Acute effect of cryotherapy and diathermy in the hamstring flexibility and muscle strength

Authors

  • Marcelo Baptista Dohnert Universidade Luterana do Brasil
  • Mariana dos Santos Oliveira Pontifícia Universidade Católica do Rio Grande do Sul
  • Rita Fagundes Hoffmann Universidade Luterana do Brasil

DOI:

https://doi.org/10.15448/1983-652X.2017.2.24474

Keywords:

cryotherapy, diathermy, flexibility, muscle strength.

Abstract

Objective: To investigate the acute effect of cryotherapy and short-wave diathermy on flexibility and muscle strength in the hamstrings of young women.
Materials and Methods: Forty-five volunteers were randomized into a control group, a cryotherapy group and a short-wave diathermy group. The subjects underwent a single session of cryotherapy or short-wave diathermy. Flexibility through the Wells bench and the active knee-extension end range and muscle strength through dynamometry were assessed pre and post treatment. The variables were analyzed through the Student t test and ANOVA.
Results: A significant increase in the hamstring flexibility was found using both the Wells bench (24.50±6.88 cm to 26.87±8.02 cm) (p=0.002) and the active knee-extension end range (162.60±7.76 degrees to 165.53±6.38 degrees) (p=0.015) in the diathermy group. The cryotherapy group showed improvement in flexibility with the Wells bench test (23.27±6.33 cm to 25.53±6.13 cm) (p=0.002). No change was observed in the hamstring muscle strength in either treatment group. The control group showed no difference in any of the variables. No differences were observed between groups.
Conclusion: Both short-wave diathermy and cryotherapy acutely improved hamstring flexibility in healthy young women. Thermotherapy by shortwave diathermy was more effective in this case. Both procedures had no effect on the force produced by the hamstring muscle.

Author Biography

Mariana dos Santos Oliveira, Pontifícia Universidade Católica do Rio Grande do Sul

Acadêmica de especialização no Curso de Atenção Geriátrica Integrada na Pontifícia Universidade Católica do Rio Grande do Sulacadêmica de especialização no Curso de Atenção Geriátrica Integrada na Pontifícia Universidade Católica do Rio Grande do Sul

References

Brasileiro JS, Faria AF, Queiroz LL. Influência do resfriamento e do aquecimento local na flexibilidade dos músculos isquiotibiais. Braz J Phys Ther. 2007;11(1):57-61. https://doi.org/10.1590/S1413-35552007000100010

Aquino CF, Gonçalves GGP, Fonseca ST, Mancini MC. Análise da relação entre flexibilidade e rigidez passiva dos isquiotibiais. Rev Bras Med Esporte. 2006;12:(4):195-200. https://doi.org/10.1590/ S1517-86922006000400006

Carregaro RL, Silva LCCB, Gil Coury HJC. Comparação entre dois testes clínicos para avaliar a flexibilidade dos músculos posteriores da coxa. Braz J Phys Ther. 2007;11(2):139-45. https://doi.org/10.1590/ S1413-35552007000200009

Maciel ACC, Câmara SMA. Influência da estimulação elétrica nervosa transcutânea (TENS) associada ao alongamento muscular no ganho de flexibilidade. Braz J Phys Ther. 2008;12(5):373-8. https://doi.org/10.1590 /S1413-35552008000500006

Rizzi PRS, Leal RM, Vendrusculo AP. Efeito da hidrocinesioterapia na força muscular e na flexibilidade em idosas sedentárias. Fisioter Mov. 2010;23: (4):535-43. https://doi.org/10.1590/S0103-51502010000400004

Zenewton ASG, Medeiros CAS, Dantas AVR, Souza TO. Influência da frequência de alongamento utilizando facilitação neuromuscular proprioceptiva na flexibilidade dos músculos isquiotibiais. Rev Bras Med Esporte. 2007;13:(1):33-8. https://doi.org/10.1590/S1517-86922007000100008

Albuquerque CV, Maschio JP, Gruber CR, de Souza RM, Hernandez S. Efeito agudo de diferentes formas de aquecimento sobre a força muscular. Fisioter Mov. 2011;24(2):221-9. https://doi.org/10.1590/S0103-51502011000200003

Schneider P, Rodrigues LA, Meyer F. Dinamometria computadorizada como metodologia de avaliação de força muscular de meninos e meninas em diferentes estágios de maturidade. Rev Paul Educ Fís. 2002;16(1):35-42.

Lentell G, Hetherington T, Eagan J, Morgan M. The use of thermal agents to influence the effectiveness of a low-load prolonged stretch. J Orthop Sports Phys Ther. 1992;16:200-7. https://doi.org/10.2519/jospt.1992.16.5.200

Silva SA, Oliveira DJ, Jaques MJN, Araújo RC. Efeito da crioterapia e termoterapia associados ao alongamento estático na flexibilidade dos músculos isquiotibiais. Motricidade. 2010;6(4):55-62. https://doi.org/10.6063/motricidade.6(4).138

Schaser KD, Disch AC, Stover JF, Lauffer A, Bail HJ, Mittlmeier T. Prolonged superficial local cryotherapy attenuates microcirculatory impairment, regional inflammation, and muscle necrosis after closed soft tissue injury in rats. Am J Sports Med. 2007;35:93-102. https://doi.org /10.1177/0363546506294569

Agne JE. Eletrotermoterapia: teoria e prática. Santa Maria: Orium; 2005.

