Effect of hip and knee joint angles on resting hamstring muscles rigidity in men and women

Eur J Appl Physiol. 2022 Nov;122(11):2375-2383. doi: 10.1007/s00421-022-05023-0. Epub 2022 Aug 9.

Abstract

Purpose: Hamstring muscle strains are one of the most common injuries in sports practice, for both men and women. However, sex disparities in the rate of muscle injuries have been observed. As these muscular injuries usually occur at long muscle length, this study aimed to determine the effect of sex on hamstring muscles' resting rigidity under different stretching conditions.

Methods: The shear wave speed (SWS) of resting hamstring muscles was measured in 12 men and 12 women in different hip and knee positions (hip extended with knee flexed, hip flexed with knee extended, both joints extended and both joints flexed).

Results: Combining all the positions, the SWS of the semitendinosus was higher in men than in women (2.96 vs. 2.71 m.s-1). Regardless of sex, a significant rise in SWS was systematically observed when the semimembranosus was stretched (1.86, 2.37, 2.76 and 4.39 m.s-1) but it was neither the case for the semitendinosus (p = 0.82) nor for the biceps femoris (p = 0.50). Finally, differences in SWS among the hamstring muscles were only observed at the longest muscle length, with greater SWS values for the semimembranosus and semitendinosus in comparison with the biceps femoris (4.39 and 4.12 vs. 3.38 m.s-1 respectively).

Conclusion: In conclusion, a sex difference was only observed in the resting semitendinosus rigidity. Independently of sex, the increase in resting hamstring muscles SWS with stretch was muscle specific.

Keywords: Elasticity; Hamstrings; Sex difference; Shear wave elastography; Ultrasound.

MeSH terms

  • Elastic Modulus
  • Elasticity Imaging Techniques*
  • Female
  • Hamstring Muscles* / physiology
  • Hip Joint / physiology
  • Humans
  • Knee Joint / physiology
  • Male
  • Muscle, Skeletal / physiology