Comparison of electromyographic activity during Nordic hamstring exercise and exercises in lengthened position


Submitted: 10 March 2020
Accepted: 26 March 2020
Published: 17 June 2020
Abstract Views: 812
PDF: 565
HTML: 51
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Hamstring strain injuries remain among the most problematic and most frequent sport injuries. Two of the most effective methods for prevention and rehabilitation of the hamstring strain injuries are: classic eccentric training using the Nordic hamstring exercise (NHE) and eccentric training in a lengthened position using the glider exercise. Both exercises have disadvantages that could be fixed by adding hip flexion during the NHE. Thus, the purpose of the study was to compare peak hamstring activity (measured by electromyography) between three eccentric exercises: the standard NHE, the modified NHE and the glider. Differences were statistically tested with the analysis of the variance for repeated measurements and the paired 2-tailed post-hoc t-test. Hamstring activity during the modified NHE was significantly lower compared to the NHE and significantly higher compared to the glider. The results indicate that implementing the modified NHE could increase the effectiveness of already established rehabilitation protocols and help reduce the risk of hamstring (re-)injury.


Ekstrand J, Waldén M, Hägglund M. Hamstring injuries have increased by 4% annually in men’s professional football, since 2001: A 13-year longitudinal analysis of the UEFA Elite Club injury study. Br J Sports Med 2016;50:731–7. DOI: https://doi.org/10.1136/bjsports-2015-095359

Roe M, Murphy JC, Gissane C, Blake C. Lower limb injuries in men’s elite Gaelic football: A prospective investigation among division one teams from 2008 to 2015. J Sci Med Sport [Internet] 2018;21:155–9. DOI: https://doi.org/10.1016/j.jsams.2017.08.023

Opar DA, Drezner J, Shield A, et al. Acute hamstring strain injury in track-and-field athletes: A 3-year observational study at the Penn Relay Carnival. Scand J Med Sci Sports 2014;24:254–9. DOI: https://doi.org/10.1111/sms.12159

Ekstrand J, Hägglund M, Waldén M. Injury incidence and injury patterns in professional football: The UEFA injury study. Br J Sports Med 2011;45:553–8. DOI: https://doi.org/10.1136/bjsm.2009.060582

Brooks JHM, Fuller CW, Kemp SPT, Reddin DB. Incidence, risk, and prevention of hamstring muscle injuries in professional rugby union. Am J Sports Med 2006;34:1297–306. DOI: https://doi.org/10.1177/0363546505286022

Chumanov ES, Heiderscheit BC, Thelen DG. Hamstring musculotendon dynamics during stance and swing phases of high-speed running. Med Sci Sports Exerc 2011;43:525–32. DOI: https://doi.org/10.1249/MSS.0b013e3181f23fe8

Al Attar WSA, Soomro N, Sinclair PJ, et al. Effect of Injury Prevention Programs that Include the Nordic Hamstring Exercise on Hamstring Injury Rates in Soccer Players: A Systematic Review and Meta-Analysis. Sport Med 2017;47:907–16. DOI: https://doi.org/10.1007/s40279-016-0638-2

Timmins RG, Bourne MN, Shield AJ, et al. Short biceps femoris fascicles and eccentric knee flexor weakness increase the risk of hamstring injury in elite football (soccer): A prospective cohort study. Br J Sports Med 2016;50:1524–35. DOI: https://doi.org/10.1136/bjsports-2015-095362

Koulouris G, Connell DA, Brukner P, Schneider-Kolsky M. Magnetic resonance imaging parameters for assessing risk of recurrent hamstring injuries in elite athletes. Am J Sports Med 2007;35:1500–6. DOI: https://doi.org/10.1177/0363546507301258

Delahunt E, McGroarty M, De Vito G, Ditroilo M. Nordic hamstring exercise training alters knee joint kinematics and hamstring activation patterns in young men. Eur J Appl Physiol 2016;116:663–72. DOI: https://doi.org/10.1007/s00421-015-3325-3