Busarello FO, Souza FT, Paula GF. Ganho de extensibilidade dos músculos isquiotibiais comparando o alongamento estático associado ou não à crioterapia. Fisioter Mov. 2011;24(2):247-54. https://doi.org/10.1590/S0103-51502011000200006

Burke DG, Holt LE, Rasmussen R, MacKinnon NC, Vossen JF, Pelham TW. Effects of hot or cold water immersion and modified proprioceptive neuromuscular facilitation flexibility exercise on hamstring length. J Athl Train. 2001;36:(1):16-9.

Magalhães FEX, Mesquita Júnior AR, Meneses HTS, Santos RPM, Rodrigues EC, Gouveia SSV, Gouveia GPM, Orsini M, Bastos VHV, Machado DCD. Comparison of the effects of hamstring stretching using proprioceptive neuromuscular facilitation with prior application of cryotherapy or ultrasound therapy. J Phys Ther Sci. 2015:27:1549-53. https://doi.org /10.1589/jpts.27.1549

Hurley MV, Scott DL, Rees J, Newham DJ. Sensorimotor changes and functional performance in patients with knee osteoarthritis. Ann Rheum Dis. 1997;56:641-8. https://doi.org/10.1136/ard.56.11.641 17.

Signori LU, Voloski FRS, Kerkhoff AC, Brignoni L, Plentz RDM. Efeito de agentes térmicos aplicados previamente a um programa de alongamentos na flexibilidade dos músculos isquiotibiais encurtados. Rev Bras Med Esporte. 2008;14(4):328-31. https://doi.org/10.1590/S1517-86922008000400001

Knight KL. Crioterapia no tratamento das lesões desportivas. São Paulo: Manole; 2000.

Peres SE, Draper DO, Knight KL, Ricard MD. Pulsed Shortwave Diathermy and Prolonged Long-Duration Stretching Increase Dorsiflexion Range of Motion More Than Identical Stretching Without Diathermy. J Athl Train. 2002;37(1):43-50.

Silva KNG, Pinfildi CE, Machado FA, Lotufo RF, Cohen M, Peccin MS. Influência do frio no pico de torque da musculatura flexora do joelho. In: Anais do XII Congresso Brasileiro de Biomecânica. Rio Claro: Unesp; 2007.

Crystal NJ, Townson DH, Cook SB, LaRoche DP. Effect of cryotherapy on muscle recovery and inflammation following a bout of damaging exercise. Eur J Appl Physiol. 2013;113:2577-86. https://doi. org/10.1007 /s00421-013-2693-9

Mustalampi S, Ylinen J, Kautiainen H, Weir A, Häkkinen A. Acute effects of cold pack on mechanical properties of the quadriceps muscle in healthy subjects. Phys Ther Sport. 2012;13(4):265-9. https://doi.org/10.1016/j.ptsp.2012.02.001

Akyol Y, Durmus D, Alayli G, Tander B, Bek Y, Canturk F, Tastan Sakarya S. Does short-wave diathermy increase the effectiveness of isokinetic exercise on pain, function, knee muscle strength, quality of life, and depression in the patients with knee osteoarthritis? Eur J Phys Rehabil Med. 2010;46:325-36.

Cetin N, Aytar A, Atalay A, Akman MN. Comparing hot pack, shortwave diathermy, ultrasound, and TENS on isokinetic strength, pain and functional status of women with osteoarthritic knees: a singleblind, randomized, controlled trial. Am J Phys Med Rehabil. 2008;87: 443-51. https://doi.org /10.1097/PHM.0b013e318174e467

Rattanachaiyanont M, Kuptniratsaikul V. No additional benefit of shortwave diathermy over exercise program for knee osteoaerthritis in peri/post menopausal women: an equivalence trial. Osteoarthritis Cartilage. 2008;16(7):823-8. https://doi.org/10.1016/j.joca.2007. 10.013

Petrofsky JS, Laymon M, Lee H. Effect of heat and cold on tendon flexibility and force to flex the human knee. Med Sci Monit. 2013; 19: 661-7. https://doi.org/10.12659/MSM.889145

Carvalho ACG, Paula KC, Azevedo TMC, Nóbrega ACLN. Relação entre flexibilidade e força muscular em adultos jovens de ambos os sexos. Rev Bras Med Esporte. 1998;4(1):2-8. https://doi.org/ 10.1590/S1517-86921998000100002

Published

2017-05-17

Issue

Section

Original Articles