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Acute Effects of Nordic Hamstring Exercise on Hamstring Stiffness: A Randomised Controlled Trial.

Gokhan Yagiz1,2, Cristina Monleón3, Esedullah Akaras4

  • 1Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Amasya University, 05100 Amasya, Turkey.

Journal of Clinical Medicine
|December 30, 2025
PubMed
Summary
This summary is machine-generated.

A single Nordic Hamstring Exercise (NHE) session did not change overall hamstring muscle stiffness. However, it caused opposite effects on the biceps femoris and semitendinosus muscles, with height predicting changes.

Keywords:
injury preventionlower limbposterior thighsports injuries

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Area of Science:

  • Biomechanics and Exercise Physiology
  • Musculoskeletal Adaptations
  • Sports Science Research

Background:

  • The Nordic Hamstring Exercise (NHE) is commonly used to strengthen the hamstring muscles.
  • Understanding the immediate effects of NHE on hamstring muscle stiffness is crucial for optimizing training and injury prevention strategies.

Purpose of the Study:

  • To investigate the acute impact of the Nordic Hamstring Exercise (NHE) on the mechanical properties, specifically stiffness, of the biceps femoris (BF) and semitendinosus (ST) muscles.

Main Methods:

  • A parallel-group randomized controlled trial involving 24 physically active adults.
  • Participants were assigned to either an NHE group (performing 3 sets of 10 repetitions) or an inactive control group.
  • Muscle stiffness of the BF and ST was measured using the MyotonPro device before and after the intervention.

Main Results:

  • No significant changes in overall hamstring muscle stiffness were detected post-NHE.
  • The semitendinosus (ST) muscle showed a trend towards increased stiffness (p=0.057), while the biceps femoris (BF) exhibited a non-significant decrease in stiffness.
  • Males presented higher baseline hamstring stiffness than females; participant height was the sole predictor of changes in ST stiffness post-NHE.

Conclusions:

  • A single session of the Nordic Hamstring Exercise does not alter overall hamstring stiffness.
  • The NHE elicits differential, muscle-specific responses in hamstring stiffness, affecting the ST and BF differently.
  • Further research with larger and more homogeneous samples is warranted to validate these muscle-specific findings.