JOURNAL ARTICLE
RANDOMIZED CONTROLLED TRIAL

Impact of the Nordic hamstring and hip extension exercises on hamstring architecture and morphology: implications for injury prevention

Matthew N Bourne, Steven J Duhig, Ryan G Timmins, Morgan D Williams, David A Opar, Aiman Al Najjar, Graham K Kerr, Anthony J Shield
British Journal of Sports Medicine 2017, 51 (5): 469-477
27660368

BACKGROUND: The architectural and morphological adaptations of the hamstrings in response to training with different exercises have not been explored.

PURPOSE: To evaluate changes in biceps femoris long head (BFLH ) fascicle length and hamstring muscle size following 10-weeks of Nordic hamstring exercise (NHE) or hip extension (HE) training.

METHODS: 30 recreationally active male athletes (age, 22.0±3.6 years; height, 180.4±7 cm; weight, 80.8±11.1 kg) were allocated to 1 of 3 groups: (1) HE training (n=10), NHE training (n=10), or no training (control, CON) (n=10). BFLH fascicle length was assessed before, during (Week 5) and after the intervention with a two-dimensional ultrasound. Hamstring muscle size was determined before and after training via MRI.

RESULTS: Compared with baseline , BFLH fascicles were lengthened in the NHE and HE groups at mid-training (d=1.12-1.39, p<0.001) and post-training (d=1.77-2.17, p<0.001) and these changes did not differ significantly between exercises (d=0.49-0.80, p=0.279-0.976). BFLH volume increased more for the HE than the NHE (d=1.03, p=0.037) and CON (d=2.24, p<0.001) groups. Compared with the CON group, both exercises induced significant increases in semitendinosus volume (d=2.16-2.50, ≤0.002) and these increases were not significantly different (d=0.69, p=0.239).

CONCLUSION: NHE and HE training both stimulate significant increases in BFLH fascicle length; however, HE training may be more effective for promoting hypertrophy in the BFLH .

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