fisiologia dello stretching - medicina dello … dello stretching prof. fabio esposito dipartimento...
TRANSCRIPT
FISIOLOGIA DELLO STRETCHINGFISIOLOGIA DELLO STRETCHING
Prof. Fabio EspositoProf. Fabio Esposito
Dipartimento di Scienze dello Sport, Nutrizione e SaluDipartimento di Scienze dello Sport, Nutrizione e Salutete
FacoltFacoltàà di Scienze Motoriedi Scienze Motorie
UniversitUniversitàà degli Studi di Milanodegli Studi di Milano
INTRODUCTIONINTRODUCTION
Acute passive stretching:Acute passive stretching:
•• Increases joint range of motionIncreases joint range of motion
•• Reduces risks of injuriesReduces risks of injuries
•• Improves performanceImproves performance
decreases maximum force and powerdecreases maximum force and powerreduces performancereduces performance
Fowles, J Appl Physiol (2000)Fowles, J Appl Physiol (2000)Kokkonen, Res Q Exerc Sport (2001)Kokkonen, Res Q Exerc Sport (2001)Nelson, J Sports Sci (2004)Nelson, J Sports Sci (2004)CCèè, J Sports Sci (2008), J Sports Sci (2008)Costa, Int J Sports Med (2009)Costa, Int J Sports Med (2009)
Two main mechanisms:Two main mechanisms:
Neural changes:Neural changes:
Decreased motoDecreased moto--neuron excitability (preneuron excitability (pre-- and postand post--synaptic synaptic
mechanisms)mechanisms)
MuscleMuscle--tendon unit changes:tendon unit changes:
Increased muscleIncreased muscle--tendon unit compliance, reduction in passive tendon unit compliance, reduction in passive
tension, alteration of muscle elasticity and tension/length tension, alteration of muscle elasticity and tension/length
relationshiprelationship
Mainly type II motor unitsMainly type II motor units
AIMAIM
To assess stretchingTo assess stretching--induced effects on induced effects on maximum aerobic power and endurancemaximum aerobic power and endurance
METHODSMETHODSTen active males Ten active males (age 23(age 23±±5 yrs; body mass 695 yrs; body mass 69±±7 kg; stature 1717 kg; stature 171±±9 cm; mean9 cm; mean±±SD)SD)
Ten tests (5 with and 5 without stretching) on a cycle ergometeTen tests (5 with and 5 without stretching) on a cycle ergometer (100 r (100 ±±
3 rpm), in a random order3 rpm), in a random order
•• Two squareTwo square--wave maximum incremental testswave maximum incremental tests
•• Two ramp maximum incremental testsTwo ramp maximum incremental tests
•• Six tests at 85% VSix tests at 85% VOO2 max2 max (W(W8585), until exhaustion), until exhaustion
Stretching routine: 5 x (45 s on / 15 s off)Stretching routine: 5 x (45 s on / 15 s off)
Measurements: gas exchange, cardioMeasurements: gas exchange, cardio--respiratory parameters, lactate respiratory parameters, lactate
concentrationconcentration
.. ..
.
RAMP MAXIMUM INCREMENTAL TESTRAMP MAXIMUM INCREMENTAL TEST
Power Power maxmax
Heart Rate Heart Rate maxmax Peak [La]Peak [La]
Peak OPeak O22 uptakeuptake*
*
WW8585
..
**
Exercise durationExercise duration
Oxygen uptake
% T tot0 10 20 30 40 50 60 70 80 90 100
VO
2 (m
l/min
)
1500
2000
2500
3000
3500
4000
controlsstretching
* * * * *
.
Oxygen uptake
% T tot0 10 20 30 40 50 60 70 80 90 100
VO
2 (m
l/min
)
1500
2000
2500
3000
3500
4000
controlsstretching
* * * * *
.
Blood Lactate
% T tot0 10 20 30 40 50 60 70 80 90 100
[La- ] (
mM
)
2
4
6
8
10
12
controlsstretching
*
Blood Lactate
% T tot0 10 20 30 40 50 60 70 80 90 100
[La- ] (
mM
)
2
4
6
8
10
12
controlsstretching
*
Respiratory Rate
% T tot0 10 20 30 40 50 60 70 80 90 100
RR
(b/m
in)
20
30
40
50
60
70
80
controlsstretching
*
* * *** *
*
Respiratory Rate
% T tot0 10 20 30 40 50 60 70 80 90 100
RR
(b/m
in)
20
30
40
50
60
70
80
controlsstretching
*
* * *** *
*
Tidal Volume
% T tot0 10 20 30 40 50 60 70 80 90 100
VT (
l)
1.5
2.0
2.5
3.0
controlsstretching
Tidal Volume
% T tot0 10 20 30 40 50 60 70 80 90 100
VT (
l)
1.5
2.0
2.5
3.0
controlsstretching
Expired Ventilation
% T tot0 10 20 30 40 50 60 70 80 90 100
VE
(l/m
in)
20
40
60
80
100
120
140
controlsstretching
*
.*
Expired Ventilation
% T tot0 10 20 30 40 50 60 70 80 90 100
VE
(l/m
in)
20
40
60
80
100
120
140
controlsstretching
*
.*
Heart Rate
% T tot0 10 20 30 40 50 60 70 80 90 100
HR
(bpm
)
100
120
140
160
180
200
controlsstretching
Heart Rate
% T tot0 10 20 30 40 50 60 70 80 90 100
HR
(bpm
)
100
120
140
160
180
200
controlsstretching
time (min) 2 4 6 8 10
e net
0.16
0.18
0.20
0.22
* ****
Net efficiencyNet efficiency
With acute passive stretching:With acute passive stretching:
Maximum aerobic power is not affectedMaximum aerobic power is not affectedEndurance time of a highEndurance time of a high--intensity exercise is intensity exercise is
significantly reducedsignificantly reducedExercise efficiency is decreasedExercise efficiency is decreasedType II motor units are impairedType II motor units are impaired
ACKNOWLEDGEMENTSACKNOWLEDGEMENTS
•• Dr. Eloisa LimontaDr. Eloisa Limonta
•• Dr. Emiliano CDr. Emiliano Cèè
•• Dr. Luca AgnelloDr. Luca Agnello
•• Prof. Arsenio VeicsteinasProf. Arsenio Veicsteinas