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Updated: Oct 2, 2025

Muscle Imbalances: Testing and Training Functional Eccentric Hamstring Strength in Athletic Populations
Published on: May 1, 2018
Changes in hamstring flexibility and muscle strength during the menstrual cycle in healthy young females
Manabu Miyazaki1,2, Seiji Maeda2,3
1Department of Physical Therapy, Faculty of Medical Science for Health, Teikyo Heisei University: 2-51-4 Higashi-Ikebukuro, Toshima-ku, Tokyo 170-8445, Japan.
Abstract:
[Purpose] The purpose of this study was to elucidate changes in flexibility and muscle strength during the menstrual cycle in detail and to investigate the relationship between flexibility and muscle strength. [Participants and Methods] Sixteen healthy young female and eight male participants were measured during the follicular, ovulation and luteal phases. Range of motion, passive torque at the onset of pain, passive stiffness and muscle strength were measured using an isokinetic dynamometer. Additionally, electromyography was measured during muscle strength measurement. [Results] In the female group, range of motion and passive torque at the onset of pain were significantly increased during the ovulatory and luteal phases compared with the follicular phase. Passive stiffness decreased significantly during the ovulatory phase compared with the follicular phase. Isometric muscle force and electromyographic activity were significantly increased during the luteal phase compared with the ovulation phase. There was no correlation between stiffness and muscle strength. However, there was a positive correlation between electromyographic activity and muscle strength. [Conclusion] Our findings suggest that changes in flexibility during the ovulatory and luteal phases are influenced by fluctuations in sex hormones. However, the changes in muscle strength showed little relation to flexibility, suggesting the involvement of neural mechanisms.
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