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A DYNAMIC WARM-UP MODEL INCREASES

QUADRICEPS STRENGTH AND HAMSTRING


FLEXIBILITY
ALAIN J. AGUILAR,1 LINDSAY J. DISTEFANO,2 CATHLEEN N. BROWN,3 DANIEL C. HERMAN,4
KEVIN M. GUSKIEWICZ,1 AND DARIN A. PADUA1
1
Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina;
2
Department of Kinesiology, University of Connecticut, Storrs, Connecticut; 3Department of Kinesiology, University of Georgia,
Athens, Georgia; and 4Department of Physical Medicine and Rehabilitation, University of Virginia, Charlottesville, Virginia

ABSTRACT did not significantly affect any flexibility, strength, or vertical jump
Aguilar, AJ, DiStefano, L J, Brown, CN, Herman, DC, measures (p . 0.05). The DWU significantly improved eccentric
Guskiewicz, KM, and Padua, DA. A dynamic warm-up model quadriceps strength and hamstrings flexibility, whereas the
increases quadriceps strength and hamstring flexibility. SWU did not facilitate any positive or negative changes in
J Strength Cond Res 26(4): 11301141, 2012Research muscle flexibility, strength, power, or vertical jump. Therefore, the
suggests that static stretching can negatively influence muscle DWU may be a better preactivity warm-up choice than an SWU.
strength and power and may result in decreased functional KEY WORDS static stretching, isokinetic dynamometer, vertical
performance. The dynamic warm-up (DWU) is a common jump
alternative to static stretching before physical activity, but there
is limited research investigating the effects of a DWU. The
purpose of this study was to compare the acute effects of INTRODUCTION
a DWU and static stretching warm-up (SWU) on muscle

