Does acute passive stretching increase muscle length in children with cerebral palsy?

This article has been made available through the Brunel Open Access Publishing Fund. Copyright @ The Authors. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in anymedium, provided the original author(s) and the source are credited.Background: Children with spastic cerebral palsy experience increased muscle stiffness and reduced muscle length, which may prevent elongation of the muscle during stretch. Stretching performed either by the clinician, or children themselves is used as a treatment modality to increase/maintain joint range of motion. It is not clear whether the associated increases in muscle–tendon unit length are due to increases in muscle or tendon length. The purpose was to determine whether alterations in ankle range of motion in response to acute stretching were accompanied by increases in muscle length, and whether any effects would be dependent upon stretch technique. Methods: Eight children (6–14 y) with cerebral palsy received a passive dorsiflexion stretch for 5 × 20 s to each leg, which was applied by a physiotherapist or the children themselves. Maximum dorsiflexion angle, medial gastrocnemius muscle and fascicle lengths, and Achilles tendon length were calculated at a reference angle of 10° plantarflexion, and at maximum dorsiflexion in the pre- and post-stretch trials. Findings: All variables were significantly greater during pre- and post-stretch trials compared to the resting angle, and were independent of stretch technique. There was an approximate 10° increase in maximum dorsiflexion post-stretch, and this was accounted for by elongation of both muscle (0.8 cm) and tendon (1.0 cm). Muscle fascicle length increased significantly (0.6 cm) from pre- to post-stretch. Interpretation: The results provide evidence that commonly used stretching techniques can increase overall muscle, and fascicle lengths immediately post-stretch in children with cerebral palsy

Average Emissivity Curve of BATSE Gamma-Ray Bursts with Different Intensities

Six intensity groups with ~150 BATSE gamma-ray bursts each are compared using average emissivity curves. Time-stretch factors for each of the dimmer groups are estimated with respect to the brightest group, which serves as the reference, taking into account the systematics of counts-produced noise effects and choice statistics. A stretching/intensity anti-correlation is found with good statistical significance during the average back slopes of bursts. A stretch factor ~2 is found between the 150 dimmest bursts, with peak flux 4.1 ph cm^{-2} s^{-1}. On the other hand, while a trend of increasing stretching factor may exist for rise fronts for burst with decreasing peak flux from >4.1 ph cm^{-2} s^{-1} down to 0.7 ph cm^{-2} s^{-1}, the magnitude of the stretching factor is less than ~ 1.4 and is therefore inconsistent with stretching factor of back slope.Comment: 21 pages, 3 figures. Accepted to Ap

A global study of enhanced stretching and diffusion in chaotic tangles

A global, finite-time study is made of stretching and diffusion in a class of chaotic tangles associated with fluids described by periodically forced two-dimensional dynamical systems. Invariant lobe structures formed by intersecting global stable and unstable manifolds of persisting invariant hyperbolic sets provide the geometrical framework for studying stretching of interfaces and diffusion of passive scalars across these interfaces. In particular, the present study focuses on the material curve that initially lies on the unstable manifold segment of the boundary of the entraining turnstile lobe.A knowledge of the stretch profile of a corresponding curve that evolves according to the unperturbed flow, coupled with an appreciation of a symbolic dynamics that applies to the entire original material curve in the perturbed flow, provides the framework for understanding the mechanism for, and topology of, enhanced stretching in chaotic tangles. Secondary intersection points (SIP's) of the stable and unstable manifolds are particularly relevant to the topology, and the perturbed stretch profile is understood in terms of the unperturbed stretch profile approximately repeating itself on smaller and smaller scales. For sufficiently thin diffusion zones, diffusion of passive scalars across interfaces can be treated as a one-dimensional process, and diffusion rates across interfaces are directly related to the stretch history of the interface.An understanding of interface stretching thus directly translates to an understanding of diffusion across interfaces. However, a notable exception to the thin diffusion zone approximation occurs when an interface folds on top of itself so that neighboring diffusion zones overlap. An analysis which takes into account the overlap of nearest neighbor diffusion zones is presented, which is sufficient to capture new phenomena relevant to efficiency of mixing. The analysis adds to the concentration profile a saturation term that depends on the distance between neighboring segments of the interface. Efficiency of diffusion thus depends not only on efficiency of stretching along the interface, but on how this stretching is distributed relative to the distance between neighboring segments of the interface

Single polymer dynamics: coil-stretch transition in a random flow

By quantitative studies of statistics of polymer stretching in a random flow and of a flow field we demonstrate that the stretching of polymer molecules in a 3D random flow occurs rather sharply via the coil-stretch transition at the value of the criterion close to theoretically predicted.Comment: 4 pages, 5 figure

Vibrational overtone initiated unimolecular dissociation of HOCH_2OOH and HOCD_2OOH: Evidence for mode selective behavior

