The effect of the contract-relax-agonist-contract (CRAC) stretch of hamstrings on range of motion, sprint and agility performance in moderately active males: A randomised control trial
- PMID: 36818002
- PMCID: PMC9924577
- DOI: 10.17159/2078-516X/2019/v31i1a6091
The effect of the contract-relax-agonist-contract (CRAC) stretch of hamstrings on range of motion, sprint and agility performance in moderately active males: A randomised control trial
Abstract
Background: Although stretching is done routinely to prevent injury during explosive sport activities, there is some concern that effective stretching might negatively impact on performance.
Objective: This study's main objective was to investigate the impact of a specific stretch, the contract-relax-agonist-contract (CRAC) stretch, in which the muscle to be stretched, namely, the hamstrings, is actively contracted and then relaxed. This is followed by the antagonist muscle (the quadriceps) contracting. Secondly, the impact of the stretch on performance was examined.
Methods: A randomised control trial was used. Forty healthy active males between 21 and 35 years old were assigned to either receive three repetitions of CRAC or rest. Hamstring flexibility and the Illinois Agility Test were the primary outcome measures.
Results: The intervention was effective in improving hamstring flexibility by 37% immediately post-application and was maintained for eight minutes thereafter. It had no significant effect on agility or sprint times.
Conclusion: CRAC, when applied to stretch the hamstring muscles of active males, resulted in a large increase of active knee extension range of motion, without decreasing performance. Therefore, CRAC appears to be a safe and effective method of increasing the length of the hamstrings pre-sport activity and should be utilised by sports physiotherapists if deemed necessary. It was also shown to be beneficial following the initial assessment.
Keywords: PNF; flexibility; knee; proprioceptive neuromuscular facilitation; sport performance.
Copyright © 2019 South African Journal of Sports Medicine.
Conflict of interest statement
Conflict of interest: The authors declare that they have no conflict of interest.
Figures

Similar articles
-
Efficacy of static stretching and proprioceptive neuromuscular facilitation stretch on hamstrings length after a single session.J Strength Cond Res. 2011 Jun;25(6):1586-91. doi: 10.1519/JSC.0b013e3181df7f98. J Strength Cond Res. 2011. PMID: 21386723 Clinical Trial.
-
Effects of two different stretching techniques on proprioception and hamstring flexibility: a pilot study.J Comp Eff Res. 2021 Sep;10(13):987-999. doi: 10.2217/cer-2021-0040. Epub 2021 Jul 7. J Comp Eff Res. 2021. PMID: 34231374
-
Muscle activation during proprioceptive neuromuscular facilitation (PNF) stretching techniques.Am J Phys Med. 1987 Oct;66(5):298-307. Am J Phys Med. 1987. PMID: 3434629
-
Hold-relax and contract-relax stretching for hamstrings flexibility: A systematic review with meta-analysis.Phys Ther Sport. 2019 Jan;35:42-55. doi: 10.1016/j.ptsp.2018.11.001. Epub 2018 Nov 3. Phys Ther Sport. 2019. PMID: 30423500
-
The Effectiveness of PNF Versus Static Stretching on Increasing Hip-Flexion Range of Motion.J Sport Rehabil. 2018 May 1;27(3):289-294. doi: 10.1123/jsr.2016-0098. Epub 2018 May 22. J Sport Rehabil. 2018. PMID: 28182516 Review.
Cited by
-
Acute Effects of Short Static, Dynamic, and Contract-Relax with Antagonist Contraction Stretch Modalities on Vertical Jump Height and Flexibility.Sports (Basel). 2025 Apr 10;13(4):115. doi: 10.3390/sports13040115. Sports (Basel). 2025. PMID: 40278741 Free PMC article.
References
-
- Brukner P, Clarsen B, Cook J, et al. Brukner & Khan’s Clinical Sports Medicine: Injuries, Vol. 1. 5th ed. Chapter 31. Sydney, Australia: McGraw-Hill Education; 2016. pp. 600–602.
LinkOut - more resources
Full Text Sources