Impact of the Nordic hamstring and hip extension exercises on hamstring architecture and morphology: implications for injury prevention.

Matthew N Bourne, Steven J Duhig, Ryan G Timmins, Morgan D Williams, David A Opar, Aiman Al Najjar, Graham K Kerr, Anthony J Shield

Journal: British journal of sports medicine 2017;51(5):469-477

PMID: 27660368

Abstract

BACKGROUND

The architectural and morphological adaptations of the hamstrings in response to training with different exercises have not been explored.

PURPOSE

To evaluate changes in biceps femoris long head (BF) fascicle length and hamstring muscle size following 10-weeks of Nordic hamstring exercise (NHE) or hip extension (HE) training.

METHODS

30 recreationally active male athletes (age, 22.0±3.6 years; height, 180.4±7 cm; weight, 80.8±11.1 kg) were allocated to 1 of 3 groups: (1) HE training (n=10), NHE training (n=10), or no training (control, CON) (n=10). BF fascicle length was assessed before, during (Week 5) and after the intervention with a two-dimensional ultrasound. Hamstring muscle size was determined before and after training via MRI.

RESULTS

Compared with , BF fascicles were lengthened in the NHE and HE groups at (d=1.12-1.39, p<0.001) and (d=1.77-2.17, p<0.001) and these changes did not differ significantly between exercises (d=0.49-0.80, p=0.279-0.976). BF volume increased more for the HE than the NHE (d=1.03, p=0.037) and CON (d=2.24, p<0.001) groups. Compared with the CON group, both exercises induced significant increases in semitendinosus volume (d=2.16-2.50, ≤0.002) and these increases were not significantly different (d=0.69, p=0.239).

CONCLUSION

NHE and HE training both stimulate significant increases in BF fascicle length; however, HE training may be more effective for promoting hypertrophy in the BF.

Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

Address: Department of Rehabilitation, Nutrition and Sport, La Trobe Sport and Exercise Medicine Research Centre, Melbourne, Victoria, Australia.; Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia.; Queensland Academy of Sport, Centre of Excellence for Applied Sport Science Research, Brisbane, Queensland, Australia.; Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia.; Faculty of Health, School of Exercise and Nutrition Science, Queensland University of Technology, Brisbane, Queensland, Australia.; School of Exercise Sciences, Australian Catholic University, Melbourne, Victoria, Australia.; Faculty of Life Sciences and Education, School of Health, Sport and Professional Practice, University of South Wales, Wales, UK.; Centre for Advanced Imaging, University of Queensland, Brisbane, Queensland, Australia.
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