Abstract
Quadriceps and hamstrings strength is usually quantified by the peak torque during maximal voluntary isokinetic contractions. Ratios of peak torque are used to assess limb asymmetry and compare hamstrings strength relative to quadriceps strength. Peak torque is affected by the mode and speed of testing, and it is important to consider whether or not to normalize peak torque (e.g., to body mass). Positive, but moderate correlations were observed between knee strength and triple hop distance and between knee strength and hip strength in a population of collegiate freshmen football players. No significant correlations were observed between knee strength and Functional Movement Screen™ performance, or between limb symmetry indices based on different strength and functional tests. Deficiencies in quadriceps and hamstrings strength may increase the risk of lower extremity injuries, but large prospective studies are needed to determine which measures of strength are the best predictors for specific injuries and to optimize injury prevention strategies.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Lund H, Sondergaard K, Zachariassen T, Christensen R, Bulow P, Henriksen M, et al. Learning effect of isokinetic measurements in healthy subjects, and reliability and comparability of Biodex and Lido dynamometers. Clin Physiol Funct Imaging. 2005;25(2):75–82.
Iossifidou A, Baltzopoulos V, Giakas G. Isokinetic knee extension and vertical jumping: are they related? J Sports Sci. 2005;23(10):1121–7.
Fillyaw M, Bevins T, Fernandez L. Importance of correcting isokinetic peak torque for the effect of gravity when calculating knee flexor to extensor muscle ratios. Phys Ther. 1986;66(1):23–31.
Lue YJ, Chang JJ, Chen HM, Lin RF, Chen SS. Knee isokinetic strength and body fat analysis in university students. Kaohsiung J Med Sci. 2000;16(10):517–24.
Harbo T, Brincks J, Andersen H. Maximal isokinetic and isometric muscle strength of major muscle groups related to age, body mass, height, and sex in 178 healthy subjects. Eur J Appl Physiol. 2012;112(1):267–75.
Zvijac JE, Toriscelli TA, Merrick S, Papp DF, Kiebzak GM. Isokinetic concentric quadriceps and hamstring normative data for elite collegiate American football players participating in the NFL Scouting Combine. J Strength Cond Res. 2014;28(4):875–83.
Davies MJ, Dalsky GP. Normalizing strength for body size differences in older adults. Med Sci Sports Exerc. 1997;29(5):713–7.
Knapik JJ, Bauman CL, Jones BH, Harris JM, Vaughan L. Preseason strength and flexibility imbalances associated with athletic injuries in female collegiate athletes. Am J Sports Med. 1991;19(1):76–81.
Adams D, Logerstedt DS, Hunter-Giordano A, Axe MJ, Snyder-Mackler L. Current concepts for anterior cruciate ligament reconstruction: a criterion-based rehabilitation progression. J Orthop Sports Phys Ther. 2012;42(7):601–14.
Di Stasi S, Myer GD, Hewett TE. Neuromuscular training to target deficits associated with second anterior cruciate ligament injury. J Orthop Sports Phys Ther. 2013;43(11):777. –92, A1–11.
Schmitt LC, Paterno MV, Hewett TE. The impact of quadriceps femoris strength asymmetry on functional performance at return to sport following anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther. 2012;42(9):750–9.
http://www.biodex.com/sites/default/files/manual-clinical-resources-data.pdf.
Hewett TE, Myer GD, Zazulak BT. Hamstrings to quadriceps peak torque ratios diverge between sexes with increasing isokinetic angular velocity. J Sci Med Sport. 2008;11(5):452–9.
Miller JP, Croce RV. Analyses of isokinetic and closed chain movements for hamstring reciprocal coactivation. J Sport Rehabil. 2007;16(4):319–25.
Cook G, Burton L, Hoogenboom B. Pre-participation screening: the use of fundamental movements as an assessment of function—part 1. N Am J Sports Phys Ther. 2006;1(2):62–72.
Cook G, Burton L, Hoogenboom B. Pre-participation screening: the use of fundamental movements as an assessment of function—part 2. N Am J Sports Phys Ther. 2006;1(3):132–9.
Perry FT, Koehle MS. Normative data for the functional movement screen in middle-aged adults. J Strength Cond Res. 2013;27(2):458–62.
Hewett TE, Myer GD. The mechanistic connection between the trunk, hip, knee, and anterior cruciate ligament injury. Exerc Sport Sci Rev. 2011;39(4):161–6.
