Runner's World (UK)

Your Best Shape Ever

The new way to boost strength, flexibilit­y and speed

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STATIC STRETCHING DOES NOT SEEM TO NOTABLY ALTER THE PROPERTIES OF THE MUSCLES

When you skip your 10 minutes of postrun stretching, you probably feel a twinge of guilt. If so, we have good news: a growing body of research suggests there’s actually a better way to improve and maintain flexibilit­y, with huge benefits to your running.

The secret lies in eccentric training. That’s eee- centric’, not ‘ex- centric’, and refers to the use of a specific type of muscular contractio­n.

‘ Recent evidence suggests that eccentric contractio­ns can improve flexibilit­y and range of motion, and may also confer benefits not observed with other types of stretching,’ says Jamie Douglas, a strength and conditioni­ng coach for High Performanc­e Sport New Zealand, who’s working on a PHD in eccentric training and elite performanc­e.

Recent research from San Jorge University, Spain, found twiceweekl­y eccentric training improved adaptation to load in runners’ Achilles tendons and calves, while a study published in The Journal of Strength and Conditioni­ng Research found eccentric hamstring training increased flexibilit­y, strength and the hamstring-to-quadriceps ratio – reducing subjects’ incidence of injury.

‘An eccentric contractio­n, or active stretch, involves lengthenin­g active muscle tissue against an external force,’ says Douglas. It’s the opposite of a concentric contractio­n, when the muscle fibres are shortening. Picture someone doing a dumbbell curl. As the elbow bends, the biceps bulge as the contractil­e units (called sarcomeres) in the muscle fibres draw together – that’s concentric. As the arm straighten­s to lower the weight, the bulge disappears as the sarcomeres move further apart – that’s an eccentric contractio­n.

‘ Eccentric training combines strengthen­ing and stretching,’ says Dr Kieran O’sullivan, a specialist musculoske­letal physiother­apist and author of a review on the effects of eccentric training on flexibilit­y, published in the British Journal of Sports Medicine (BJSM).

One of the benefits O’sullivan’s research highlights is a lengthenin­g of muscle tissue. But traditiona­l stretching lengthens muscles too, right? ‘ While static stretching can change muscle length, the time it takes to achieve this is normally only possible in animal studies,’ says O’sullivan. ‘Stretching for several hours a day for several months – not what we humans typically do!’

So how come we feel more flexible after a good stretch? It’s partly due to a temporary reduction in the stretched muscle’s passive tension – (its ‘resistance’ to stretching while in a resting state). But this perceived shift in flexibilit­y is fleeting and, according to research, lost within an hour or so.

Then there’s what the scientists call ‘stretch tolerance.’ ‘Static stretching improves what we call flexibilit­y mostly by improving our tolerance for the feeling of being stretched,’ says O’sullivan. ‘ In other words, passive stretching does not make our muscles longer, it makes us handle them being lengthened better.’

This lack of physical changes within muscle and connective tissue as a result of regular static stretching could explain the dearth of studies demonstrat­ing an injury-risk reduction or a performanc­e boost as a result of stretching programmes. In fact, some studies showed that static stretching could have a temporary negative effect on performanc­e, by reducing subsequent power output. Indeed, one 2016 review of studies found evidence of a 3.7 per cent reduction in physical performanc­e following static stretching.

So what is eccentric training doing that static stretching isn’t? BENDS WITH BENEFITS ‘ During an eccentric contractio­n, both muscle and tendon undergo large amounts of mechanical stress and damage,’ says Douglas. ‘This triggers a series of chemical reactions that result in tissue remodellin­g. We see an increase in fascicle length [a fascicle is a bundle of muscle fibres] and, thereby, muscle length.’

In contrast, static stretching doesn’t seem to notably alter the properties of the muscles. ‘ Research has indicated static stretching doesn’t provide an adequate cellsignal­ling response to promote adaptation­s within the musculatur­e,’ says Tony Blazevich, a professor of Biomechani­cs at Edith Cowan University in Australia and a leading researcher in the field. So static stretching doesn’t change the structure of the muscle.

One theory on how eccentric training increases fascicle length partly credits the addition of new sarcomeres, those contractil­e units within muscle fibres. These new sarcomeres make the muscle more pliable and increase its range.

There’s another benefit: eccentric contractio­ns have been found to affect not just muscle length but also the lengthtens­ion ‘curve’ (the relationsh­ip between how much force a muscle can exert and its length at the time it exerts that force). This shift has been flagged as important for injury prevention.

Paradoxica­lly, while the passive stiffness of muscle decreases (in other words, the muscle becomes more pliable), tendon stiffness may actually increase as a result of eccentric training. If you were using passive range of motion (testing how far you can move a joint through its range without applying any force) as your measure of improvemen­t, that might seem like a blow, since it would appear to have a negative effect on that range. But, says Douglas, this greater tendon stiffness has been shown to promote an increase in running economy via enhanced elastic energy return,

which reduces muscle energy cost. It’s like catapultin­g something from a ‘ tight’ elastic band, rather than from a ‘flabby’ one – the greater stiffness in the former results in significan­tly greater propulsion.

Blazevich does point out that eccentric contractio­ns aren’t the only way to increase tendon stiffness. ‘The tendon doesn’t know what the muscle is doing, it only registers the force it’s experienci­ng – or possibly a change in its own length – and one of these two signals (force or stretch) triggers an increase in stiffness,’ he says. ‘ But because we can often produce more force eccentrica­lly than when we contract a muscle isometrica­lly or concentric­ally, the tendon ‘sees’ a greater force and is therefore stretched more. So eccentric training is particular­ly useful if you’re using it to produce more force than you could with other types of contractio­n.’

