Muscle- and Region-Specific Associations Between Muscle Size and Muscular Strength During Hip Extension and Knee Flexion in the Hamstrings

2021 ◽  
pp. 1-6
Author(s):  
Raki Kawama ◽  
Masamichi Okudaira ◽  
Hirohiko Maemura ◽  
Satoru Tanigawa
Keyword(s):  
Knee Flexion ◽  
Muscular Strength ◽  
Sports Injuries ◽  
Biceps Femoris ◽  
Muscle Size ◽  
Cross Sectional ◽  
Long Head ◽  
Hip Extension ◽  
Flexion Strength ◽  
Biceps Femoris Long Head

Context: Strength deficits of the hamstrings following sports injuries decrease athletic performance and increase the risk of injury recurrence. Previous studies have shown a high correlation between the muscular strength during hip-extension and knee-flexion and total muscle size of the hamstrings. However, it remains unclear which region of the individual hamstring muscles is closely associated with muscular strength. Objective: To investigate the relationship between the size of each region of the individual hamstring muscles and muscular strength during hip extension and knee flexion. Design: Within-subject repeated measures. Setting: University laboratory. Participants: Twenty healthy young male volunteers who regularly engaged in sports activities. Outcome Measures: Anatomical cross-sectional areas were acquired from the proximal, middle, and distal regions of the biceps femoris long head, biceps femoris short head, semitendinosus, and semimembranosus. Hip-extension and knee-flexion strength were measured during maximal voluntary isometric and concentric contractions (angular velocities of 60°/s and 180°/s). Results: The anatomical cross-sectional area of the distal regions in biceps femoris long head (r = .525–.642) and semitendinosus (r = .567) were significantly correlated with hip-extension strength under all conditions and only at an angular velocity of 180°/s, respectively. Meanwhile, anatomical cross-sectional areas of the distal regions in biceps femoris short head (r = .587–.684) and semimembranosus (r = .569–.576) were closely associated with knee-flexion strength under all conditions. Conclusion: These results suggest that muscle size in the distal regions of biceps femoris long head and semitendinosus greatly contributes to the production of hip-extension strength, whereas that of biceps femoris short head and semimembranosus significantly contributes to the generation of knee-flexion strength. These findings could be useful for designing training and rehabilitation programs to efficiently improve strength deficits following sports injuries such as strain injury and anterior cruciate ligament tears.

scholarly journals Muscle Recruitment Pattern of The Hamstring Muscles in Hip Extension and Knee Flexion Exercises

2020 ◽  
Vol 72 (1) ◽  
pp. 51-59 ◽  
Author(s):  
Osamu Yanagisawa ◽  
Atsuki Fukutani
Keyword(s):  
Knee Flexion ◽  
Biceps Femoris ◽  
Peak Torque ◽  
Total Work ◽  
Recruitment Pattern ◽  
Concentric Contractions ◽  
Hamstring Muscles ◽  
Long Head ◽  
S Peak ◽  
Hip Extension

AbstractWe aimed to compare dynamic exercise performance between hip extension exercises with different knee angles and between knee flexion exercises with different hip angles, and to investigate the recruitment pattern of the hamstrings in each exercise. Seven men performed 4 isokinetic exercises (3 maximal concentric contractions at 30°/s (peak torque) and 30 maximal concentric contractions at 180°/s (total work)): hip extension with the knee fully extended (HEke) and with the knee flexed at 90° (HEkf) and knee flexion with the hip fully extended (KFhe) and with the hip flexed at 90° (KFhf). The recruitment pattern of the hamstrings was evaluated in each exercise using magnetic resonance imaging (T2 calculation). The HEke condition showed significantly greater peak torque than the HEkf condition (p < 0.05). The KFhf condition had significantly greater peak torque and total work values than the KFhe condition (p < 0.05). Although the biceps femoris long head, semitendinosus, and semimembranosus had significantly increased post-exercise T2 values in the HEke (p < 0.05), KFhe, and KFhf conditions (p < 0.01), the T2 increase values were significantly greater under the KFhf than the HEke condition (p < 0.05). The semitendinosus showed a significantly greater T2 increase value than other muscles under both KFhe and KFhf conditions (p < 0.05). Performance of hip extension and knee flexion exercises increases when the hamstring muscles are in a lengthened condition. The hamstring muscles (particularly the semitendinosus) are more involved in knee flexion than in hip extension.

scholarly journals Biceps Femoris Long Head Muscle Fascicles Actively Lengthen During the Nordic Hamstring Exercise

