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Updated: Jan 6, 2026

Muscle Imbalances: Testing and Training Functional Eccentric Hamstring Strength in Athletic Populations
Published on: May 1, 2018
Running gait biomechanics associated with hamstring and quadriceps strength profiles
Kristin E Whitney1, Patrick Couchot2, Andrea Stracciolini3
1Boston Children's Hospital, Boston, MA, United States; Harvard Medical School, Boston, MA, United States; The Micheli Center for Sports Injury Prevention, Waltham, MA, United States,.
Objective:
To evaluate the relationships between quadriceps and hamstring strength profiles and running gait kinetics in healthy adult athletes.
Design:
Cross-sectional.
Setting:
Hospital-affiliated injury prevention clinic.
Participants:
554 healthy adult runners (355 F, 199 M).
Main Outcome Measures:
Mass-normalized quadriceps and hamstring strength were obtained using hand-held dynamometry. Cadence, stride length, %stance, and body weight (BW) normalized peak vertical ground reaction force (vGRF) were obtained using an instrumented treadmill. Linear regression analyses were used to assess the relationships between mass-normalized hamstring and quadriceps strength and running biomechanics. Logistic regression analyses were used to assess relationships between hamstring:quadriceps (H:Q) symmetry profiles (≥0.5, <0.5) and running biomechanics.
Results:
Quadriceps strength was directly associated with cadence (p < 0.001) and stride lengths (p = 0.01), and inversely associated with %stance phase (p < 0.001) and vGRF (p < 0.001). Hamstring strength was directly associated with higher cadence (p = 0.003) and height-normalized stride length (p < 0.001), yet inversely associated with %stance phase (p < 0.001) and BW-normalized peak vGRF (p < 0.001). More symmetric H:Q profiles were associated with longer height-normalized stride lengths (p = 0.03).
Conclusions:
Quadriceps and hamstring strength profiles were weakly inversely associated with vGRF and percentage of the gait cycle in stance phase among healthy adult runners.
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