Sex-related differences in joint-angle-specific functional hamstring-to-quadriceps strength ratios

Said El-Ashker, Brian P. Carson, Francisco Ayala, Mark De Ste Croix

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To examine and compare sex-related differences in the functioning of the hamstrings and quadriceps muscles and the isokinetic hamstrings eccentric-to-quadriceps concentric functional ratio (H/QFUNC). Methods: Fifty male and 46 female young adults completed this study. Each participant carried out an isokinetic assessment to determine isokinetic concentric and eccentric torques during knee extension and flexion actions at 3 different angular velocities (60, 180 and 300°/s) adopting a lying position. The H/QFUNC was calculated using peak torque (PT) values and 3 different joint-angle-specific torque values (15°, 30° and 45° of knee extension). A repeated measures analysis of variance was used to compare the results, and post hoc analyses using Friedman correction were employed. Results: There were statistically significant effects of angular velocity, joint angle and sex on the H/QFUNC (p < 0.01). Thus, the H/QFUNC ratio in both males and females decreases closer to full knee extension and with increasing movement velocity. The H/QFUNC was also significantly lower in females compared to males, irrespective of moment velocity and joint angle. Conclusions: The findings of the current study reinforce the need to examine the H/QFUNC ratio closer to full knee extension (where knee injury is most likely to occur) rather than using PT values which may not be as informative, as well as to focus preventive and rehabilitation training programmes on reducing quadriceps dominance by enhancing eccentric hamstring strength (especially in females who are at higher risk of injury). Level of evidence: III.

Original languageEnglish
Pages (from-to)949-957
Number of pages9
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Volume25
Issue number3
DOIs
Publication statusPublished - 1 Mar 2017

Keywords

  • Anterior cruciate ligament
  • Injury prevention
  • Isokinetic
  • Strength
  • Torque

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