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Updated: Mar 29, 2026

Muscle Imbalances: Testing and Training Functional Eccentric Hamstring Strength in Athletic Populations
Published on: May 1, 2018
Immediate effect of passive and active stretching on hamstrings flexibility: a single-blinded randomized control
Yuichi Nishikawa1, Junya Aizawa2, Naohiko Kanemura3
1Department of Clinical Neurosciences and Therapeutics, Graduate School of Biomedical and Health Science, Hiroshima University, Japan ; Department of Clinical Support, Hiroshima University Hospital, Japan.
Passive stretching significantly improved hamstring flexibility more than active stretching in healthy young adults. Both methods enhanced flexibility compared to no stretching, with passive techniques yielding superior immediate results.
Area of Science:
- Kinesiology
- Sports Medicine
- Physical Therapy
Background:
- Hamstring flexibility is crucial for athletic performance and injury prevention.
- Various stretching techniques exist, but their comparative efficacy for immediate hamstring flexibility gains is debated.
Purpose of the Study:
- To compare the immediate effects of passive stretching versus active stretching on hamstring flexibility.
- To determine which stretching method offers superior improvements in hamstring flexibility.
Main Methods:
- Fifty-four healthy young subjects were randomized into passive stretching, active stretching, or control groups.
- Stretching involved 3 sets of 10-second holds, performed either passively by an examiner or actively by the subject.
- Hamstring flexibility was assessed using the active knee-extension test before and after the intervention.
Main Results:
- Both active and passive stretching significantly improved hamstring flexibility compared to the control group.
- Passive stretching resulted in a significantly greater immediate improvement in hamstring flexibility than active stretching.
Conclusions:
- Both passive and active stretching techniques can enhance hamstring flexibility.
- Passive stretching demonstrates superior efficacy for achieving immediate increases in hamstring flexibility compared to active stretching.
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