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Updated: Mar 27, 2026

Muscle Imbalances: Testing and Training Functional Eccentric Hamstring Strength in Athletic Populations
Published on: May 1, 2018
A comparison of two stretching programs for hamstring muscles: A randomized controlled assessor-blinded study.
Christophe Demoulin1,2, Sébastien Wolfs1,2, Madeline Chevalier1
1a Department of Sport and Rehabilitation Sciences , University of Liège , Liège , Belgium.
Focusing hamstring flexibility training on the hip or knee yields similar improvements in range of motion. Both stretching methods significantly enhanced hip flexion and knee extension, with no discernible difference between the two techniques.
Area of Science:
- Sports Medicine
- Rehabilitation Science
- Biomechanics
Background:
- Hamstring flexibility is crucial for athletic performance and injury prevention.
- Optimal hamstring stretching techniques, specifically the joint focus (hip vs. knee), require further investigation.
Purpose of the Study:
- To investigate the influence of focusing hamstring stretching on the hip versus the knee.
- To compare the effectiveness of two different home-based hamstring stretching programs.
Main Methods:
- Randomized controlled assessor-blinded study with 111 participants.
- Three groups: control, hip-focused stretching (SH), and knee-focused stretching (SK).
- 8-week home-based program with standardized stretching protocols and outcome measurements (hip flexion and knee extension ROM).
Main Results:
- Both stretching groups showed significant increases in hip flexion and knee extension range of motion (ROM) compared to the control group.
- No significant differences in ROM improvements were found between the hip-focused (SH) and knee-focused (SK) stretching groups.
- The SH group showed a slightly higher, though not statistically significant, increase in ROM compared to the SK group.
Conclusions:
- The specific joint (hip or knee) focused on during hamstring stretching does not appear to influence flexibility gains.
- Both tested hamstring stretching protocols are effective in improving hip and knee range of motion.
- These findings suggest that flexibility training can be adapted based on individual preference or accessibility without compromising outcomes.
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