T
he majority of the athletic population performs
flexibility, strength, and vertical jump using a randomized a warm-up before activity to enhance performance
controlled trial design. Forty-five volunteers were randomly and reduce the risk of injury (2,40,44). Acutely
assigned into a control (CON), SWU, or DWU group. All enhancing performance ability immediately before
participants rode a stationary bicycle for 5 minutes and activity may maximize early parts of training and compet-
completed a 10-minute warm-up protocol. During this protocol, itions. Also, acutely enhancing performance is essential for
the DWU group performed dynamic stretching and running, the competitions of short duration (i.e., shot put, 100-m dash).
SWU group performed static stretching, and the CON group Furthermore, a warm-up may mitigate injury risk factors
rested. Dependent variables were measured immediately by acutely changing them immediately before activity.
before and after the warm-up protocol. A digital inclinometer Several modifiable risk factors for specific injury, sport, and
population are indicated in the literature. For example, 2 risk
measured flexibility (degrees) for the hamstrings, quadriceps,
factors for hamstring muscle strain injury are flexibility
and hip flexor muscles. An isokinetic dynamometer measured
deficits and a decreased hamstring to quadriceps (H:Q) ratio
concentric and eccentric peak torque (Nm/kg) for the ham-
(28,48), which may be influenced by a warm-up. Therefore,
strings and quadriceps. A force plate was used to measure warm-up methods should focus on causing acute daily
vertical jump height (meters) and power (watts). In the DWU changes that will reduce an athletes injury risk during
group, there was a significant increase in hamstring flexibility a training session, eventually causing chronic changes that
(pretest: 26.4 6 13.5, posttest: 16.9 6 9.4; p , .0001) and will reduce an athletes injury risk over time and ideally
eccentric quadriceps peak torque (pretest: 2.49 6 0.83 Nm/kg, improve performance.
posttest: 2.78 6 0.69 Nm/kg; p = 0.04). The CON and SWU A common warm-up includes a brief period of a sub-
maximal aerobic warm-up activity and a bout of static
stretching. The submaximal aerobic warm-up activity may
Address correspondence to Lindsay J. DiStefano, lindsay.distefano@ elevate muscle and core temperature, causing decreased
uconn.edu. stiffness of the musculoskeletal tissue and increased anaerobic
26(4)/11301141 metabolism, circulation, and nerve conduction (7). As a result,
Journal of Strength and Conditioning Research the submaximal aerobic warm-up activity has been shown to
2012 National Strength and Conditioning Association improve several short-term performance measures (6). The
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purpose of static stretching is to improve flexibility, which the inclusion of a short distance acceleration run, which may
has been indicated as an injury risk factor for athletes with assist in preparing the body for activity by further elevating
specific muscle inflexibility (28,48). Although long-term heart rate and body temperature. Moreover, the previous
flexibility training is important to maintain health muscle studies did not compare static stretching warm-up (SWU) and
tissue length and reduce injury risk for specific individuals, DWU on acute changes in variables that are related to both
there is no evidence that static stretching, immediately before muscle injury risk factors and performance measures, such as
activity, will significantly reduce muscle injury rates (38,45). flexibility and strength.
Furthermore, static stretching for the hamstrings has been Therefore, the purpose of this study was to use a random-
shown to reduce conventional and functional hamstring to ized controlled study design to investigate the acute effects of
quadriceps ratio (H:Q) via decreased concentric and eccentric a control program (CON), SWU, and a DWU protocol with
hamstring peak torque (14). Although debated and not a short distance acceleration run on acute changes in the
validated, the H:Q ratio has been used as a screening tool to injury risk factors of proximal leg flexibility and hamstrings to
help prevent lower extremity injury (13,18). A reduction in quadriceps peak torque ratio and acute performance changes
the H:Q ratio as a result of static stretching could possibly in quadriceps and hamstrings peak torque and vertical jump
increase risk of lower extremity injury (13). Moreover, static performance. Based on the previous literature, we hypoth-
stretching has been shown to acutely impair the following esize that the SWU will improve flexibility, reduce H:Q ratio,
performance measures: strength (15); power (49); balance, and negatively affect peak torque and vertical jump, whereas
reaction, and movement time (4); vertical jump height (11); the DWU will cause acute increases in flexibility, H:Q ratio,
and sprint performance (24). Therefore, because evidence peak torque, and vertical jump.
shows that static stretching before acitvity may not reduce
injury risk and may cause performane deficits, the use of static METHODS
stretching before activity has been questioned (33) and new
Experimental Approach to the Problem
methods for preparticipation activities have been proposed.
This study was designed to observe how 2 warm-ups (SWU
An alternative to the traditional warm-up mentioned
and DWU) acutely affect specific muscle injury risk factors
above is called a dynamic warm-up (DWU). Although
and performance factors. We used a randomized controlled
the DWU often varies in protocol, it typically includes
trial study design to compare the acute effects of 2 warm-up
dynamic stretching (49), agility and plyometric activities (37),
protocols (SWU or DWU) with a control group (CON).
and specific motor pattern movements (1). In essence,
All subjects were evaluated immediately before and after
a combination of these techniques may prepare the body for
a 15-minute warm-up intervention. We also included a control
performance by improving core and muscle temperature(25),
(CON) group to specifically observe the difference between
enhancing nervous system function (i.e., postactivation
the static stretching protocol and the DWU protocol. The
potentiation) (29,49) and using similar movements that
dependent variables included muscle injury risk factors
occur during subsequent exercise (47). Recently, dynamic
hamstrings, quadriceps, hip flexor, and rectus femoris
stretching has been shown to improve several performance
flexibility and conventional and functional H:Q ratio and
factors such as shuttle run time, medicine ball throw distance,
performance measures of hamstrings and quadriceps con-
5-step jump distance (33), electromyography activity (29),
centric and eccentric peak torque and predicted vertical jump
lower extremity power (49,50), and vertical jump (29).
height and power.
Therefore, because a DWU may positively influence
performance and static stretching may negatively impair Subjects
performance, researchers have compared the acute effects of Forty-five healthy male (n = 23) and female (n = 22)
the 2 types of warm-ups. These studies indicate that a DWU recreational soccer players from club and intramural teams
can significantly improve power and agility (33), sprinting volunteered to participate. Subject demographics are
performance (24), vertical jump
(22,23,46), and long jump (46)
when compared with static
stretching alone. Although these TABLE 1. Subject demographics, mean (SD).*
findings are promising, there are
limitations to these studies. For Group Sex Age, y Height, cm Weight, kg
example, none of the above CON 7 men, 8 women 23 6 3 171.4 6 8.5 69.6 6 16.0
mentioned articles used a prein- SWU 8 men, 7 women 21 6 2 174.6 6 10.0 75.5 6 9.5
tervention assessment, which DWU 8 men, 7 women 23 6 3 175.8 6 11.2 75.6 6 17.0
limits the ability to understand
*CON, control; DWU, dynamic warm-up; SWU, static stretching warm-up.
any true acute improvements All values are means 6 SD.
observed. Also, the previous
DWU studies did not investigate

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Dynamic Warm-up Increases Quadriceps Strength

