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Updated: Jan 29, 2026

Muscle Imbalances: Testing and Training Functional Eccentric Hamstring Strength in Athletic Populations
Published on: May 1, 2018
Sex-related differences in joint-angle-specific hamstring-to-quadriceps function following fatigue.
Said El-Ashker1, Joanna M Allardyce2,3, Brian P Carson3,4
1a Self-Development Department , Deanship of Preparatory Year, Imam Abdulrahman Bin Faisal University , Dammam , Saudi Arabia.
Fatiguing exercise significantly reduces hamstring and quadriceps muscle function ratios in both males and females. Females experience greater reductions, indicating a higher injury risk when fatigued.
Area of Science:
- Sports Science
- Exercise Physiology
- Biomechanics
Background:
- Muscle function and fatigue resistance can differ between sexes.
- Understanding sex-related differences in muscle fatigue is crucial for injury prevention.
- The hamstring-to-quadriceps (H/Q) functional ratio is an indicator of muscle balance.
Purpose of the Study:
- To investigate the impact of fatiguing exercise on sex-related differences in hamstring and quadriceps muscle function.
- To analyze these effects across various angular velocities and joint angles.
Main Methods:
- An isokinetic assessment was performed on 100 physically active participants (50 males, 50 females).
- Concentric and eccentric torques of knee extensors and flexors were measured at 60°/s, 180°/s, and 300°/s.
- The H/Q functional ratio was calculated using peak torque values at specific knee flexion angles (15°, 30°, 45°).
Main Results:
- Fatiguing exercise decreased H/Q functional ratios in both males and females across all tested conditions.
- Females exhibited significantly greater reductions in H/Q ratios compared to males following fatigue.
- Significant sex-based differences in H/Q ratios were observed post-fatigue at all joint angles and velocities.
Conclusions:
- Fatiguing exercise reveals significant sex-related differences in hamstring and quadriceps muscle function.
- Females demonstrate a lower fatigue resistance in their H/Q functional ratio compared to males.
- This imbalance may increase injury risk in females, especially when fatigued, necessitating targeted interventions for female athletes.
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