Use of intermittent stretch in the prevention of serial sarcomere loss in immobilised muscle
Three pages on PainSci cite Williams 1990: 1. The Trouble with Chairs 2. The Complete Guide to Trigger Points & Myofascial Pain 3. Micro Muscles and the Dance of the Sarcomeres
PainSci notes on Williams 1990:
If muscles are not used, and ROM is lessened, can stretching assist in returning ROM to normal? “It was found that periods of stretch as short as 1/2 h daily were sufficient not only to prevent loss of sarcomeres but actually to cause an increase in the number of sarcomeres in series.”
original abstract †Abstracts here may not perfectly match originals, for a variety of technical and practical reasons. Some abstacts are truncated for my purposes here, if they are particularly long-winded and unhelpful. I occasionally add clarifying notes. And I make some minor corrections.
After immobilisation of muscle in a shortened position there is a reduction of muscle fibre length due to a loss of serial sarcomeres. Experiments have been carried out to determine whether short, daily periods of stretch prevent sarcomere loss and the resultant loss of range of joint motion. It was found that periods of stretch as short as 1/2 h daily were sufficient not only to prevent loss of sarcomeres but actually to cause an increase in the number of sarcomeres in series. Range of joint motion was normal. Such short periods of stretch were also found to prevent much of the muscle atrophy normally associated with immobilisation in the shortened position.
This page is part of the PainScience BIBLIOGRAPHY, which contains plain language summaries of thousands of scientific papers & others sources. It’s like a highly specialized blog. A few highlights:
- Classical Conditioning Fails to Elicit Allodynia in an Experimental Study with Healthy Humans. Madden 2017 Pain Med.
- Topical glyceryl trinitrate (GTN) and eccentric exercises in the treatment of mid-portion achilles tendinopathy (the NEAT trial): a randomised double-blind placebo-controlled trial. Kirwan 2024 Br J Sports Med.
- Placebo analgesia in physical and psychological interventions: Systematic review and meta-analysis of three-armed trials. Hohenschurz-Schmidt 2024 Eur J Pain.
- Recovery trajectories in common musculoskeletal complaints by diagnosis contra prognostic phenotypes. Aasdahl 2021 BMC Musculoskelet Disord.
- Cannabidiol (CBD) products for pain: ineffective, expensive, and with potential harms. Moore 2023 J Pain.