intervention period, and a posttest. Flexibility (hamstrings,


quadriceps, and hip flexor), peak torque (hamstrings and
TABLE 2. Reliability results. quadriceps concentric and eccentric), and vertical jump
Assessment ICC (2,k) SEM
height and power measurements were recorded during both
pretest and posttest assessments. The dominant limb, which
Hamstring flexibility 0.94 1.7 was defined as the limb used to kick a ball for maximal
Quadriceps flexibility 0.93 0.9 distance, was used for flexibility and peak torque measure-
Hip flexor flexibility 0.97 1.44
ments. Flexibility was the first measurement obtained during
Thomas test 0.97 1.08
Concentric quadriceps 0.97 6.06 the pretest and posttest to ensure that the other testing
Concentric hamstrings 0.97 5.97 procedures would not confound the flexibility results. After
Eccentric quadriceps 0.9 13.97 flexibility measurements, the order of testing peak torque and
Eccentric hamstrings 0.99 3.6 vertical jump was counterbalanced between subjects to
Vertical jump power 0.99 86.5
control for a potential order effect. During the pretest and
Vertical jump height 0.99 1
posttest, subjects rested for 2 minutes between each
ICC = Intraclass Correlation Coefficient. assessment and for 15 minutes before beginning their
warm-up intervention, so that a possible increase in body
temperature resulting from the pretest would not add to the
provided in Table 1. Soccer players were recruited because effects of the warm-up treatments (7). To establish reliability
the DWU protocol was designed specifically for that sport. of the individual measurements, 6 subjects were pilot tested
Subjects were included in the study if they exercised at least 3 using identical testing procedures between 2 different testing
days per week for 30 minutes and possessed an adequate level sessions separated by 15 minutes. The reliability results are
of previous soccer experience, which was defined as at least 1 presented for each dependent variable in Table 2.
year of varsity soccer in high school. Exclusion criteria
included any muscle strain injury sustained in the past 6 Warm-up Interventions. Each intervention (CON, SWU, and
months or any current lower extremity injury, head injury, or DWU) began with a 5-minute warm-up on a stationary
illness that would prevent them from playing soccer at the bicycle, and subjects were asked to adjust their effort so that
time of testing. Before testing, all subjects read and signed an they would score a light rate of perceived exertion (RPE)
informed consent form approved by the institutional review (32) by the end of the 5 minutes. After cycling, the CON
board and completed a healthy subject questionnaire. The group sat quietly for 10 minutes, whereas the SWU and
questionnaire contained general questions to ensure inclusion DWU groups performed the protocols outlined in Tables 3
and exclusion criteria. and 4, respectively.
Including the cycling, the SWU protocol lasted 15 minutes
Procedures and consisted of a 10-minute static stretching protocol for the
Before testing, the subjects were stratified for sex and lower extremity (Table 3). Each muscle group was stretched
randomly assigned without replacement into 1 of 3 groups: for 2 sets of 20 seconds to the point of discomfort. The
CON, SWU, or DWU (n = 15 per group) (Table 1). Subjects stretching sequence is listed in Table 3, and each muscle
reported to a research laboratory for a single testing session. group was stretched bilaterally, starting with the right side,
They were required to wear athletic clothing, including before moving to the next muscle group in the stretching
shorts, a T-shirt, and athletic shoes. The testing session lasted sequence. Subjects rested 25 seconds between each stretch.
approximately 90 minutes and involved a pretest, an The stretch duration is within the American College of

TABLE 3. Static warm-up protocol.

Exercise Description

Calf Place arms, with elbows extended against a wall and extend one leg backward with the heel on
the ground. Adjust distance of back heel to the wall to feel a stretch.
Adductor Stand with feet spread apart. Lean to one side and keep opposite leg straight, stretching the hip
adductor on that side.
Gluteus Lie supine and place outside of one ankle on opposite flexed knee. Pull knee to the chest to stretch
the opposite legs gluteus maximus.
Hip flexor Lunge with back knee on the ground and front hip and knee flexed. Flex back knee and hold ankle.
Slowly pull ankle to buttocks, while leaning forward until a stretch is felt.

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TABLE 4. Dynamic warm-up protocol.

Phase 1 Phase 2 Phase 3

Active Dynamic exercises: dynamic stretch, Neural


warm-up agility, and plyometric activation

Exercise Description Repetitions

Stationary Heel toe walks Walk on heels with knees fully extended 5 per leg Jog 10 yd
bicycle to eccentrically contract the anterior over 10 yd
5 min tibialis muscle.
Walking calf Step forward with one leg and keep back 5 per leg Jog 10 yd
heel flat on the ground while knee is over 10 yd
flexed. Contract quadriceps and tibialis
anterior muscles to extend back knee.
At the same time, move forward to the
point of mild stretch on the back calf
muscle and then immediately release.
Forward run Run forward at a jogging pace. 10 yd Jog 10 yd
Backward run Backpedal at a jogging pace. 10 yd Jog 10 yd
Russian walk Lift one knee forward, while extending 5 per leg Accelerate
the lower leg, mildly stretching the over 10 yd 50% 10 yd
lifted limbs hamstring muscles.
Immediately lower the leg after a mild
stretch is felt, and then bounce 3 times
in between stretching the alternate
limb as if jogging in place.
Walking quad Flex knee to buttocks and assist the 5 per leg Accelerate
stretch stretch with both hands until the point over 10 yd 50% 10 yd
of mild stretch and then release the
ankle. Bounce 3 times in between
stretching the alternate limb as if
jogging in place.
Low amplitude Flex knee to quickly bring heel to buttocks 10 yd Accelerate
Butt Kicks and alternate legs without stopping. 50% 10 yd
Perform moving backward.
Walking hamstring Step one limb forward, while keeping the 5 per leg Accelerate
stretch knee extended and heel on the ground over 10 yd 50% 10 yd
with toes straight up in the air. Flex hips
while keeping spine in a neutral position.
Lean forward until mild stretch is felt,
then release. Keep arms crossed over
chest and bounce 3 times in between
stretching the alternate limb as if
jogging in place.
High knee pull Actively flex hip and knee to chest while 5 per leg Accelerate
balancing on the contralateral limb. over 10 yd 50% 10 yd
Grasp knee and stretch hip extensors
to the point of mild stretch, then release.
Bounce 3 times in between stretching
the alternate limb as if jogging in place.
Carioca with high Move laterally while crossing legs. Flex 10 yd Accelerate
knee drive trail leg hip and knee as close to the 50% 10 yd
chest as possible.
Walking lunge with Lunge forward on one limb with knee 5 per leg Accelerate
transverse reach flexed and body erect until a mild over 10 yd 50% 10 yd
stretch is felt in the trail limb hip flexor
muscle. Rotate arms and trunk toward
the side of forward knee. Bounce
3 times in between stretching the
alternate limb as if jogging in place.

