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Potential Effects of Dynamic Stretching on Injury Incidence of Athletes: A Narrative Review of Risk Factors
Sports Medicine ( IF 9.8 ) Pub Date : 2023-05-10 , DOI: 10.1007/s40279-023-01847-8
David G Behm 1 , Shahab Alizadeh 1 , Abdolhamid Daneshjoo 1, 2 , Andreas Konrad 1, 3
Affiliation  

The use of dynamic stretching as a replacement for static stretching in the warm-up is widespread based on the reports of static stretching-induced performance impairments. While acute and chronic static stretching has been reported to reduce musculotendinous injuries, especially with explosive and change of direction actions, the influence of dynamic stretching on injury incidence lacks a similar volume of literature for acute and chronic responses. It was the objective of this narrative review to examine the acute and training effects of dynamic stretching on injury incidence and possible moderating variables such as dynamic stretching effects on range of motion, strength, balance, proprioception, muscle morphology, and psycho-physiological responses. One study demonstrated no significant difference regarding injury incidence when comparing a dynamic stretching-only group versus a combined dynamic stretching plus static stretching group. The only other study examined functional dynamic stretching training with injured dancers and reported improved ankle joint stability. However, several studies have shown that dynamic activity with some dynamic stretching exercises within a warm-up consistently demonstrates positive effects on injury incidence. Regarding moderating variables, while there is evidence that an acute bout of dynamic stretching can enhance range of motion, the acute and training effects of dynamic stretching on strength, balance, proprioception, and musculotendinous stiffness/compliance are less clear. The acute effects of dynamic stretching on thixotropic effects and psycho-physiological responses could be beneficial for injury reduction. However, the overall conflicting studies and a lack of substantial literature compared with SS effects points to a need for more extensive studies in this area.



中文翻译:

动态拉伸对运动员受伤发生率的潜在影响:风险因素的叙述回顾

根据有关静态拉伸引起的运动表现损伤的报告,在热身时使用动态拉伸来替代静态拉伸已得到广泛应用。虽然据报道,急性和慢性静态拉伸可以减少肌腱损伤,尤其是爆发性和改变方向的动作,但动态拉伸对损伤发生率的影响缺乏类似数量的急性和慢性反应的文献。本叙述性综述的目的是检查动态拉伸对损伤发生率的急性和训练影响以及可能的调节变量,例如动态拉伸对运动范围、力量、平衡、本体感觉、肌肉形态和心理生理反应的影响。一项研究表明,在比较仅动态拉伸组与动态拉伸加静态拉伸组合组时,受伤发生率没有显着差异。唯一的另一项研究检查了受伤舞者的功能性动态拉伸训练,并报告了踝关节稳定性的改善。然而,一些研究表明,热身期间的动态活动和一些动态伸展运动始终对损伤发生率产生积极影响。关于调节变量,虽然有证据表明剧烈的动态拉伸可以增强运动范围,但动态拉伸对力量、平衡、本体感觉和肌腱刚度/顺应性的急性和训练效果尚不清楚。动态拉伸对触变效应和心理生理反应的急性影响可能有利于减少损伤。然而,总体上相互矛盾的研究以及与 SS 效应相比缺乏大量文献表明需要在这一领域进行更广泛的研究。

更新日期:2023-05-11
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