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The impact of hamstring holds or lengthening exercises on strength, muscle architecture and morphology.

The impact of an isometric or eccentric exercise on strength, muscle architecture and morphology in healthy, recreationally active males

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12621000813886
Enrollment
24
Registered
2021-06-28
Start date
2021-02-15
Completion date
2021-09-30
Last updated
2022-06-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Hamstring strain injuries (HSI) represent the most common cause of time lost from competition within various running based sports. Persistent deficits in BFlh muscle volume has been found in athletes up to two years following HSI rehabilitation. Deficits in BFlh muscle volume likely impact on hamstring strength, which may contribute to persistent shortfalls in athletic performance seen after return to sport following HSI. In pennate muscles like the BFlh, most of the force produced during contraction is transmitted through the aponeurosis to the tendon and onto the bone. Theoretically, a stronger and bigger muscle would have a larger aponeurosis than smaller muscles to safely transmit the force produced during contractions. However, this isn’t the case in the BFlh. As such, understanding the adaptability of the aponeurosis is also important for HSI prevention and rehabilitation. Exercises that eccentrically load the hamstrings are effective at improving eccentric knee flexor strength, hamstring muscle volume and BFlh fascicle length, however the majority of interventions have focussed on knee-based exercises. There is potential that performing an eccentric only hip extension may lead to even greater adaptations, however, such an exercise has not been investigated nor has an isometric variation. The purpose of this study is to investigate the impact of an eccentric or isometric hip-extension exercise on hamstring strength, BFlh fascicle length, muscle volume and aponeurosis size. It is hypothesized that the eccentric training group will see greater improvements in strength, fascicle length, muscle volume and aponeurosis size than the isometric group following the intervention.

Interventions

This research will require participants to undertake a 6-week training intervention with either an isometric or eccentric hip extension exercise which are designed to improve the strength and size of your hamstring muscles. Participants will be randomly enrolled (based on their muscle ultrasound results) into a progressive intensity training program with each session lasting no more than 30min in duration. The volume and intensity of the exercise sessions will be gradually increased throughout t

This research will require participants to undertake a 6-week training intervention with either an isometric or eccentric hip extension exercise which are designed to improve the strength and size of your hamstring muscles. Participants will be randomly enrolled (based on their muscle ultrasound results) into a progressive intensity training program with each session lasting no more than 30min in duration. The volume and intensity of the exercise sessions will be gradually increased throughout the training period to minimise the risk of injury and to allow for progressive overload (gradual improvements in strength over time). For example, in the first training session participants will complete lower amounts of repetitions compared to their final session where they will be completing the efforts with additional weight and more repetitions. isometric hip extension: to be used during the isometric intervention Participants will be placed on a hip extension device and asked to contract while not moving. They will undertake this using one leg, with the opposite limb acting as a control comparison. Once they become proficient at a certain intensity, then will be added weight to ensure all efforts are undertaken at perceived intensities >8 out of 10. eccentric hip extension: to be used during the eccentric intervention Participants will be placed on a hip extension device and asked to contract while lowering their upper body. They will undertake this using one leg, with the opposite limb acting as a control comparison. Once they become proficient at a certain intensity, then will be added weight to ensure all efforts are undertaken at perceived intensities >8 out of 10. Isometric exercise intervention: Week 1 – 2 sessions, 4 repetitions, 10 seconds each repetition = 80 seconds Week 2 – 2 sessions, 4 repetitions, 10 seconds each repetition = 80 seconds Week 3 – 2 sessions, 4 repetitions, 10 seconds each repetition = 80 seconds Week 4 – 2 sessions, 6 repetitions, 10 seconds each repetition = 120 seconds Week 5 – 2 sessions, 6 repetitions, 10 seconds each repetition = 160 seconds Week 6 – 2 sessions, 6 repetitions, 10 seconds each repetition = 200 seconds All efforts will be performed at a perceived intensity of >8 out of 10, whilst correct exercise technique was maintained. Once intensity is <8, additional weight will be held across the chest by the participant. Eccentric exercise intervention: Week 1 – 2 sessions, 2 sets, 4 repetitions, 5 second per repetition = 80 seconds Week 2 – 2 sessions, 2 sets, 4 repetitions, 5 second per repetition = 80 seconds Week 3 – 2 sessions, 2 sets, 4 repetitions, 5 second per repetition = 80 seconds Week 4 – 2 sessions, 3 sets, 4 repetitions, 5 second per repetition = 120 seconds Week 5 – 2 sessions, 4 sets, 4 repetitions, 5 second per repetition = 160 seconds Week 6 – 2 sessions, 5 sets, 4 repetitions, 5 second per repetition = 200 seconds All efforts will be performed at a perceived intensity of >8 out of 10, whilst correct exercise technique was maintained. Once intensity is <8, additional weight will be held across the chest by the participant. The intervention for each participant will be personalised to their perception of intensity. The researchers will ask the participant how they rate the intensity of effort following each effort. The weight held to their chest will then be modified to ensure each repetition was performed at perceived intensities >8 out of 10 with 10 as an absolutely maximum and 1 being no effort at all. Adherence to the intervention will be monitored via a session attendance checklist (Yes/No) with the number of total attended sessions being used to compare compliance between the groups.

Sponsors

Australian Catholic University
Lead SponsorUniversity

Study design

Allocation
Randomised controlled trial
Intervention model
Other
Primary purpose
Treatment
Masking
Blinded (masking used) (Investigator)

Eligibility

Sex/Gender
Male
Age
18 Years to 40 Years
Healthy volunteers
Yes

Inclusion criteria

Healthy, recreationally active males

Exclusion criteria

History of significant lower limb, back or wrist injury in the last 36 months.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026