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Dynamic Warm-up Increases Quadriceps Strength

Balanced gluteal Place one heel on opposite knee while 5 per leg Accelerate
stretch standing, then squat down with the over 10 yd 50% 10 yd
standing limb until a mild stretch is
felt in the contralateral gluteal area.
Release and alternate. Bounce 3 times
in between stretching the alternate
limb as if jogging in place.
Dynamic skip Leap forward and reach with one limb 3 per leg Accelerate
to mildly stretch the hamstring muscles, over 10 yd 75% 10 yd
while keeping the knee extended.
Alternate limbs.
High skip Leap off of one limb with the opposite 3 per leg Accelerate
knee and hip flexed. Upon landing, over 10 yd 75% 10 yd
immediately perform the same for the
opposite leg. Skip and jump as
high as possible.
Rear leg swing Balance on one leg, lean forward from 5 per leg Accelerate
waist and kick opposite limb backward over 10 yd 75% 10 yd
in the sagittal plane, while slightly flexing
knee. Control hip and swing limb
backward until the point of mild stretch
on hip flexor muscles and then release
the stretch. Bounce in between
stretching alternate limbs as if jumping
rope 3 times.
Backward run Backpedal as quickly as possible for the 10 yd Accelerate
first 10 yd. 90% 10 yd
Shuffle Lateral shuffle without crossing feet, lead 10 yd Accelerate
with dominant limb. 90% 10 yd
Run with 360 turn Run at 75% of maximum speed. Turn right 10 yd Accelerate
360 at the middle cone. 90% 10 yd
Run with opposite Run at 75% of maximum speed. Turn 10 yd Accelerate
360 turn left 360 at the middle cone. 90% 10 yd
Acceleration Run forward and accelerate speed to 10 yd Accelerate
achieve top speed at the middle cone. 100% 10 yd

Sports Medicines guidelines for static stretching and also subjects were asked to bounce for 3 steps as if they were
kept the SWU protocol duration equivalent to the DWU jogging in place. In the second 10 yd distance, the subjects
protocol. transitioned to a 10 yd acceleration at a certain percentage
Including the cycling, the DWU (Table 4) lasted 15 minutes of their perceived maximum sprint effort (Table 4). The
and consisted of a 10-minute DWU. The DWU was divided intensity and difficulty of the dynamic exercises and the
into 3 phases: dynamic exercises (dynamic stretching, agility, acceleration run increased as the protocol progressed.
and plyometric exercises), an acceleration run, and a short To ensure proper technique and efficiency during the
recovery jog. Two consecutive 10 yd distances were marked DWU, subjects reported to 2 familiarization sessions before
by cones in an area where subjects could run 20 yd and testing. All familiarization sessions lasted 20 minutes and were
decelerate safely. Subjects performed a dynamic exercise in conducted between 1 and 7 days of each other. During both
the first 10 yd distance, an acceleration run in the second familiarization sessions, subjects watched a video of the DWU
10 yd distance, and finished with a recovery jog back to the protocol and then practiced the DWU protocol. The SWU
starting cone for the next dynamic exercise in the sequence. group did not perform familiarization sessions because the
This process was repeated until all dynamic exercises in static stretches in the protocol are commonly used in the
the protocol were completed. The sequence was the same for physically active population.
each participant and was only performed once. Within the
first 10 yd distance, all dynamic stretches were alternated 5 Assessments. Hamstrings, quadriceps, hip flexor, and rectus
times bilaterally and subjects were asked to bring the limb to femoris flexibility were assessed in a random order using
the point of mild stretch and then quickly release, without a digital inclinometer (Model # 670099; Saunders Group Inc,
holding the stretch. Between stretching the alternate leg, Chaska MN, USA). The inclinometer was zeroed on a flat
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TABLE 5. Flexibility assessment.

Muscle tested Positioning Instructions Notes

Hamstrings Supine, dominant hip flexed Keep your thigh perpendicular to Subjects were excused from
(active knee to 90 with T-bar used to the table, and then use the front the study if they reached
extension) assist subject of your thigh to straighten your leg full extension on the pretest
as far as possible without moving as it would eliminate the
your thigh from its perpendicular possibility to observe
position. improvement between
pretest and posttest.
Quadriceps Prone, neutral hip position Pull your heel to your butt as far as
(active knee you can, then hold it without
flexion) raising or moving your hip.
Hip flexors Prone, neutral hip position Keep your leg straight and lift your
(active hip heel up as far as possible without
extension) raising or moving your hip from
its position.
Rectus femoris Gluteal folds on edge of table, Completely relax your dominant leg, The wall was used on the
(Thomas test) supine with dominant leg pull your nondominant knee all the dominant side to prevent
against the wall, knees way to your chest, do not arch hip abduction and ensure
pulled to chest, and then your back. consistency between the
dominant leg dropped pretest and the posttest
toward the ground.

