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Brazilian Journal of Physical Therapy

Print version ISSN 1413-3555On-line version ISSN 1809-9246

Rev. bras. fisioter. vol.12 no.3 São Carlos May/June 2008

http://dx.doi.org/10.1590/S1413-35552008000300011 

SCIENTIFIC ARTICLES
KINESIOTHERAPY

 

Effects of stretching and resistive exercise in rat skeletal muscle

 

 

Secchi KVI; Morais CPI; Cimatti PFI; Tokars EI; Gomes ARSII

IPhysical Therapy Undergraduate Program, Universidade Tuiuti do Paraná (UTP) – Curitiba (PR), Brazil
IIPhysical Therapy Undergraduate Program, Universidade Federal do Paraná (UFPR), Setor Litoral – Matinhos (PR), Brazil

Correspondence to

 

 


ABSTRACT

OBJECTIVE: To analyze the effect of stretching and resistive exercise on the soleus muscle in rats.
METHODS: Twenty-four Wistar rats (380±50g) were evaluated, divided into four groups (n=6): C, intact controls; S, left soleus muscle stretched for 40 minutes twice a week; RE, resistive exercise consisting of four series of ten jumps three times a week; and RE+S, resistive exercise plus stretching. After eight weeks, the animals were sacrificed and their soleus muscles were evaluated regarding muscle weight, muscle fiber cross-sectional area (MFCSA), muscle length, number of sarcomeres in series, sarcomere length and percentage of connective tissue. The statistical analysis consisted of comparisons between the groups using the analysis of variance (ANOVA) post-hoc Tukey tests, with a significance level set at <0.05.
RESULTS: The MFCSA in RE and S were greater than in C. Muscle length and the number of sarcomeres in series in RE+S were less than in S and RE. The number of sarcomeres in series in S was greater than in C. No changes were found in sarcomere length or percentage of connective tissue.
CONCLUSIONS: Resistive exercise associated with stretching caused a decrease in muscle length and in the number of sarcomeres in series, probably due to the daily frequency of exercises. Stretching alone, performed twice a week, or resistive exercise performed three times a week, was sufficient to induce muscle hypertrophy.

Key words: muscle stretching exercises; exercise; musculoskeletal system; rats.


 

 

Introduction

Sports training and rehabilitation programs are usually made up of a set of exercises which include stretching before and/or after counter resistance exercises1,2. Many of the stretching protocols are recommended to enhance movement amplitude, as well as to prevent and treat musculoskeletal problems. Several studies with humans evaluated muscle adaptations induced by different stretching protocols applied to normal and/or shortened muscles1,3-8.

Bandy and Iron5 tested the effects of stretching sessions sustained for 15, 30, and 60 seconds, carried out once a day with humans. The results indicated that 30 seconds of daily stretching, was enough to increase the range of motion (ROM) of the hamstrings of young adults5. No significant differences were observed upon carrying out two series of exercises a day6. Grady and Saxena7 also showed that humans who performed 30 seconds of stretching every day increased and kept their ROM. Elderly humans submitted to five weekly sessions for hamstrings muscle stretching also had increases in ROM. These sessions, consisted of four repetitions, lasted 60 seconds each and were carried out over the course of six weeks4. Nonetheless, upon testing the stretching times shorter than 60 seconds, the ROM gains and maintenance were not as effective4.

Some researchers claim that as far as clinical use is concerned, the stretching sessions must be carried out five times a week, so that the ROM can be enhanced in a more significant way8. However, two-three weekly sessions are enough to generate ROM gains8. After the gains, one stretching session per week is enough for maintenance8.

The animal model, in which it is possible to analyze the muscular fibers, showed that 30 minutes of daily passive stretching was sufficient to prevent a loss in the number of sarcomeres in series and muscular atrophy, in muscles shortened by immobilization9. Coutinho et al.10 showed that stretching sessions sustained for 40 minutes and carried out three times a week on a rat’s soleus muscle was enough to increase the muscular length, the number of sarcomeres in series, and the muscular fiber transverse sectional area of non-shortened muscles.

Another method often used for muscle mass gains, with consequent hypertrophy, are counter-resistance exercises, both in humans and animals11. The muscular hypertrophy resulting from the practice of counter-resistance exercises may be translated as an increase in the transverse sectional area of the muscle fibers (radial growth), as well as an increase in the number of sarcomeres in series (longitudinal growth), derived from an increments in protein synthesis11,12. Still, it has been shown that gains in muscular strength may not involve an increase in the transverse section of the muscle fibers, but only a gain in the sarcomeres in series, or still, just neural adaptations12,13.

