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Acute Effects of Proprioceptive Neuromuscular Facilitation on Hamstring-to-Quadriceps Strength Ratio

Acute Effects of Proprioceptive Neuromuscular Facilitation and Static Stretching on Hamstring-to-Quadriceps Strength Ratio in Healthy Young Men

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07589712
Acronym
Acute Effects
Enrollment
23
Registered
2026-05-15
Start date
2025-03-05
Completion date
2025-04-20
Last updated
2026-05-15

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

Conditions

Muscle Strength Development, Muscle Strength, Neuromuscular Function

Keywords

PNF stretching, Static stretching, Hamstring quadriceps ratio, Isokinetic strength, Acute effect

Brief summary

This study aimed to compare the acute effects of proprioceptive neuromuscular facilitation (PNF) and static stretching on hamstring-to-quadriceps (H/Q) strength ratios in healthy young men. A randomized crossover design was used in which participants completed both stretching protocols on separate days. Isokinetic muscle strength and H/Q ratios were assessed following each intervention. The findings provide insight into the immediate effects of different stretching modalities on muscle balance and performance.

Detailed description

The present study investigated the acute effects of two commonly used stretching modalities-proprioceptive neuromuscular facilitation (PNF) and static stretching-on isokinetic muscle strength and hamstring-to-quadriceps (H/Q) ratios in physically active healthy young males. The study employed a randomized crossover design with repeated measures, allowing each participant to complete both experimental conditions under standardized laboratory settings. Participants attended three sessions: a familiarization session followed by two experimental sessions separated by at least 48 hours. Each experimental session included a standardized warm-up, followed by either PNF or static stretching intervention, and subsequent isokinetic strength testing. Peak torque values for quadriceps (concentric) and hamstrings (concentric and eccentric) were measured using an isokinetic dynamometer at 60°/s. Traditional and functional H/Q ratios were calculated. The primary aim was to determine whether these stretching modalities produce acute alterations in muscle strength and H/Q ratios. The study also examined whether the type of ratio (traditional vs. functional) significantly influences outcomes. Findings contribute to understanding the neuromuscular implications of stretching in warm-up protocols.

Interventions

Participants performed four repetitions of PNF stretching consisting of a 6-second isometric hamstring contraction at approximately 60% of maximal voluntary contraction followed by a 30-second passive stretch. Rest intervals were standardized.

OTHERStatic Stretching

Participants performed four repetitions of static hamstring stretching, each lasting 30 seconds, with 30-second rest intervals between repetitions.

Sponsors

Gümüşhane Universıty
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
OTHER
Masking
NONE

Intervention model description

Crossover Assignment

Eligibility

Sex/Gender
MALE
Age
18 Years to 25 Years
Healthy volunteers
Yes

Inclusion criteria

* Age between 18 - 25 years, healthy male individuals * Physically active (≥3 days/week, ≥30 min/day)

Exclusion criteria

* Musculoskeletal injury in the last 6 months * Any neurological or orthopedic disorder

Design outcomes

Primary

MeasureTime frameDescription
Hamstring-to-Quadriceps (H/Q) RatioImmediately after interventionBoth traditional (Hcon/Qcon) and functional (Hecc/Qcon) ratios were calculated using isokinetic peak torque values.

Secondary

MeasureTime frameDescription
Quadriceps Concentric Peak TorqueImmediately post-interventionQuadriceps Concentric Peak Torque
Hamstring Concentric Peak TorqueImmediately post-interventionHamstring Concentric Peak Torque
Hamstring Eccentric Peak TorqueImmediately post-interventionHamstring Eccentric Peak Torque

Countries

Turkey (Türkiye)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: May 16, 2026