Influence of hip-flexion angle on hamstrings isokinetic activity in sprinters

J Athl Train. 2012 Jul-Aug;47(4):390-5. doi: 10.4085/1062-6050-47.4.04.

Abstract

Context: Hamstrings strains are common and debilitating injuries in many sports. Most hamstrings exercises are performed at an inadequately low hip-flexion angle because this angle surpasses 70° at the end of the sprinting leg's swing phase, when most injuries occur.

Objective: To evaluate the influence of various hip-flexion angles on peak torques of knee flexors in isometric, concentric, and eccentric contractions and on the hamstrings-to-quadriceps ratio.

Design: Descriptive laboratory study.

Setting: Research laboratory.

Patients and other participants: Ten national-level sprinters (5 men, 5 women; age = 21.2 ± 3.6 years, height = 175 ± 6 cm, mass = 63.8 ± 9.9 kg).

Intervention(s): For each hip position (0°, 30°, 60°, and 90° of flexion), participants used the right leg to perform (1) 5 seconds of maximal isometric hamstrings contraction at 45° of knee flexion, (2) 5 maximal concentric knee flexion-extensions at 60° per second, (3) 5 maximal eccentric knee flexion-extensions at 60° per second, and (4) 5 maximal eccentric knee flexionextensions at 150° per second.

Main outcome measure(s): Hamstrings and quadriceps peak torque, hamstrings-to-quadriceps ratio, lateral and medial hamstrings root mean square.

Results: We found no difference in quadriceps peak torque for any condition across all hip-flexion angles, whereas hamstrings peak torque was lower at 0° of hip flexion than at any other angle (P < .001) and greater at 90° of hip flexion than at 30° and 60° (P < .05), especially in eccentric conditions. As hip flexion increased, the hamstrings-to-quadriceps ratio increased. No difference in lateral or medial hamstrings root mean square was found for any condition across all hip-flexion angles (P > .05).

Conclusions: Hip-flexion angle influenced hamstrings peak torque in all muscular contraction types; as hip flexion increased, hamstrings peak torque increased. Researchers should investigate further whether an eccentric resistance training program at sprint-specific hip-flexion angles (70° to 80°) could help prevent hamstrings injuries in sprinters. Moreover, hamstrings-to-quadriceps ratio assessment should be standardized at 80° of hip flexion.

MeSH terms

  • Biomechanical Phenomena
  • Exercise
  • Female
  • Hip Injuries / prevention & control
  • Hip Joint / physiology*
  • Humans
  • Isometric Contraction
  • Knee Joint
  • Male
  • Muscle Contraction / physiology*
  • Muscle, Skeletal / injuries
  • Muscle, Skeletal / physiology
  • Range of Motion, Articular*
  • Running / physiology*
  • Sprains and Strains / prevention & control*
  • Torque
  • Young Adult