and level surface before pre- and posttesting. Inclinometer 90 and were secured using torso, pelvic, thigh, and shin
placement for the hamstrings, quadriceps, and rectus femoris stabilization straps. The axis of rotation of the dynamometer
assessment was on the medial tibial shaft distal to the tibial was aligned with the axis of rotation of the subjects knee. A
tuberosity. Inclinometer placement for the hip flexor shin pad was placed 12 cm proximal to the subjects lateral
assessment was on the posterior leg, along the medial malleolus. All testing began with the subjects knee at 90 of
hamstrings group and proximal to the popliteal crease. knee flexion. For the quadriceps test, the subjects concentri-
During pretest, marks around the inclinometer were made cally extended their knee to full extension (0), then
directly on the subjects body using a permanent marker so eccentrically resisted as the dynamometer moved the knee
that the placement was consistent during the posttest. Each back to 90 of flexion. For the hamstring test, the subject
muscle group was assessed 3 times, and the average was used eccentrically resisted the dynamometer as it moved the knee
for analysis. Between the 3 consecutive trials, the subjects to full extension (0) and then concentrically flexed the knee
were repositioned and the inclinometer was removed and back to 90. Subjects performed 1 set of 5 continuous
replaced. Specific positioning and instructions for each
flexibility assessment are presented in Table 5 (Figures
15). Only the dominant limb, which is defined as the one
used to kick a ball for maximum distance, was measured.
Quadriceps and hamstrings concentric and eccentric peak
torque were measured by an isokinetic dynamometer (Biodex
3 Isokinetic Dynamometer; Biodex Medical System, Inc.,
Shirley, NY, USA). Instructions and verbal encouragement
were similar for each participant. Only the dominant leg,
which was considered the leg they would use to kick a ball for
maximum distance, was measured. During pretesting, the
subjects were familiarized to the equipment by performing 3
submaximal attempts (50% capacity), followed by 1 minute of
rest and then 3 maximal attempts for both quadriceps and
hamstring testing (30).
Velocity for the isokinetic tests was set to 60 per second,
and motion was set from 0 (extension) to 90 (flexion). Figure 1. Inclinometer placement on posterior leg.
Subjects were positioned sitting upright with their hips flexed

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Dynamic Warm-up Increases Quadriceps Strength

Figure 2. Hamstring flexibility ending position measurement. Figure 4. Hip flexor flexibility ending position measurement.

maximum effort repetitions for the quadriceps test and 1 set of and jump as high as they could to try to head the soccer
5 continuous maximum effort repetitions for the hamstring ball. During the pretest, subjects were allowed 3 maximal
test. Subjects rested for 2 minutes between the quadriceps and jump practice trials. The overhead goal was placed slightly
hamstring tests. higher than the subjects highest practice jump. Three trials
To eliminate the possibility of an order effect, subjects were performed with 30 seconds of rest between each trial.
randomly selected the order of muscle testing by drawing Force plate calibration occurred before each trial.
numbers. After each test, subjects rated their perceived effort Data Reduction. Peak torque data from the second, third, and
on a 19-point RPE scale (32). A successful trial was fourth repetitions of each isokinetic test were averaged to
considered a score of 17 or higher, which equated to a very determine the peak torque for each muscle group and the
hard perceived exertion (20). If the subjects score was less hamstring to quadriceps ratio. The first repetition was
than 17, then they repeated the trial. If the subject reported eliminated because of a possible learning effect, and the fifth
lower than 17 for 2 consecutive tests, then the subject was repetition was not considered because of the possible effects
excused from the study because fatigue may have con- of fatigue. The average peak torque for concentric and
founded the data. eccentric hamstrings and quadriceps muscle actions were
Predicted vertical jump height and power were evaluated then used to determine both the conventional H:Q ratio
using a double leg countermovement vertical jump on a strain (Hcon:Qcon) and the functional H:Q ratio (Hecc:Qcon). The
gauge force plate (Bertec model number 4060-08A; Bertec average peak torque values were divided by body mass.
Corp., Columbus, OH, USA). An overhead goal in the form of A customized software program (MatLab v12; The Math
a suspended soccer ball was used to encourage maximal Works, Inc., Natick, RI, USA) was used to calculate the
performance (26). Subjects were instructed to keep their impulse and predicted vertical jump height and power from
hands on their hips, jump straight up and down (vertically), the countermovement vertical jump. The subjects impulse

Figure 3. Quadriceps flexibility ending position measurement. Figure 5. Rectus femoris ending position measurement.

