Dynamic Stretching vs. Foam Rolling: Effects on Hamstring Flexibility and Muscle Oxygenation in Tight Hamstrings

Overview

Hamstring muscle flexibility plays a vital role in functional movement and in the prevention of injuries. Reduced flexibility of the hamstring muscles is common and can lead to biomechanical dysfunctions, a limited range of motion, and poor posture. Interventions such as stretching exercises and myofascial release techniques are widely used to improve muscle flexibility. Dynamic stretching, which involves active muscle movements, has been shown to significantly enhance flexibility and may be more effective than static stretching. The use of a foam roller, which is a self-applied myofascial release technique, also improves flexibility and may offer additional benefits by increasing fascial mobility without impairing muscle strength. Peripheral muscle oxygenation reflects a muscle's ability to utilize oxygen and is increasingly used to assess physical performance and fatigue. Although some studies suggest that stretching exercises and foam roller applications may improve peripheral muscle oxygenation, the evidence remains limited. This study aimed to compare the effects of a single session of isolated dynamic stretching and foam roller application on hamstring muscle flexibility and muscle oxygenation. The hypothesis proposed that dynamic stretching would be more effective than foam roller application in enhancing muscle oxygenation, while both interventions would similarly improve muscle flexibility.

Muscle flexibility is defined as the capacity of muscle tissue to elongate and is considered one of the key components in maintaining physical fitness. The hamstring muscles are primarily responsible for knee flexion and play a crucial role in the proper execution of functional activities. Reduced flexibility in the hamstring muscles is among the most commonly observed musculoskeletal issues, both in the general population and in athletes. Insufficient flexibility may lead to impairments in lower extremity biomechanics, potentially resulting in various dysfunctions. A loss of hamstring flexibility limits the range of motion in the knee joint and is a critical factor that increases the risk of injury. This may occur due to passive shortening from postural adaptations or active shortening caused by muscle spasms and contractions. Decreased flexibility negatively affects posture, lower extremity mobility, and gait patterns. It may also lead to strength imbalances, overuse syndromes, and inefficient movement patterns. Hamstring tightness can be prevented through appropriate interventions. The relative stiffness of structures such as soft tissues, joint capsules, muscles, and fascia can directly influence muscle flexibility. The myofascia surrounding the muscle is a type of connective tissue that can restrict joint range of motion and reduce muscular strength and endurance in cases of inflammation, immobilization, or tissue damage. Clinicians employ various manual techniques and stretching exercises to bring about therapeutic changes in these tissues, including osteopathic mobilizations, structural integration, massage, muscle energy techniques, and instrument-assisted soft tissue mobilizations. Stretching exercises are among the most common interventions used to increase hamstring flexibility. When applied regularly, these exercises have been shown to enhance muscle length and elasticity. They are also fundamental components of pre-exercise warm-up routines. Dynamic stretching involves controlled movements that allow the opposing muscle to elongate throughout its full range of motion without holding a static end position, while the target muscle contracts. Studies have shown that even a single session of dynamic stretching can significantly improve hamstring flexibility. In individuals with hamstring tightness, dynamic stretching has been found to be more effective than static stretching. As an alternative, self-administered myofascial release techniques are also widely used. These techniques are most commonly performed using foam rollers and work similarly to traditional manual myofascial release methods. The pressure is applied with the help of body weight, providing direct and continuous compression to the soft tissue. This pressure enhances fascial mobility, increases joint range of motion, raises fascial temperature through friction, and reduces extracellular matrix viscosity. These changes help to resolve adhesions between fascial layers and restore tissue extensibility. Foam roller applications have been shown to acutely improve hamstring flexibility without negatively affecting muscle strength and may be more effective than both static stretching and dynamic stretching exercises. Peripheral muscle oxygenation refers to the level of oxygenation in muscles distant from central circulation and reflects the muscle's oxygen uptake and utilization capacity. Measuring oxygen saturation in the hamstring muscles provides direct insight into their metabolic performance. Recently, such measurements have become increasingly used to analyze training load, fatigue, and injury risk. However, findings on the effects of stretching or myofascial release on peripheral muscle oxygenation remain limited. It has been suggested that both static stretching and dynamic stretching during warm-ups may increase intramuscular oxygen availability. Some studies have shown that oxygen saturation levels are higher after dynamic stretching compared to static stretching. Furthermore, combining stretching with foam roller applications has been shown to further increase muscle oxygenation, suggesting that the oxygen supplied exceeds the intramuscular oxygen demand. Nevertheless, there is a need for studies that investigate the isolated effects of dynamic stretching and foam roller application. The aim of this study was to compare the effects of a single, isolated session of dynamic stretching and foam roller application on hamstring flexibility and peripheral muscle oxygenation. The hypothesis was that, in healthy individuals with hamstring tightness, dynamic stretching would be more effective than foam roller application in increasing muscle oxygenation, while both interventions would have similar effects on flexibility.