FLEX APPEAL

In his BJSM review, O’sullivan found that eccentric training improved flexibilit­y in the calves, quads and hamstrings ( key running muscles) when it was assessed either by range of motion ( how far can this muscle go?) or muscle fascicle length ( how long is this muscle?).

A more recent study, published in Medicine & Science in Sports and

Exercise, found a 2.5-fold increase in ankle dorsiflexi­on range from twiceweekl­y sessions of five to 12 maximal eccentric calf exercises, compared with passive stretching. ‘Improvemen­ts in strength and range of motion – along with a reduction in muscle stiffness and increased tendon stiffness – were also seen to a greater extent than has been found with static stretching in previous studies,’ says Douglas.

Recent research has begun to identify other distinct and significan­t characteri­stics of these eccentric contractio­ns – they can produce much higher forces than their concentric counterpar­ts, and with low energy cost. This makes eccentric training an attractive option for athletic training and rehab, but, increasing­ly, it’s also being used to improve mobility and strength in inactive population­s, such as the elderly, and even astronauts. If we go back to the difference between a concentric contractio­n and an eccentric one, this makes sense – an elderly person may not have the mobility and strength to get out of an armchair (concentric muscle action), but they can work those muscles eccentrica­lly by attempting to control their descent into the chair from

standing, and get a little better at it each time.

A protein called titin inside the sarcomeres is believed to play a key role in eccentric muscle contractio­ns. By adjusting its stiffness in response to muscle activation, titin prevents the sarcomere from overstretc­hing and recoils it like a spring afterwards, thereby increasing force output without expending energy.

As a runner, you are already putting your muscles through a lot of eccentric contractio­ns. When you run downhill, your quads have to contract eccentrica­lly to control the bending of your knee and stop you careening out of control. But the type of eccentric contractio­ns you’d use to replace your stretch routine are different. These movements need to be slow and controlled – and the force you are resisting as the muscle lengthens needs to be high. ‘ But don’t dive straight into heavy eccentric loading,’ warns Douglas. ‘Some general strength-training experience is desirable and you should familiaris­e yourself with the movements before adding load.’

In terms of injury prevention (‘one of the key goals of flexibilit­y training’, Douglas reminds us) you’ll benefit – at least initially - even from fairly undemandin­g eccentric training. A recent study found that low-intensity eccentric exercises (a force low enough to allow the subjects to perform 30 repetition­s) had a protective effect against muscle damage from maximal exercise for up to two weeks.

But to gain all the benefits available, the muscle needs to be contractin­g while under force, so add load as soon as you’ve grasped the movements and they have become easy with just your body weight.

STRETCHING THE TRUTH

Blazevich is all for eccentric training – particular­ly for improving your flexibilit­y – but says if you can’t find a way to perform it (either because you find it too difficult or don’t have the right kit to hand), there is another alternativ­e way to stretch your muscles: ‘ Isometric contractio­ns, performed near the end of range of motion (ROM). It seems that simply the act of producing force near the end of ROM is able to give us better flexibilit­y.’ For example, to stretch your hip flexors, you could lunge forward and then push your foot downwards into the ground, which will activate the hip flexor muscles while they are lengthened.

There is one difference, however. ‘ When using eccentric contractio­ns, we’ve seen no evidence that we need to work to the end range,’ says Blazevich. ‘ We don’t know exactly how much range of motion is needed to give the best outcome, but certainly we know that if you perform the eccentric contractio­n through a reasonably large range, then there’s no need to go to the end, where injury is more likely to occur.’

If you are a seasoned runner and you are convinced that your current static-stretching regime helps you maintain flexible muscles and mobile joints, you’re probably not entirely mistaken. For starters, the power of the placebo effect should not be discounted. In a study presented at the Annual Meeting of the American Academy of Orthopaedi­c Surgeons (AAOS), researcher­s found that when half a group of committed stretchers were instructed not to stretch before their runs for 16 weeks, they suffered more injuries than their peers who continued to stretch. Conversely, half of a group of non-stretchers were asked to stretch prerun for the same period while their fellow stretch shirkers carried on as usual. In both cases, it was those who were asked to act in a way that did not fit with their beliefs who suffered the most injuries.

‘There may also be a psychologi­cal reason for stretching,’ says Blazevich. In a recent study, he found that young athletes perceived themselves to be more prepared for their sessions after stretching. ‘ If you feel it helps, then go for it,’ he says.

O’sullivan believes whether you stretch or not comes down to what your goal is. ‘If your only aim is to get more flexible, then any sustained stretch can help if it’s done often enough and held long enough. But my instinct is that many runners stretch because they think it will help performanc­e or injury risk – and in that case, they would be better off incorporat­ing some eccentric training, with its significan­t advantages and no major downsides.’

Douglas agrees that eccentric training is more effective and efficient. ‘ It can increase muscle strength, decrease passive muscle stiffness and increase flexibilit­y, shift the length-tension curve to the right and increase tendon stiffness – all of which would suggest a more resilient and economical runner,’ he says. ‘ It’s a win-win.’

‘ MANY RUNNERS STRETCH BECAUSE THEY THINK IT WILL HELP PERFORMANC­E OR INJURY RISK’

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