Eccentric Based Strengthening – proven to increase flexibility and reduce lower limb injury according to recent studies!

Stretching may be a thing  of the past according to a recent review  that looks at the effects of eccentric  (lengthening the muscle under load) training for increased strength,  flexibility and overall reduced risk of lower limb injuries.

There are many factors that contribute to lower limb injuries some of which are poor neuromuscular control, reduced strength, poor joint range of motion and reduced flexibility.

In the past stretching was believed to be an important part of injury rehabilitation and that it could reduce the time until return to sport and it has been an encouraged activity during a warm up and cool down for many sports for years.

Most current studies suggest that stretching is ineffective at reducing injury risk, post exercise muscle soreness and improving performance. In actual fact, stretching has been shown to be a cause of injury if done during a warm up. Stretching reduces  the contractile ability of the muscle and therefore decreases the stability of the joint.

So… If poor flexibility and range of motion are risk factors of lower limb injuries how can we improve this without stretching?

According to a review of 6 studies of the lower limb it showed consistent evidence that eccentric training increases range of motion with joint stability.

What is eccentric training?

eccentric-concentric1 bicep

All movements that we do with our body have a concentric (muscle shortening) phase and eccentric (muscle lengthening) phase.  For example when completing a bicep curl the concentric phase is lifting the weight towards to shoulder (muscle is shortening whilst contracting) and the eccentric phase is straightening the elbow again (muscle is lengthening whilst contracting).

Sarcomerogenesis is the most likely reason why a muscle can improve in flexibility after eccentric training. It is where there is a prolonged shift in the muscle length-tension curve and the muscle adapts to the mild damage that is caused by eccentric training. This then improves the generation of torque a muscle can provide as well as reduce the chance of injury in an extended joint position.

Next time you decide to push yourself into a painful stretch think about whether this could be detrimental to your muscles and joints. Ask how we can help you complete some eccentrically loaded exercises to improve your flexibility.

Written by Beth Chiuchiarelli – Exercise Physiologist

Author: Michael Dermansky

Michael has now been working in physiotherapy for over 20 years, since graduating from Melbourne University in 1998 and is even more passionate about getting the best outcomes for clients than he was then. Michael is always studying and looking for new and innovative ways to improve the service at MD Health, including and not limited to the ideas from the fitness industry and great customer service companies. In his spare moments, he loves spending time with his two children, Sebastian and Alexander and hopefully taking them skiing more and more often.

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