included studies was classified as fair (PEDro score = 4.58) with low to moderate certainty of evidence. Results showed no significant differences in ROM (ES = 0.01, p = 0.88), stiffness (ES = 0.09, p = 0.67), or passive peak torque (ES = -0.30, p = 0.14) between stretching or foam rolling and the other identified activities. Funnel plots revealed no publication bias. Conclusion: Based on current literature, our results challenge the established view on stretching and foam rolling as a recommended component of warm-up programs. The lack of significant difference between interventions suggests there is no need to emphasize stretching or foam rolling to induce acute ROM, passive peak torque increases, or stiffness reductions. (Copyright © 2024. Production and hosting by Elsevier B.V.)
Databáze:	MEDLINE
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