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TABLE 6. Flexibility results.*

Pretest Posttest Effect


Assessment Group (means 6 SD) Pretest 95% CI (means 6 SD) Posttest 95% CI size

Hamstring CON 19.5 6 10.8 13.4325.59 19.4 6 12.0 13.6725.18 0.01


SWU 21.5 6 10.5 15.3827.55 19.3 6 11.4 13.5425.04 0.19
DWU 26.4 6 13.5 20.3632.53 16.9 6 9.4 11.1422.64 0.71
Quadriceps CON 129.6 6 9.3 125.41133.75 127.8 6 8.3 123.88131.63 0.20
SWU 127.7 6 7.0 123.56131.91 127.9 6 7.4 124.06131.81 0.03
DWU 126.1 6 8.0 121.89130.24 125.4 6 6.5 121.57129.32 0.08
Hip flexor CON 26.4 6 4.6 62.0373.83 26.7 6 3.8 61.2271.58 0.08
SWU 25.7 6 8.2 65.5277.32 26.9 6 6.9 67.3577.71 0.15
DWU 28.1 6 7.8 63.0174.81 30.2 6 5.5 66.8477.20 0.27
Rectus femoris CON 67.9 6 10.1 22.7030.06 66.4 6 6.5 23.8529.62 0.15
SWU 71.4 6 11.5 23.0330.39 72.5 6 11.5 24.0529.82 0.10
DWU 68.9 6 12.2 24.3931.74 72.2 6 11.0 27.3233.08 0.25
*CI, confidence interval; CON, control; DWU, dynamic warm-up; SWU, static stretching warm-up.
All measurements are in degrees.
Significant difference from pretest to posttest (p , 0.05).
Significant difference from DWU pretest (p , 0.05).

from the takeoff portion of each jump was recorded at [V]2/[2*g]; gravity [g] = 9.81 m/s2) (3). Predicted vertical
a sampling rate of 1,000 Hz. Impulse was used to calculate jump height was then used to calculate predicted vertical jump
velocity (V = impulse created during takeoff/subject mass), power by using Harmans equation: power (W) = 61.9 3
and velocity was used to calculate height (height [m] = jump height (cm) + 36.0 3 mass (kg) 2 1822 (9).

TABLE 7. Isokinetic results.*

Pretest Pretest Posttest Posttest Effect


Isokinetic torque test Group (means 6 SD) 95% CI (means 6 SD) 95% CI size

Eccentric quadriceps CON 2.87 6 0.90 2.463.28 2.97 6 0.82 2.563.38 0.12
SWU 2.75 6 0.62 2.333.16 2.65 6 0.83 2.243.06 20.13
DWU 2.49 6 0.83 2.082.90 2.78 6 0.69 2.373.19 0.39
Concentric quadriceps CON 2.39 6 0.42 2.152.64 2.42 6 0.57 2.162.68 0.06
SWU 2.47 6 0.57 2.222.72 2.39 6 0.48 2.132.64 20.15
DWU 2.31 6 0.41 2.062.56 2.47 6 0.43 2.212.73 0.38
Eccentric hamstrings CON 2.14 6 0.44 1.922.36 2.18 6 0.47 1.942.41 0.09
SWU 2.26 6 0.45 2.042.48 2.25 6 0.50 2.022.48 20.02
DWU 2.19 6 0.37 1.972.41 2.26 6 0.35 2.032.49 0.19
Concentric hamstrings CON 1.25 6 0.27 1.111.39 1.29 6 0.24 1.151.44 0.16
SWU 1.38 6 0.29 1.231.52 1.35 6 0.35 1.211.50 20.09
DWU 1.25 6 0.26 1.111.40 1.34 6 0.25 1.201.49 0.36
Conventional H:Q ratio CON 0.52 6 0.07 0.480.57 0.55 6 0.09 0.500.60 0.38
Hcon:Qcon SWU 0.57 6 0.11 0.520.62 0.57 6 0.12 0.520.62 0.00
DWU 0.55 6 0.09 0.500.59 0.55 6 0.09 0.500.60 0.00
Functional H:Q ratio CON 0.90 6 0.15 0.811.00 0.93 6 0.23 0.851.02 0.16
Hecc:Qcon SWU 0.94 6 0.20 0.841.03 0.95 6 0.15 0.861.04 20.47
DWU 0.97 6 0.21 0.881.07 0.92 6 0.10 0.831.01 20.33
*CI, confidence interval; CON, control; DWU, dynamic warm-up; SWU, static stretching warm-up.
All measurements are in N mkg21.
Significant difference from pretest to posttest (p , 0.05).

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Dynamic Warm-up Increases Quadriceps Strength

TABLE 8. Vertical jump results.*

Vertical jump Pretest Posttest Effect


measure Group (means 6 SD) Pretest 95% CI (means 6 SD) Posttest 95% CI size

Vertical jump CON 24.9 6 5.4 0.210.29 23.8 6 5.3 0.200.27 20.20
height SWU 24.8 6 9.0 0.210.29 25.0 6 7.9 0.210.29 0.02
DWU 25.8 6 7.4 0.220.30 26.5 6 6.9 0.230.30 0.10
Vertical jump CON 2,227.0 6 796.2 1,815.12,638.9 2,159.1 6 787.3 1,751.62,566.6 20.09
power SWU 2,250.4 6 791.5 1,838.52,662.4 2,261.0 6 726.4 1,853.52,668.4 0.01
DWU 2,495.0 6 810.3 2,083.12,966.9 2,541.4 6 829.0 2,134.02,948.9 0.06
*CI, confidence interval; CON, control; DWU, dynamic warm-up; SWU, static stretching warm-up.
All measurements are in centimeters. No significant differences were observed.

