The potential role of sciatic nerve stiffness in the limitation of maximal ankle range of motion

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Andrade, Ricardo J
Freitas, Sandro R
Hug, Francois
Le Sant, Guillaume
Lacourpaille, Lilian
Gross, Raphael
McNair, Peter
Nordez, Antoine
Griffith University Author(s)
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2018
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Abstract

It is a long held belief that maximal joint range of motion (ROM) is restricted by muscle tension. However, it exists indirect evidence suggesting that this assumption may not hold true for some joint configurations where non-muscular structures, such as the peripheral nerves, are stretched. Direct evidences are lacking. This study aimed to determine whether a static stretching aiming to load the sciatic nerve without stretch within plantar flexors is effective to: (i) alter nerve stiffness; and (ii) increase the ankle’s maximal ROM. Passive maximal ankle ROM in dorsiflexion was assessed with the hip flexed at 90° (HIP-flexed) or neutral (HIP-neutral, 0°). Sciatic nerve stiffness was estimated using shear wave elastography. Sciatic nerve stretching induced both a 13.3 ± 7.9% (P < 0.001) decrease in the nerve stiffness and a 6.4 ± 2.6° increase in the maximal dorsiflexion ROM assessed in HIP-flexed. In addition, the decrease in sciatic nerve stiffness was significantly correlated with the change in maximal ROM in dorsiflexion (r = −0.571, P = 0.026). These effects occurred in the absence of any change in gastrocnemius medialis and biceps femoris stiffness, and ankle passive torque. These results demonstrate that maximal dorsiflexion ROM can be acutely increased by stretching the sciatic nerve, without altering the muscle stiffness.

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Scientific Reports

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8

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1

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© The Author(s) 2018. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

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Biomechanics

Medical physiology

Science & Technology

Multidisciplinary Sciences

Science & Technology - Other Topics

SHEAR-WAVE ELASTOGRAPHY

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Andrade, RJ; Freitas, SR; Hug, F; Le Sant, G; Lacourpaille, L; Gross, R; McNair, P; Nordez, A, The potential role of sciatic nerve stiffness in the limitation of maximal ankle range of motion, Scientific Reports, 2018, 8 (1), pp. 14532:1-14532:10

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