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Updated: Jun 13, 2025

Muscle Imbalances: Testing and Training Functional Eccentric Hamstring Strength in Athletic Populations
Published on: May 1, 2018
The impact of a 10-week Nordic hamstring exercise programme on hamstring muscle stiffness, a randomised controlled
Dries Pieters1, Erik Witvrouw1, Adelheid Steyaert2
1Department of Rehabilitation Sciences, Ghent University, Ghent, Belgium.
The Nordic Hamstring exercise (NHE) increases hamstring eccentric strength but does not alter muscle stiffness. This suggests that increased hamstring stiffness is not the primary mechanism behind the NHE
Area of Science:
- Sports Medicine
- Exercise Physiology
- Biomechanics
Background:
- Hamstring strain injuries (HSIs) are prevalent in athletes.
- The Nordic Hamstring exercise (NHE) is effective for HSI prevention.
- The underlying mechanisms of NHE's preventive effects remain unclear.
Purpose of the Study:
- To investigate the effects of a 10-week NHE program on hamstring eccentric strength and muscle stiffness.
- To explore potential changes in shear wave velocity as a proxy for hamstring stiffness.
Main Methods:
- A randomized controlled trial involving 36 soccer players.
- Experimental group performed a 10-week NHE program alongside regular training.
- Measurements included hamstring eccentric strength and shear wave velocity (stiffness) pre- and post-intervention.
Main Results:
- The NHE group showed a significant increase in eccentric strength.
- No significant changes in hamstring muscle stiffness (shear wave velocity) were observed in the NHE group.
- The control group did not exhibit significant changes in strength or stiffness.
Conclusions:
- A 10-week NHE program enhances hamstring eccentric strength.
- NHE does not appear to alter hamstring muscle stiffness.
- The preventive effects of NHE may not be mediated by changes in muscle stiffness.
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