Review article - (2025)24, 463 - 474
DOI:
https://doi.org/10.52082/jssm.2025.463
Acute Effects of Dynamic and Ballistic Stretching on Flexibility: A Systematic Review and Meta-analysis
Shingo Matsuo1,, Kosuke Takeuchi2, Masatoshi Nakamura3, Taizan Fukaya4, Kensuke Oba5,6, Gakuto Nakao7,8, Takamasa Mizuno9
1Department of Rehabilitation, Faculty of Health Sciences, Nihon Fukushi University, Handa, Aichi, Japan
2Department of Physical Therapy, Faculty of Rehabilitation, Kobe International University, Kobe, Hyogo, Japan
3Department of Physical Therapy, Faculty of Rehabilitation Sciences, Nishi Kyushu University, Kanzaki-cho, Saga, Japan
4Department of Physical Therapy, Faculty of Social Work Studies, Josai International University, Togane, Chiba, Japan
5Faculty of Health Sciences, Hokkaido University, Sapporo, Hokkaido, Japan
6Department of Rehabilitation, Hitsujigaoka Hospital, Sapporo, Hokkaido, Japan
7Department of Physical Therapy, School of Health Sciences, Sapporo Medical University, Sapporo, Hokkaido, Japan
8Professional Post-Secondary Course (Physical Therapist), Sapporo Medical Technology, Welfare and Dentistry Professional Training College of Nishino Gakuen School Foundation, Sapporo, Hokkaido, Japan
9Research Center of Health, Physical Fitness and Sports, Nagoya University, Nagoya, Aichi, Japan

Shingo Matsuo
✉ Department of Rehabilitation, Faculty of Health Sciences, Nihon Fukushi University, 26-2 Higashihaemi-cho, Handa, Aichi 475-0012, Japan
Email: matsuo@n-fukushi.ac.jp
Received: 15-04-2025 -- Accepted: 22-05-2025
Published (online): 01-06-2025

ABSTRACT

Dynamic stretching (DS) uses a controlled movement through the range of motion (ROM) of the active joint(s) by contracting the agonist muscles without being held in an end position. In contrast, ballistic stretching (BS) typically uses uncontrolled movements of a higher velocity with bouncing actions. However, BS is often considered to be a form of DS. When considered together, DS and BS reportedly increase flexibility, evidenced by single- and multiple-joint ROM improvements and other measurements. However, a meta-analysis with subgroup analyses revealing the acute effects of DS and BS on flexibility in detail, independently of other stretching methods, has yet to be conducted. The purpose of this meta-analysis was to investigate the acute effects of DS and BS on flexibility in healthy participants. The PubMed, Web of Science, and Scopus databases were searched for eligible papers published before September 9, 2024; 17 papers were included in the meta-analysis. The main meta-analysis was performed with a random-effect model, and subgroup analyses were performed to examine the effects of age (young vs. middle-aged and older), sex (male vs. mixed sex), stretching methods (DS vs. BS), stretched muscles (hamstrings vs. plantar flexors vs. multiple muscles), and flexibility outcomes (single-joint ROM vs. straight-leg raise test vs. sit-and-reach test). A small increase in flexibility was found following DS and BS (considered together) (effect size = 0.372, Z = 3.936, 95% confidence interval = 0.187–0.557, p < 0.001, I2 = 27%). Subgroup analyses revealed no significant differences between age (p = 0.24), sex (p = 0.76), stretching method (p = 0.83), stretched muscle (p = 0.20), or flexibility outcome (p = 0.34) groups. Our results suggest that DS and BS effectively provide acute, small-magnitude improvements in flexibility that are not significantly affected by individual characteristics, stretching methods, stretched muscles, or flexibility outcomes.

Key words: Warm-up exercise, ballistic stretching, range of motion, sit-and-reach test, healthy participants

Key Points
  • We conducted a meta-analysis to clarify the acute effects of dynamic and ballistic stretching on flexibility in healthy participants.
  • Flexibility significantly increases after an acute bout of dynamic or ballistic stretching with a small effect size.
  • No significant differences were observed for age, sex, stretching methods, stretched muscles, or flexibility outcomes.








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