Alonso‐Fernandez, D., Docampo‐Blanco P, Martinez‐Fernandez J. Changes in muscle architecture of biceps femoris induced by eccentric strength training with nordic hamstring exercise. Scand J Med Sci Sports 2018;28:88–94. DOI: https://doi.org/10.1111/sms.12877

Askling C, Tengvar M, Tarassova O, Thorstensson A. Acute hamstring injuries in Swedish elite sprinters and jumpers: A prospective randomised controlled clinical trial comparing two rehabilitation protocols. Br J Sports Med 2014;48:532–9. DOI: https://doi.org/10.1136/bjsports-2013-093214

Askling C, Tengvar M, Thorstensson A. Acute hamstring injuries in Swedish elite football: a prospective randomised controlled clinical trial comparing two rehabilitation protocols. Br J Sports Med 2013;47:953–9. DOI: https://doi.org/10.1136/bjsports-2013-092165

Zebis MK, Skotte J, Andersen CH, et al. Kettlebell swing targets semitendinosus and supine leg curl targets biceps femoris: An EMG study with rehabilitation implications. Br J Sports Med 2013;47:1192–8. DOI: https://doi.org/10.1136/bjsports-2011-090281

Bourne MN, Duhig SJ, Timmins RG, et al. Impact of the Nordic hamstring and hip extension exercises on hamstring architecture and morphology: Implications for injury prevention. Br J Sports Med 2017;51:469–77. DOI: https://doi.org/10.1136/bjsports-2016-096130

Severini G, Holland D, Drumgoole A, et al. Kinematic and electromyographic analysis of the Askling L-Protocol for hamstring training. Scand J Med Sci Sport 2018;28:2536–46. DOI: https://doi.org/10.1111/sms.13288

Giacomo J-P, Lahti J, Hegyi A, et al. A new testing and training device for hamstring muscle function. Sport Performance Sci Reports 2018;40:1–4. 18.

Šarabon N, Marušič J, Marković G, Kozinc Ž. Kinematic and electromyographic analysis of variations in Nordic hamstring exercise. PLoS One 2019;14:1–16. DOI: https://doi.org/10.1371/journal.pone.0223437

Hermens HJ, Freriks B, Merletti R, et al. European recommendations for surface electromyography. Roessingh Res Dev 1999;8:13–54.

Cohen J. Statistical Power Analysis for the Behavioral Sciences. Abingdon: Routledge; 1988.

Hegyi A, Lahti J, Giacomo JP, et al. Impact of hip flexion angle on unilateral and bilateral nordic hamstring exercise torque and high- density electromyography activity. J Orthop Sports Phys Ther 2019;49:584–92. DOI: https://doi.org/10.2519/jospt.2019.8801

Bourne MN, Opar DA, Williams MD, et al. Muscle activation patterns in the Nordic hamstring exercise: Impact of prior strain injury. Scand J Med Sci Sport 2016;26:666–74. DOI: https://doi.org/10.1111/sms.12494

Guex K, Degache F, Morisod C, et al. Hamstring architectural and functional adaptations following long vs. short muscle length eccentric training. Front Physiol 2016:1–9. DOI: https://doi.org/10.3389/fphys.2016.00340

Ditroilo M, De Vito G, Delahunt E. Kinematic and electromyographic analysis of the Nordic hamstring exercise. J Electromyogr Kinesiol 2013;23:1111–8. DOI: https://doi.org/10.1016/j.jelekin.2013.05.008

Supporting Agencies

Slovenian Research Agency

Marušič, J., & Šarabon, N. (2020). Comparison of electromyographic activity during Nordic hamstring exercise and exercises in lengthened position. European Journal of Translational Myology, 30(2), 234–239. https://doi.org/10.4081/ejtm.2020.8957

Downloads

Download data is not yet available.

Citations


Similar Articles

You may also start an advanced similarity search for this article.