Regional and widespread pain sensitivity decreases following stretching in both men and women - Indications of stretch-induced hypoalgesia

J Bodyw Mov Ther. 2024 Jul:39:32-37. doi: 10.1016/j.jbmt.2024.02.003. Epub 2024 Feb 27.

Abstract

Introduction: This study aimed to investigate the effect of sex on regional and widespread pain sensitivity following acute bouts of stretching and to investigate the acute effect of stretching on regional and widespread pain sensitivity following stretching.

Methods: 73 healthy adults (36 females; mean age 25.6 ± 6.7 years) with an age range from 19 to 62 years were recruited for this experimental study. Regional and distant pain pressure pain thresholds, passive knee extension range of motion and passive resistive torque were measured before and 30 s after four bouts of 30-s static muscle stretching of the knee flexors with 20-s rest between bouts.

Results: No significant sex differences were found for pressure pain thresholds (p > 0.132), range of motion (p = 0.446) or passive resistive torque (p = 0.559) between pre-stretch and post-stretch measures. There were significant increases in pressure pain thresholds (p = 0.010), range of motion (p = 0.001) and passive resistive torque (p = 0.007) between pre-stretch and post-stretch measures.

Conclusion: Muscle stretching significantly decreased regional and widespread pain sensitivity, indicating that central pain-modulating mechanisms are engaged during muscle stretching, resulting in stretch-induced hypoalgesia. Moreover, the results showed that the effect of stretching on regional and widespread pain sensitivity is not sex-specific.

Keywords: Endogenous analgesia; Pain perception; Pain threshold; Range of motion; Static stretching.

MeSH terms

  • Adult
  • Female
  • Humans
  • Knee Joint / physiology
  • Knee Joint / physiopathology
  • Male
  • Middle Aged
  • Muscle Stretching Exercises* / physiology
  • Muscle, Skeletal / physiology
  • Muscle, Skeletal / physiopathology
  • Pain Threshold* / physiology
  • Range of Motion, Articular* / physiology
  • Sex Factors
  • Torque
  • Young Adult