2021 ◽  
Vol 3 ◽  
Author(s):  
Brent J. Raiteri ◽  
Ronja Beller ◽  
Daniel Hahn
Keyword(s):  
Knee Flexion ◽  
Injury Risk ◽  
Biceps Femoris ◽  
Muscle Architecture ◽  
Muscle Action ◽  
Hamstring Muscle ◽  
Tracking Algorithms ◽  
Muscle Fascicle ◽  
Long Head ◽  
Biceps Femoris Long Head

Current debate exists around whether a presumed eccentric exercise, the Nordic hamstring exercise (NHE), actually causes active hamstring muscle lengthening. This is because of the decoupling that can occur between the muscle fascicle and muscle-tendon unit (MTU) length changes in relatively compliant human lower-limb MTUs, which results in MTU lengthening not necessarily causing muscle fascicle lengthening. This missing knowledge complicates the interpretation of why the NHE is effective at reducing running-related hamstring muscle injury risk in athletes previously unfamiliar with performing this exercise. The purpose of the study was therefore to investigate if the most-commonly injured hamstring muscle, the biceps femoris long head (BF), exhibits active muscle lengthening (i.e. an eccentric muscle action) during the NHE up until peak force in Nordic novices. External reaction force at the ankle, knee flexion angle, and BF and semitendinosus muscle activities were recorded from the left leg of 14 participants during the NHE. Simultaneously, BF muscle architecture was imaged using B-mode ultrasound imaging, and muscle architecture changes were tracked using two different tracking algorithms. From ~85 to 100% of peak NHE force, both tracking algorithms detected that BF muscle fascicles (n = 10) significantly lengthened (p &lt; 0.01) and had a mean positive lengthening velocity (p ≤ 0.02), while knee extension velocity remained positive (17°·s−1) over knee flexion angles from 53 to 37° and a duration of 1.6 s. Despite some individual cases of brief isometric fascicle behavior and brief fascicle shortening during BF MTU lengthening, the predominant muscle action was eccentric under a relatively high muscle activity level (59% of maximum). Eccentric hamstring muscle action therefore does occur during the NHE in relatively strong (429 N) Nordic novices, which might contribute to the increase in resting BF muscle fascicle length and reduction in running-related injury risk, which have previously been reported following NHE training. Whether an eccentric BF muscle action occurs in individuals accustomed to the NHE remains to be tested.

scholarly journals Biceps Femoris Activation during Hamstring Strength Exercises: A Systematic Review

2021 ◽  
Vol 18 (16) ◽  
pp. 8733
Author(s):  
Luis Llurda-Almuzara ◽  
Noé Labata-Lezaun ◽  
Carlos López-de-Celis ◽  
Ramón Aiguadé-Aiguadé ◽  
Sergi Romaní-Sánchez ◽  
...  
Keyword(s):  
Systematic Review ◽  
Isometric Contraction ◽  
Biceps Femoris ◽  
Cochrane Library ◽  
Exclusion Criteria ◽  
Maximal Voluntary Isometric Contraction ◽  
Cross Sectional ◽  
Strength Exercises ◽  
Long Head ◽  
Biceps Femoris Long Head

Background: The aim of the study was to systematically evaluate the biceps femoris long head activation across cross-sectional hamstring strength exercise studies. Methods: A systematic review design was followed. The search strategy conducted in PubMed, Cochrane Library, and Web of Sciences databases found a total of 3643 studies. Once inclusion and exclusion criteria were applied, 29 studies were finally included in this systematic review. A total of 507 participants and 114 different exercises were analyzed. Exercises were evaluated individually and grouped into several categories: Nordics, isokinetic exercises, lunges, squats, deadlifts, good mornings, hip thrusts, bridges, leg curls, swings, hip and back extensions, and others. Results: Results showed the isokinetic and Nordic exercises as the categories with highest biceps femoris activation (>60% of Maximal Voluntary Isometric Contraction). Nordic hamstring exercise ankle dorsiflexion was the exercise that achieved the highest biceps femoris long head activation (128.1% of its Maximal Voluntary Isometric Contraction). Conclusions: The results from this systematic review suggest that isokinetic and Nordic exercises seem to be the best option to activate biceps femoris long head. Future studies evaluating the implementation of these exercises in prevention programs are needed.