The hypertrophy mechanisms can be activated both in humans and in animals, depending on the intensity, duration, and frequency of the stretching and resistance exercises. In spite of this, the response of the skeletal muscle to this combination is still unknown, both for enhancing training in sport as well as speeding up the rehabilitation process. Thus, the purpose of the present study was to investigate the adaptations of the muscular fibers after the resistance exercises with stretching.

 

Materials and methods

Animal and experimental groups

Twenty-four albino Wistar lineage, six-month old (380±50g) rats were used, obtained from the Central Biotherium and kept in a private biotherium located in the laboratory of Pharmacology of the Universidade Tuiuti do Paraná (UTP). The animals were grouped together and kept in standard plastic cages, under controlled environmental conditions (luminosity: 12-hour light/dark cycle), with free access to water and pellet rations. The project was carried out following the international ethical norms for animal experimentation14 and received the approval of the Committee for Ethics in Research of the UTP, under protocol number 019/2005. In order to perform the passive stretching, the dissection of the soleus muscle and the euthanasia, the animals were previously weighed and anesthetized with an intraperitoneal injection of ketamine (Dopalen, Sespo, Jacareí, São Paulo), 95mg/kg of body weight, and xylazine (Anasedan, Sespo, Jacareí, São Paulo), 12mg/kg of body weight.

The animals were randomly divided into four groups: 1) Control (C, n=6): the rats were not submitted to any procedure; 2) Stretching (Stretch, n=6): the rats underwent the stretching of the left soleus muscle; 3) Resistance Exercise (RE, n=6): the rats were submitted to a protocol of counter-resistance training; 4) Resistance Training and Stretching (RE+Stretch, n=6): the rats were submitted to muscle stretching, twice a week (tuesday and thursday), and to counter-resistance exercises three times a week (monday,wednesday and friday), for eight consecutive weeks. The stretching and resistance exercise protocols were carried out from 13h30 onwards every day, in an ascending order from rat 1 to 6 for the RE+Stretching group. In the Stretching groups, all rats were anesthetized and concomitantly positioned in the stretching position.

Stretching protocol

The animals had their left tibio-tarsic joint manually positioned in maximal dorsal flexion, keeping the soleus muscle stretched with the aid of scotch tape for 40 minutes10. The protocol was carried out with the anesthetized animal twice a week (tuesday and thurday), for eight consecutive weeks.

Counter-resistance exercise training protocol15

The counter-resistance exercise was carried out as described by Renno et al.15. The training protocol consisted of four series of ten leaps each, with a 60 seconds interval between them (Stopwatch Cal. H545, Tokyo, Japan). The training was carried out three times a week (monday, wednesday and friday), for eight consecutive weeks.

After that, both soleus muscles (left and right) of the RE+Stretching group, and only the left soleus muscle of the other groups were removed and weighed, in isolation (Mark Bell Engineering, Italy). Next, they were longitudinally divided, into two equal parts; one part was submitted to the routine procedures in order to evaluate the number of sarcomeres in series10 and the other part was fixed in Zenker’s fluid for later morphological and morphometrical evaluations.

Identification of the number of sarcomeres in series

The muscle fibers were isolated and fixed as described by Coutinho et al.10. For each muscular fiber, the number of sarcomeres in series was identified along 300µm, under a light microscope (Nikon, Tokyo, Japan), with a 100x objective. The measurements were carried out with a 14’’video monitor with a video-image system (Adler CCTV) fitted to the microscope (Nikon,Tokyo, Japan), with the aid of a counter (Veeder-Root, Washington, USA), in the laboratory of pathology of the Faculdade Evangélica do Paraná (Fepar).

The total number of sarcomeres and the length of each muscular fiber in isolation were estimated by the correlations between the number of sarcomeres identified along the 300µm of the fiber and the total muscle length, as described by Williams et al.16. Despite the controversies in the literature, this study considered the length of the sarcomeres along the muscular fibers as being homogeneous (Coutinho et al.10).

Procedures for morphological analyses

The fragment taken out from the medial half of each soleus muscle belly was dyed with Harris hematoxiline and eosin (H&E) for the histomorphometric analysis of the transverse section of the muscular fibers. In other histological slides, other cuts were dyed with Mallory’s trichrome to evaluate the percentages of conjunctive tissue (perimysium and endomysium).

The photomicrographs of the histological cuts were taken by a light microscope (Axyophot, Carl Zeiss, Oberkochen, Germany) and captured in a video-image system (Applied Spectral Imaging, Migdal Ha’emek, Israel) by means of the Case Data Manager Expo Software (Applied Spectral Imaging, Migdal Ha’emek, Israel, version 4.0) in the Postgraduate Department in Celular Biology of the Universidade Federal do Paraná (UFPR) at Curitiba. In each muscle, the transverse section area of the muscular fibers, as well as the percentages of conjunctive tissue were measured, with the aid of the UTHSCSA Image Tool 3.0 (developed by the University of Texas Health Science Center at San Antonio, and available at http://ddsdx.uthscsa.edu/dig/itdesc.html).

