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Journal of Sport and Health Science · 2024

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Andreas Konrad, Shahab Alizadeh, Abdolhamid Daneshjoo, Saman Hadjizadeh Anvar, Andrew Graham, Ali Zahiri, Reza Goudini, Chris Edwards, Carina Scharf, David George Behm

Chronic effects of stretching on range of motion with consideration of potential moderating variables: A systematic review with meta-analysis

Elsevier BV. 13(2). 186-194.

Study type
Systematic review with meta-analysis of controlled studies
Review basis
Full text reviewed

Becoming more flexible does not necessarily require making every stretch harder or longer. Data from 77 controlled studies involving 3,870 healthy participants produced a moderate pooled improvement in joint range of motion after at least two weeks of training. Holding stretches still, or combining stretching with muscle contractions, produced larger average gains than dynamic or bouncing approaches. Women showed larger average gains than men. However, the analyses did not detect a clear relationship between improvement and stretching intensity, total duration, or weekly frequency within the protocols studied.

Not finding a clear dose relationship does not prove that any amount works equally well. The studies covered limited ranges of training and differed in participants and measurements. The outcome was how far a joint could move, not injury prevention or everyday independence. Greater range may reflect increased tolerance of stretching as well as changes in tissue stiffness; it does not automatically mean permanent muscle lengthening.

How Does This Show Up in Real Life?

When your aim is greater joint range, the useful question is whether a routine is helping that specific movement, not whether it feels demanding enough. The authors favor static stretching or stretching combined with muscle contractions for this goal. They also suggest that reaching the pain threshold may not be necessary. For someone wondering whether extra discomfort or ever-longer sessions must produce better results, that is a reason not to assume more is always required. It is not a tested personal prescription or proof that a very brief routine will work for everyone. A warm-up before sport is also a different question from improving range over repeated sessions. The findings can inform the choice of stretching approach, but cannot determine your minimum effective dose or promise a particular increase in degrees.

Results varied substantially across studies, and the analysis detected signs that favorable findings may be more likely to be reported. Some subgroup comparisons had little evidence, so apparent differences are less secure than the overall effect. The paper did not establish how well gains persist after stretching stops. Its conclusions also should not be extended to people seeking extreme flexibility or treatment for an injury.

Why We Cite It

For Alpekin, the adherence issue adds a useful design question. The authors note that training studies likely excluded people who did not complete enough sessions. A routine offered through daily planning therefore needs attention to whether people keep doing it, not only whether the protocol worked among participants who completed it.

The evidence supports stretching as a way to improve range, while leaving the best personal dose uncertain. Take comparisons between methods as guidance rather than a guarantee. A measured improvement matters more than assuming that discomfort, time spent, or a demanding-looking routine proves effectiveness.

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