Poststretch Isometric Contractions of the Hamstrings: Just a Brief Stretch to Achieve Supramaximal Isometric Force

2021 ◽  
pp. 1-7
Author(s):  
Neil Chapman ◽  
John William Whitting ◽  
Suzanne Broadbent ◽  
Zachary Crowley-McHattan ◽  
Rudi Meir
Keyword(s):  
Isometric Contraction ◽  
Knee Flexion ◽  
Isometric Force ◽  
Biceps Femoris ◽  
Isometric Contractions ◽  
Maximal Voluntary Isometric Contraction ◽  
Hamstring Strain ◽  
Long Head ◽  
Biceps Femoris Long Head ◽  
Knee Flexors

Hamstring strain injuries are common in sport. Supramaximal eccentric or high-intensity isometric contractions are favored in hamstring strain injury prevention. The effect of combining these contraction modes in such prevention programs as a poststretch isometric contraction is unknown. Poststretch isometric contractions incorporate an active stretch and result in greater final isometric force than isometric contractions at comparable joint angles. This study compared torque and muscle activation levels between maximal voluntary isometric contraction and maximal poststretch isometric contractions of the knee flexors. Participants (n = 9) completed baseline maximal voluntary isometric contraction at 150° knee flexion and maximal poststretch isometric contractions at 120° knee flexion actively stretching at 60°/s to 150° knee flexion for final isometric contraction. Torque of the knee flexors and surface electromyography root mean square (sEMGRMS) of biceps femoris long head were simultaneously recorded and compared between baseline and poststretch isometric at 150° knee flexion. Torque was 14% greater in the poststretch isometric condition compared with baseline maximal voluntary isometric contraction (42.45 [20.75] N·m, 14% [22.18%], P < .001) without increase in sEMGRMS of biceps femoris long head (−.03 mV, ±.06, P = .130, d = .93). Poststretch isometric contractions resulted in supramaximal levels of poststretch isometric torque without increased activation of biceps femoris long head.

scholarly journals The task dependent differences in electromyography activity of hamstring muscles during leg curls and hip extensions

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0245838
Author(s):  
Norikazu Hirose ◽  
Yoshinori Kagaya ◽  
Masaaki Tsuruike
Keyword(s):  
Biceps Femoris ◽  
Distal Region ◽  
Voluntary Contraction ◽  
Proximal Region ◽  
Task Type ◽  
Emg Activity ◽  
Hamstring Muscles ◽  
Long Head ◽  
Hip Extension ◽  
Biceps Femoris Long Head

This study aimed to investigate the influence of the task type on the relative electromyography (EMG) activity of biceps femoris long head (BFlh) to semitendinosus (ST) muscles, and of proximal to distal regions during isometric leg-curl (LC) and hip-extension (HE). Twenty male volunteers performed isometric LC with the knee flexed to 30° (LC30) and 90° (LC90), as well as isometric HE with the knee extended (HE0) and flexed to 90° (HE90), at 40% and 100% maximal voluntary contraction (MVIC). Hip position was neutral in all conditions. EMG activity was recorded from the proximal and distal region of the BFlh and ST muscles. BFlh/ST was calculated from the raw root-mean-square (RMS) amplitudes. The RMS of 40% MVIC was normalized using MVIC data and the proximal/distal (P/D) ratio of normalized EMG (NEMG) was calculated. The BFlh/ST ratio was higher in HE0 than in LC90 during MVIC and 40% MVIC (p<0.05), and was higher in HE90 than in LC90 (p<0.05) during 40% MVIC at the proximal region, whereas no difference was observed between HE0 and LC30. There was no inter-task difference in BFlh/ST ratio in the distal region. Furthermore, the P/D ratio was higher in LC90 than in LC30 and HE0 (p<0.05) in BFlh and ST muscles, and was higher in HE90 than in LC30 and HE0 (p<0.05) in BFlh during 40% MVIC. However, there was no difference in P/D ratio between LC30 and LC90, and HE0 and HE90. This showed that there was no task-dependent difference in the EMG activity of the BFlh muscle relative to the ST muscle between prone hip extension and prone knee flexion when the knee joint was set at an equivalent angle. Similarly, there was no task-dependent difference in the NEMG of the proximal region relative to the distal region in BFlh and ST muscles during 40% MVIC.

scholarly journals Regional Differences in Biceps Femoris Long Head Stiffness during Isometric Knee Flexion

2021 ◽  
Vol 6 (1) ◽  
pp. 18
Author(s):  
João R. Vaz ◽  
Tiago Neto ◽  
José Pedro Correia ◽  
Jorge Infante ◽  
Sandro R. Freitas
Keyword(s):  
Knee Flexion ◽  
Muscle Length ◽  
Biceps Femoris ◽  
Proximal Region ◽  
Muscle Stiffness ◽  
Future Research ◽  
Maximum Voluntary Isometric Contraction ◽  
Study Results ◽  
Long Head ◽  
Biceps Femoris Long Head