A transverse sectional area of one hundred muscular fibers of each muscle was measured, chosen randomly from the muscular belly area of the histological section as described by Coutinho et al.10. The conjunctive tissue area percentage analysis was first carried out by selecting the whole area of the cut dyed with Mallory’s trichrome and photographing it with a 10x objective, equivalent to 100%. Next, the transverse section areas of all of the muscular fibers were excluded, and only the conjunctive tissue (that is, perimysium and endomysium) was isolated. After analyzing these results, they were expressed as percentages17.

Statistical analysis

In order to check out whether each variable was normally distributed, the Shapiro Wilks test was conducted. The conclusion of the test took into account the associated p value , with a reliability level of 99%. After the confirmation of normality, the initial body weight values were compared to the weight after eight weeks of testing, in each experimental group (intragroup), by using the paired t-test.

In the RE+Stretch group the paired t-test was used to compare the right paw (resistance exercise) and the left one (submitted to stretching and to resistance exercise). The results of all of the analyzed variables (body weight, muscular weight, muscular length, number and length of sarcomeres, transverse section area of the muscular fibers, and percentages of conjunctive tissue) were compared between the experimental groups (intragroups) with ANOVA, the post hoc Tukey test. The values were considered significant when p<0.05.

 

Results

Body and muscular weight

The RE + Stretch group had an increase in its final body weight when compared to the initial weight (p=0.007). The final body weight was superior in the RE group when compared with the C group (p=0.002) and with the RE+Stretch group (p=0,002; Figure 1A). The weight of the left soleus muscle of the group that underwent the resistance exercise (RE) had an increase (Figure 1B) when compared with the remainder of the groups: C (p=0.003); Stretch (p=0.01), RE+Stretch (p=0.0003).

Transverse sectional areas of the muscular fibers (TSAMF)

An increase in the TSAMF was observed in the Stretch group (p=0.037), as well as in the RE group (p=0.02), when compared to the C group (Figure 1C).

Conjunctive tissue percentages

No significant differences were found in the percentages of the conjunctive tissue in any of the groups evaluated (Figure 1D).

Muscular length

A reduction was observed of the left soleus muscle length in the RE+Stretch group when compared to the other groups: C (p=0.04); Stretch (p=0.005), and RE (p=0.0003). In addition to this, an increase in the resistance exercise group (RE) was also noticed in relation to the control group (C) (p=0.05), as shown in Figure 2A.

Total number of sarcomeres in series and length of sarcomeres

The total number of sarcomeres in series of the Stretch group was greater than that demonstrated by the C group. Yet, the RE+Stretch was inferior to the Stretch (p=0.002) and RE (p=0.001) groups, as shown in Figure 2B. No differences in the sarcomere length values of the soleus muscle were observed in any of the analyzed groups (Figure 2C).

 

Discussion

The present study showed that both the stretching protocol, carried out twice a week, and the counter-resistance exercises, performed three times a week, applied in isolation, for eight consecutive weeks, were enough to induce muscle hypertrophy, and an increase in the transverse section area of the muscular fibers was observed. Coutinho et al.10 tested the effects of the stretching of the soleus muscle in rats, with a normal length, that is, non-shortened, carried out three times a week, for 40 minutes, and perceived an increase in the transverse sectional area, that is, radial growth, and also a rise in the number of sarcomeres in series (sarcomerogenesis), longitudinal growth, without altering the muscular weight. Thus, it can be inferred that even when the frequency of the stretching was reduced to only twice a week, as in the present study, it is also possible to induce radial and longitudinal muscular hypertrophy.

Russell, Motlagh and Ashley18 have suggested that the direction of the muscular growth, both longitudinally (in series) and radially (in parallel), is not controlled by the transcription, but by a post-transcription mechanism, just the same as in translation. Studies have shown that the longitudinal growth occurs by the increase in protein synthesis, particularly in the distal extremities of the muscle fiber19,20. The parallel muscle growth, in turn, which occurs in the densest regions of the muscle, takes place through the diffusion of neo-synthesized proteins, by means of microtubules18. In spite of these indications, the mechanisms that regulate the muscular growth, both in series and in parallel, remain unknown.

In the present study, the stretching of normal muscles carried out twice a week did not alter the percentages of conjunctive tissue. Thus, as it had already been noted by other authors, the skeletal muscle responds differently to the exercise and according to the dysfunction (for example, lesions21, use reduction22, immobilization11, and sarcopenia15), as demonstrated by Williams16, who evaluated the effects of stretching in shortened muscles for 15 minutes every other day, and did not notice any increases in the number of sarcomeres in series16. Nevertheless, the percentages of conjunctive tissue were inferior when compared to muscles that were shortened only by immobilization16. This suggests that the plasticity of a normal muscle is different from that of a shortened one.