Croisier JL, Ganteaume S, Binet J, Genty M, Ferret JM. Strength imbalances and prevention of hamstring injury in professional soccer players—a prospective study. Am J Sports Med. 2008;36(8):1469–75.
Cameron M, Adams R, Maher C. Motor control and strength as predictors of hamstring injury in elite players of Australian football. Phys Ther Sport. 2003;4(4):159–66.
Myer GD, Ford KR, Barber Foss KD, Liu C, Nick TG, Hewett TE. The relationship of hamstrings and quadriceps strength to anterior cruciate ligament injury in female athletes. Clin J Sport Med. 2009;19(1):3–8.
Soderman K, Alfredson H, Pietila T, Werner S. Risk factors for leg injuries in female soccer players: a prospective investigation during one out-door season. Knee Surg Sports Traumatol Arthrosc. 2001;9(5):313–21.
Zvijac JE, Toriscelli TA, Merrick S, Kiebzak GM. Isokinetic concentric quadriceps and hamstring strength variables from the NFL Scouting Combine are not predictive of hamstring injury in first-year professional football players. Am J Sports Med. 2013;41(7):1511–8.
Engebretsen AH, Myklebust G, Holme I, Engebretsen L, Bahr R. Intrinsic risk factors for hamstring injuries among male soccer players: a prospective cohort study. Am J Sports Med. 2010;38(6):1147–53.
Bennell K, Wajswelner H, Lew P, Schall-Riaucour A, Leslie S, Plant D, et al. Isokinetic strength testing does not predict hamstring injury in Australian Rules footballers. Br J Sports Med. 1998;32(4):309–14.
Dallinga JM, Benjaminse A, Lemmink KA. Which screening tools can predict injury to the lower extremities in team sports?: a systematic review. Sports Med. 2012;42(9):791–815.
Freckleton G, Pizzari T. Risk factors for hamstring muscle strain injury in sport: a systematic review and meta-analysis. Br J Sports Med. 2013;47(6):351–8.
Liu H, Garrett WE, Moorman CT, Yu B. Injury rate, mechanism, and risk factors of hamstring strain injuries in sports: a review of the literature. J Sport Health Sci. 2012;1(2):92–101.
Opar DA, Williams MD, Shield AJ. Hamstring strain injuries: factors that lead to injury and re-injury. Sports Med. 2012;42(3):209–26.
Draganich LF, Vahey JW. An in vitro study of anterior cruciate ligament strain induced by quadriceps and hamstrings forces. J Orthop Res. 1990;8(1):57–63.
Li G, Rudy TW, Sakane M, Kanamori A, Ma CB, Woo SL. The importance of quadriceps and hamstring muscle loading on knee kinematics and in-situ forces in the ACL. J Biomech. 1999;32(4):395–400.
Beynnon BD, Fleming BC. Anterior cruciate ligament strain in-vivo: a review of previous work. J Biomech. 1998;31(6):519–25.
MacWilliams BA, Wilson DR, DesJardins JD, Romero J, Chao EY. Hamstrings cocontraction reduces internal rotation, anterior translation, and anterior cruciate ligament load in weight-bearing flexion. J Orthop Res. 1999;17(6):817–22.
Withrow TJ, Huston LJ, Wojtys EM, Ashton-Miller JA. Effect of varying hamstring tension on anterior cruciate ligament strain during in vitro impulsive knee flexion and compression loading. J Bone Joint Surg Am. 2008;90(4):815–23.
Wild CY, Steele JR, Munro BJ. Insufficient hamstring strength compromises landing technique in adolescent girls. Med Sci Sports Exerc. 2013;45(3):497–505.
Hewett TE, Stroupe AL, Nance TA, Noyes FR. Plyometric training in female athletes. Decreased impact forces and increased hamstring torques. Am J Sports Med. 1996;24(6):765–73.
Hewett TE, Lindenfeld TN, Riccobene JV, Noyes FR. The effect of neuromuscular training on the incidence of knee injury in female athletes. A prospective study. Am J Sports Med. 1999;27(6):699–706.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer Science+Business Media New York
About this chapter
Cite this chapter
Willigenburg, N.W., McNally, M.P., Hewett, T.E. (2014). Quadriceps and Hamstrings Strength in Athletes. In: Kaeding, C., Borchers, J. (eds) Hamstring and Quadriceps Injuries in Athletes. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7510-2_2
Download citation
DOI: https://doi.org/10.1007/978-1-4899-7510-2_2
Published:
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4899-7509-6
Online ISBN: 978-1-4899-7510-2
eBook Packages: MedicineMedicine (R0)