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Difference of Hamstring Activity Between Bilateral and Unilateral Nordic Hamstring Exercises With a Sloped Platform
Journal of Sport Rehabilitation
|December 30, 2021
Summary
Unilateral Nordic hamstring exercise (NHE) shows higher biceps femoris long head (BFlh) muscle activity compared to bilateral NHE. This suggests unilateral NHE may be more effective for hamstring injury prevention in athletes.
Area of Science:
- Biomechanics
- Exercise Physiology
- Sports Medicine
Background:
- The Nordic hamstring exercise (NHE) is commonly used to strengthen the hamstring muscles.
- Understanding the electromyographic (EMG) differences between bilateral and unilateral NHE variations is crucial for optimizing training and injury prevention strategies.
Purpose of the Study:
- To compare the EMG activity of the biceps femoris long head (BFlh) and semitendinosus (ST) muscles during bilateral and unilateral NHE on a sloped platform.
- To determine the effect of different platform angles on muscle activation and joint angles during NHE variations.
Main Methods:
- A case-control study involving 14 male participants.
- Participants performed three variations of NHE: bilateral (N40) and unilateral (N40U) at 40°, and unilateral (N50U) at 50° on a sloped platform.
- EMG activity of BFlh and ST, and knee flexion angles were recorded and analyzed (%MVIC, angle at peak BFlh EMG, and break-point angle).
Main Results:
- Unilateral NHE (N40U and N50U) elicited significantly higher BFlh %MVIC compared to bilateral NHE (N40).
- Significant differences in BFlh and ST %MVIC were observed between the two unilateral NHE variations (N40U vs. N50U).
- The break-point angle and angle at peak BFlh EMG were consistently below 30° across all NHE variations.
Conclusions:
- Unilateral NHE demonstrates greater activation of the biceps femoris long head compared to bilateral NHE.
- The findings suggest that unilateral NHE may serve as a more specific exercise for hamstring injury prevention, particularly considering the high BFlh activity during the late swing phase of running.