This study sought to investigate whether the stiffness of the biceps femoris long head differs between proximal and distal regions during isometric knee flexion at different contraction intensities and muscle lengths. Twelve healthy individuals performed knee flexion isometric contractions at 20% and 60% of maximum voluntary isometric contraction, with the knee flexed at 15 and 45 degrees. Muscle stiffness assessment was performed using ultrasound-based shear wave elastography. Proximal and distal regions of the biceps femoris long head were assessed. Biceps femoris long head muscle showed a greater stiffness (i) in the distal region, (ii) at higher contraction intensity, and (iii) at longer muscle length. The proximal-to-distal stiffness ratio was significantly lower than 1 (i.e., heterogenous) at lower contraction intensity regardless of the muscle length. However, this was not observed at higher contraction intensity. This study is the first to show heterogeneity in the active stiffness of the biceps femoris long head. Given the greater incidence of injury at the proximal region of biceps femoris long head, this study opens new directions for future research. Additionally, the present study results indicate that studies assessing muscle stiffness at one single muscle region should be interpreted with caution.

scholarly journals Poor agreement between ultrasound and inbuilt diffusion tensor MRI measures of biceps femoris long head fascicle length

2018 ◽  
Vol 2 (2) ◽  
pp. 58-63 ◽  
Author(s):  
Fearghal P. Behan ◽  
Robin Vermeulen ◽  
Tessa Smith ◽  
Javier Arnaiz ◽  
Rodney Whiteley ◽  
...  
Keyword(s):  
Diffusion Tensor ◽  
Biceps Femoris ◽  
Diffusion Tensor Mri ◽  
Poor Agreement ◽  
Fascicle Length ◽  
Long Head ◽  
Biceps Femoris Long Head

Biceps femoris long head muscle fascicle length does not differ between sexes

2019 ◽  
Vol 37 (21) ◽  
pp. 2452-2458
Author(s):  
Fearghal P. Behan ◽  
Rachael Moody ◽  
Tejal Sarika Patel ◽  
Edward Lattimore ◽  
Thomas M. Maden-Wilkinson ◽  
...  
Keyword(s):  
Biceps Femoris ◽  
Fascicle Length ◽  
Muscle Fascicle ◽  
Long Head ◽  
Biceps Femoris Long Head

scholarly journals MR biomarkers predict clinical function in Duchenne muscular dystrophy

Neurology ◽  
2020 ◽  
Vol 94 (9) ◽  
pp. e897-e909 ◽  
Author(s):  
Alison M. Barnard ◽  
Rebecca J. Willcocks ◽  
William T. Triplett ◽  
Sean C. Forbes ◽  
Michael J. Daniels ◽  
...  
Keyword(s):  
Duchenne Muscular Dystrophy ◽  
Muscular Dystrophy ◽  
Lower Extremity ◽  
Vastus Lateralis ◽  
Strong Relationship ◽  
Biceps Femoris ◽  
Loss Of Function ◽  
Long Head ◽  
Biceps Femoris Long Head ◽  
Over Time

ObjectiveTo investigate the potential of lower extremity magnetic resonance (MR) biomarkers to serve as endpoints in clinical trials of therapeutics for Duchenne muscular dystrophy (DMD) by characterizing the longitudinal progression of MR biomarkers over 48 months and assessing their relationship to changes in ambulatory clinical function.MethodsOne hundred sixty participants with DMD were enrolled in this longitudinal, natural history study and underwent MR data acquisition of the lower extremity muscles to determine muscle fat fraction (FF) and MRI T2 biomarkers of disease progression. In addition, 4 tests of ambulatory function were performed. Participants returned for follow-up data collection at 12, 24, 36, and 48 months.ResultsLongitudinal analysis of the MR biomarkers revealed that vastus lateralis FF, vastus lateralis MRI T2, and biceps femoris long head MRI T2 biomarkers were the fastest progressing biomarkers over time in this primarily ambulatory cohort. Biomarker values tended to demonstrate a nonlinear, sigmoidal trajectory over time. The lower extremity biomarkers predicted functional performance 12 and 24 months later, and the magnitude of change in an MR biomarker over time was related to the magnitude of change in function. Vastus lateralis FF, soleus FF, vastus lateralis MRI T2, and biceps femoris long head MRI T2 were the strongest predictors of future loss of function, including loss of ambulation.ConclusionsThis study supports the strong relationship between lower extremity MR biomarkers and measures of clinical function, as well as the ability of MR biomarkers, particularly those from proximal muscles, to predict future ambulatory function and important clinical milestones.ClinicalTrials.gov identifierNCT01484678.

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