Statistical Analyses No significant differences were observed for vertical jump


We used a mixed model repeated measures design with one height or vertical jump power (p . 0.05) (Table 8). Thus, it
between factor (3 levels: DWU, SWU, or CON group) and one appears that none of the warm-up groups significantly
within factor (2 levels: pretest, posttest). Separate 2 3 3 mixed changed vertical jump performance.
model analyses of variance were used to investigate differences
between time and warm-up protocol for each dependent DISCUSSION
variable. Post hoc testing was performed with a Tukeys The purpose of the study was to investigate the acute effects of
Honestly Significant Difference (HSD) analysis and an a priori a control program (CON), SWU, and a DWU protocol with
alpha level of #0.05 was set. a short distance acceleration run (DWU) on acute changes
in proximal leg flexibility and hamstring to quadriceps peak
torque ratio and acute performance changes in quadriceps
RESULTS and hamstring peak torque and vertical jump performance.
All 45 original subjects completed the study. No significant This study found that that the DWU acutely improved
differences in subjects height, weight, or age were observed hamstring flexibility and eccentric quadriceps peak torque,
between groups (p . 0.05). Means and SDs for the flexibility which may lead to reduced injury risk and improved
assessments are presented in Table 6. We observed a performance immediately after the warm-up activities.
significant group by time interaction for hamstring flexibility Our hypothesis that the SWU would cause improvements
(F2,42 = 12.004, p , 0.0001). The post hoc analysis revealed in flexibility and a decrease in H:Q ratio was not supported by
that hamstring flexibility in the DWU group was significantly our findings. With regard to flexibility, we may not have seen
greater at posttest than at pretest. We did not observe any improvements because of a shortened stretch duration in the
significant differences for quadriceps, hip flexor, and rectus SWU protocol. Other studies showed flexibility improve-
femoris flexibility (p . 0.05). ments after a duration of 1.5 to 4.5 minutes (16,17,35), which is
There was a significant group by time interaction for much longer than the 40-second duration (2 sets of 20
eccentric quadriceps peak torque (F2,42 = 4.930, p = 0.012) seconds) used in this study. Another reason why the SWU
(Table 7). The post hoc analysis revealed a significant did not improve flexibility could be because of an absence of
increase in the DWU group from pretest to posttest. flexibility deficit. For example, the subjects in this study
Likewise, concentric quadriceps peak torque demonstrated possessed greater hip flexor flexibility (27) than the national
a significant group by time interaction (F2,42 = 3.671, normative values for the closest age group (22) (39).
p = 0.034) (Table 7), and post hoc testing revealed that the Similarly, the subjects had a quadriceps flexibility value that
DWU was greater than the CON and SWU at posttesting. was within 6 of these normative values (39). Therefore,
The DWU appeared to cause an increase in torque from pre- because of a shortened stretch duration and lack of flexibility
to posttest (12.2 Nm) with a moderate effect size, but the deficits, acute increases in flexibility may not have been
difference was not statistically significant (critical difference = possible. Likewise, no significant changes to conventional or
13.3 Nm). No significant differences were observed for functional H:Q ratios were found in this study after the SWU.
concentric hamstring peak torque, eccentric hamstring The reason for this finding is also possibly because of the
peak torque, concentric hamstring to concentric quadriceps short stretch duration. One study showed a significantly
ratio, or eccentric hamstring to concentric quadriceps ratio decreased H:Q ratio after 6 minutes of static stretching (14),
(p . 0.05) (Table 7). but another study showed no significant decrease with a
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6-minute protocol (13). These findings suggest that H:Q ratio the magnitude of decrease after static stretching (34). The
may be impaired with a prolonged stretch duration. mechanisms that may have caused our concentric quadriceps
The short stretch duration included in the SWU may have peak torque to improve are an increase in body temperature
also prevented changes in peak torque and vertical jump (25,49,50), postactivation potentiation (29,47), which is
performance. Behm and Chaouachi (5) observed in a recent defined as an increase in muscle efficiency to produce force
static stretching literature review that when a static stretch is after a conditioning contractile activity (41), and possibly an
held for longer than 90 seconds, there is strong evidence for increased rate of cross-bridge formation (49). These changes
strength impairment. However, when a stretch is held for less may improve neurologic and metabolic function (6) of the
than 30 seconds, the findings of strength impairment are muscles and result in improved strength performance.
more variable. In this literature review, Behm and Chaouachi The mechanism responsible for improved eccentric quad-
also reported that vertical jump was more likely affected with riceps strength may include heightened muscle spindle
a longer stretch duration (i.e., .90 seconds). However, even activation caused by the quick discontinuous dynamic
in those studies, the effect sizes were small, so the clinical exercises of the DWU (43). Concentric peak torque of the
implication of these findings is questionable. Because the quadriceps is essential in performance as it controls the
SWU static stretch duration was relatively short, it is possible forcefulness of knee extension, which is one of the primary
that there was not enough time to cause physiologic components in generating any movement involving triple
viscoelastic property alterations and mechanical changes extension. Concentric force would be important for acceler-
(31) and alterations in neurological activity and processes ating the body from a stand still position or after making
(27) to cause strength and performance impairments. a change of direction (12). Likewise, eccentric quadriceps
Our hypothesis that the DWU would improve flexibility function is essential for athletic movements including direction
was supported for the hamstrings but not for the other muscle change, deceleration, and lower extremity body control (12).
groups. Another study showed a similar result for the Eccentric strength may also protect against quadriceps
hamstrings; however, the flexibility increase was only evident injury because of its role in dissipating ground reaction forces
when dynamic stretching was preceded by a general aerobic during jump landing (19) and deceleration, which is the main
warm-up (35). Interestingly, in the same study, the authors mechanism for quadriceps muscle injury (36).
observed a decrease in flexibility when dynamic stretching Despite observing improvements in quadriceps torque, we
was not preceded by a general aerobic warm-up. Perhaps this did not observe a reduction in the H:Q ratio. To our
highlights the necessity of a general aerobic warm-up, similar knowledge, this is the first study to evaluate the effects of
to the one included in the DWU, before dynamic stretching a DWU on H:Q ratios. We believe the H:Q ratio may not have
to elevate muscle and body temperature, decrease muscle decreased with the concurrent increase in quadriceps torque
stiffness, and improve flexibility. because the hamstring peak torque did increase, although this
Another possible explanation for the DWUs increase in finding was not statistically significant.
hamstring flexibility is that the group began with less The literature has conflicting evidence regarding the effect
flexibility than the other groups. Therefore, it is difficult to of dynamic activities on vertical jump performance. Some
ascertain if the increase was because of the intervention or studies show a significant increase (29,46), whereas others
because the group had more room for improvement. show no effect (8,42). One explanation to the difference
However, all 3 groups demonstrated limited hamstring could be described in the previous studies dynamic protocol.
flexibility, as defined as lacking 20 from full knee extension The dynamic protocols that improved vertical jump typically
(17), which suggests that each group had equal opportunity used dynamic exercises that mimic functional exercises (i.e.,
to improve hamstring flexibility. The DWU may not have side lunges) or a prolonged dynamic stretching protocol
improved flexibility in the quadriceps and hip flexor muscle (7 minutes). The dynamic protocols that did not change
groups because there may not have been much room for vertical jump typically used a low volume of dynamic
change, as all subjects had flexibility ranges that were within stretches only. Although our study used dynamic stretching
normal values. Therefore, a 15-minute DWU consisting of and dynamic functional exercises, we may not have seen
dynamic stretching, agility, plyometric, and acceleration runs improvements in vertical jump because the time frame where
may cause improvements in hamstring flexibility without any dynamic activities cause improvements in vertical jump
detriment to quadriceps and hip flexor flexibility. (6 minutes) (21) may have elapsed by the time we measured
In contrast to our hypotheses, the DWU only improved it during the posttest. Furthermore, it is possible that our
quadriceps peak torque. The results showed a significant DWU protocol did not include enough specific jumping
increase in eccentric quadriceps peak torque and a statistically activity to sufficiently cause improvements as other studies
nonsignificant increase in concentric quadriceps peak torque. have used (10).
Although not statistically significant, the increase observed in Finally, it is interesting to note that the 2 variables that
concentric peak torque may be clinically meaningful because significantly changed after the DWU had an antagonistic
the magnitude of increase (7%) is similar to the increase seen muscle relationship. We observed improvements in both
in another study after dynamic stretching (43) and similar to quadriceps strength and hamstring flexibility. Perhaps the