Hornberger and Farrar23 carrried out resistance training in rats for a period of eight weeks, and observed an increase of the muscle mass and of the amount of protein of the long hallux flexor muscle (LHF), but with no changes in the soleus. The authors attribute the LHF’s specific hypertrophy to the kind of training (climbing), which put that particular muscle under stress23. Moreover, it was detected that ovariectomized rats submitted to the same resistance training protocol used in this study had an increase in their muscular weight, both in the anterior tibial and in the soleus, but showed no differences in the transverse sectional area of the muscular fibers of either muscle15. So, it can be inferred that the increases of both the muscular weight and of the transverse sectional area of the muscular fibers in the RE group may be related to sexual hormones, since the animals of the present study were males, as well to the type and frequency of the training. Furthermore, it could be stated that the increases in muscular mass was not directly proportional to the enlargement of the TSAMF, in that in the Stretch group, no muscular weight increases were observed. Only in the TSAMF, for that kind of muscle, whether there was a predominance of fast or slow twitch fibers, also interfered with the adaptations to exercise.

Both the training protocol applied in this study and the levels of hypertrophy observed in the muscles submitted to the resistance exercises (27% greater than control) were comparable to those found in humans24. It came as a surprise that when the resistance exercises and the stretching were associated, there was a reduction of the muscular length and in the number of sarcomeres in series. This result suggests that the frequency with which the protocols were carried out, that is, on a daily basis, reduced sarcomerogenesis. However, when the stretching was performed in isolation twice a week, there was an increase in the number of sarcomeres. Other authors also reported the influences of the stretching frequency in muscular plasticity10,25. It could, therefore, be inferred that the association of the stretching with the resistance exercises regulated the number of sarcomeres in series and the transverse TSAMF through different mechanisms, for no change was observed in the TSAMF. The nitric oxide derived from the neuronal isoform of the sintase nitrous oxide is a positive modulator of the addition of sarcomeres in series26,27, whereas the calcineurine, a Ca+2/calmoduline dependent phosphatase protein and the growing factor similar to that of insuline I (IGF-I), activating the phosphatidil-inositol 3-kinase (PI3K)-AKT (a serine threonine kinase) seems to regulate the muscular hypertrophy28,29.

Thus, the reduction in the number of sarcomeres in series and the absence of alterations in the TSAFM in the RE+Stretch group corroborated the findings of some authors who suggest an interval of at least 36 to 48 hours between the training sessions, since this is the peak period of protein synthesis after exercise2. Another relevant aspect which must be taken into account was the daily manipulation of the animals belonging to the RE+Stretch group. This may have contributed to the animal’s stress, resulting in the loss of sarcomeres. Thus, the exercise frequency must be emphasized, especially for the rest period between the training sessions, so that catabolism is not increased.

The present study is not exempt from limitations, such as the applied stretching protocol, which could have been maintained for a time-span more typically used in clinical practice, which was maintained for only a few seconds, in spite of some physical therapy techniques, such as the global postural reeducation (GPR), which advocates gradual increases in movement amplitude for 20 to 30 minutes30. More research will be necessary to shed some light on the cellular, molecular, and functional mechanisms of the effects derived from the association of stretching and resistance exercises, so widely used in clinic physical therapy practice. It would also be advisable that randomized clinic studies should be carried out followed by magnetic resonance imaging evaluations and/or biopsies to measure the transverse sectional areas of the muscle and fibers, as well as analyses of functional muscular performance by means of an isokinetic dynamometer, electromyography, and force platforms.

 

Conclusions

The association between stretching and resistance exercises caused a reduction in the muscular length and in the number of sarcomeres in series, probably due to the daily frequency of training. The stretching and resistance exercise protocols, when applied in isolation, were sufficient to induce muscular hypertrophy.

 

Acknowledgements

We would like to thank the financial support provided by Elisangela Poppin for the manufacturing of the histological slides, and by Carlos Barbosa, for carrying out the experimental procedures. We were also aided by Rosinei Valle, Carolina Portella, and Priscilla Franco Cimatti, from the Fepar, who helped us calculate the number of sarcomeres in series.

 

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Correspondence to:
Anna Raquel Silveira Gomes
Curso de Fisioterapia, Universidade Federal do Paraná, Setor Litoral
Rua Jaguariaíva, 512
CEP 83260-000, Matinhos (PR), Brazil
e-mail: annaraquelsg@gmail.com

 

 

Received: 16/08/2007
Revised: 14/12/2007
Accepted: 08/04/2008
Financial support: UTP, Faculdade Evangélica do Paraná (Fepar) and Graduate Program in Cellular Biology, UFPR (Curitiba)

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