The vibrational overtone induced unimolecular dissociation of HMHP (HOCH2OOH) and HMHP-d2 (HOCD2OOH) into OH and HOCH2O (HOCD2O) fragments is investigated in the region of the 4nuOH and 5nuOH bands. The unimolecular dissociation rates in the threshold region, corresponding to the 4nuOH band, exhibit measurable differences associated with excitation of the OH stretch of the alcohol versus the peroxide functional group, with the higher energy alcohol OH stretching state exhibiting a slower dissociation rate compared to the lower energy peroxide OH stretch in both HMHP and HMHP-d2. Predictions using the Rice–Ramsperger–Kassel–Marcus theory give rates that are in reasonably good agreement with the measured dissociation rate for the alcohol OH stretch but considerably differ from the measured rates for the peroxide OH stretch in both isotopomers. The present results are interpreted as suggesting that the extent of intramolecular vibrational energy redistribution (IVR) is different for the two OH stretching states associated with the two functional groups in HMHP, with IVR being substantially less complete for the peroxide OH stretch. Analysis of the OH fragment product state distributions in conjunction with phase-space theory simulation gives a D0 value of 38±0.7 kcal/mole for breaking the peroxide bond in HMHP

Stretch‐Induced Increase in Cardiac Contractility Is Independent of Myocyte Ca\u3csup\u3e2+\u3c/sup\u3e While Block of Stretch Channels by Streptomycin Improves Contractility After Ischemic Stunning

Stretching the cardiac left ventricle (LV) enhances contractility but its effect on myoplasmic [Ca2+] is controversial. We measured LV pressure (LVP) and [Ca2+] as a function of intra-LV stretch in guinea pig intact hearts before and after 15 min global stunning ± perfusion with streptomycin (STM), a stretch activated channel blocker. LV wall [Ca2+] was measured by indo-1 fluorescence and LVP by a saline-filled latex balloon inflated in 50 μL steps to stretch the LV. We implemented a mathematical model to interpret crossbridge dynamics and myofilament Ca2+ responsiveness from the instantaneous relationship between [Ca2+] and LVP ± stretching. We found that: (1) stretch enhanced LVP but not [Ca2+] before and after stunning in either control (CON) and STM groups, (2) after stunning [Ca2+] increased in both groups although higher in STM versus CON (56% vs. 39%), (3) STM-enhanced LVP after stunning compared to CON (98% vs. 76% of prestunning values), and (4) stretch-induced effects on LVP were independent of [Ca2+] before or after stunning in both groups. Mathematical modeling suggested: (1) cooperativity in cross-bridge kinetics and myofilament Ca2+ handling is reduced after stunning in the unstretched heart, (2) stunning results in depressed myofilament Ca2+ sensitivity in the presence of attached cross-bridges regardless of stretch, and (3) the initial mechanism responsible for increased contractility during stretch may be enhanced formation of cross-bridges. Thus stretch-induced enhancement of contractility is not due to increased [Ca2+], whereas enhanced contractility after stunning in STM versus CON hearts results from improved Ca2+ handling and/or enhanced actinomyosin cross-bridge cycling

Acute Effects of Antagonist Stretching on Jump Height and Knee Extension Peak Torque

A great deal of research has shown decrements in force and power following static stretching. There has been little research investigating the acute effects of static stretching of the antagonist on the expression of strength and power. The purpose of this study was to investigate the effects of static stretching of the antagonist muscles on a variety of strength and power measures. Sixteen active males were tested for vertical jump height and isokinetic torque production in a slow knee extension (KES) at 60°/s and a fast knee extension (KEF) at 300°/s. Electromyography was taken during knee extension tests for the vastus lateralis and the biceps femoris muscles. Participants performed these tests in a randomized counterbalanced order with and without prior antagonist stretching. All variables for stretching and non-stretching treatments were compared using paired t tests at an alpha of .05. Paired samples t tests revealed a significant (p = .034) difference between stretch KEF and non-stretch KEF conditions. There was no significant (p \u3e .05) difference between KES stretch and non-stretch conditions. Vertical jump height was significantly (p = .011) higher for the stretching treatment than the non-stretching treatment. Vertical jump power was also significantly higher (p = .005) in the stretch versus the non-stretch condition. Paired samples t test indicated no significant (p \u3e .05) difference between testing conditions for electromyography, represented as a percentage of maximal voluntary contraction (MVC). These results suggest that stretching the antagonist hamstrings prior to high speed isokinetic knee extension increases torque production. It also demonstrated that stretching the hip flexors and dorsi flexors may enhance jump height and power. Practitioners may use this information to acutely enhance strength and power performances

The relevance of stretch intensity and position-a systematic review

Stretching exercises to increase the range of motion (ROM) of joints have been used by sports coaches and medical professionals for improving performance and rehabilitation. The ability of connective and muscular tissues to change their architecture in response to stretching is important for their proper function, repair, and performance. Given the dearth of relevant data in the literature, this review examined two key elements of stretching: stretch intensity and stretch position; and their significance to ROM, delayed onset muscle soreness (DOMS), and inflammation in different populations. A search of three databases, Pub-Med, Google Scholar, and Cochrane Reviews, identified 152 articles, which were subsequently categorized into four groups: athletes (24), clinical (29), elderly (12), and general population (87). The use of different populations facilitated a wider examination of the stretching components and their effects. All 152 articles incorporated information regarding duration, frequency and stretch position, whereas only 79 referred to the intensity of stretching and 22 of these 79 studies were deemed high quality. It appears that the intensity of stretching is relatively under-researched, and the importance of body position and its influence on stretch intensity, is largely unknown. In conclusion, this review has highlighted areas for future research, including stretch intensity and position and their effect on musculo-tendinous tissue, in relation to the sensation of pain, delayed onset muscle soreness, inflammation, as well as muscle health and performance