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Dynamic Warm-up Increases Quadriceps Strength

DWU improved this muscle balance relationship where 11. Church, JB, Wiggins, MS, Moode, FM, and Crist, R. Effect of warm-
up and flexibility treatments on vertical jump performance. J Strength
a strength increase of the quadriceps allowed greater range of
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Further research should examine this relationship. Performance Enhancement Specialist. Calabasas, CA: National
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strength. Furthermore, using a static stretching protocol with and flexion peak torque and the hamstrings-to-quadriceps
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short durations (40 seconds per muscle group) will not 2011;25(S1).
significantly reduce quadriceps and hamstring strength and 15. Cramer, JT, Housh, TJ, Weir, JP, Johnson, GO, Coburn, JW, and
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health-related benefits; however, a prolonged duration is mean power output, electromyography, and mechanomyography.
Eur J Appl Physiol 93: 530539, 2005.
necessary to achieve this goal. To ensure appropriate duration
16. de Weijer, V, Gorniak, G, and Shamus, E. The effect of static
for all major muscle groups, static stretching may be better stretch and warm-up exercise on hamstring length over the course of
used in a setting other than a preactivity warm-up. A DWU 24 hours. J Orthop Sports Phys Ther 33: 727733, 2003.
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ACKNOWLEDGMENTS 263267, 2004.
19. Devita, P and Skelly, WA. Effect of landing stiffness on joint kinetics
The authors have no professional relationships with compa- and energetics in the lower extremity. Med Sci Sports Exerc 24:
nies or manufacturers who will benefit from the results of the 108115, 1992.
study. The results of the study do not endorse any products 20. Egan, AD. Session rating of perceived exertion during high intensity
of the authors or the National Strength and Conditioning and low intensity bouts of resistance exercise. UW-L J Undergrad Res
6: 16, 2003.
Association.
21. Faigenbaum AD, McFarland JE, Buchanan E, Ratamess NA, Kang J,
and Hoffman JR. After-school fitness performance is not altered after
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