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Background: The benefit of performing the Nordic Hamstring Exercise (NHE) on an inclined board has been described, however, isometric hamstring activation in different knee and hip angles has not yet been thoroughly explored. Purpose: This study investigated the effect of variations in knee and hip angles during the isometric performance of the NHE on electromyographic activity of the hamstring muscles. Study design: Crossover study. Methods: Thirteen male volunteers performed isometric contractions during the NHE with the knee (30°, 50°, 60°) and the hip (0°, 30°, and 45°) in various angles of flexion on a leg support platform which was inclined at 30°. An electrical goniometer was used to monitor the knee and hip joint angles during 5-s isometric contractions. A multivariate analysis of variance with repeated measures was used to compare normalized electromyographic values of each muscle across different knee and hip angles, followed by pairwise comparisons. Results: The electromyographic activity of the biceps femoris, semitendinosus, and semimembranosus at a knee angle of 30° and hip angle of 0° were significantly higher than those observed with a knee angle of 50° and hip angle of 0°, or a knee angle of 60° and hip angle of 0° (p<0.05). The electromyographic activity of the semimembranosus at a knee angle of 60° and hip angle of 45° was significantly higher than values obtained with knee and hip angles of 60° and 0°, respectively (p<0.05). Conclusions: The results indicate that using a knee flexion of 30° and a hip flexion of 0°, while isometrically performing the NHE on a platform inclined at 30°, may optimize electromyographic activity of the hamstrings. Level of Evidence: 3.

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Background: Previous studies have shown that performing the Nordic hamstring exercise (NHE) with different board slope angles can affect hamstring activation. However, changes in muscle length with different board slopes can alter joint angles leading to the moment arm (MA) at the knee changing during the NHE. Purpose: This study aimed to investigate the influence of changing muscle length on hamstring electromyographic activity during an isometric NHE, while maintaining an equal moment arm. Study Design: A crossover study design. Methods: Sixteen male volunteers performed two types of conventional NHE, one with knees on the floor (NHE) and one with the legs placed upon an incline slope of a lower leg board (NHEB). To compare between the conventional and inclined NHE, the moment arm at the knee was calculated to be equal by an examiner holding the lower legs at points marked at 77% and 94% of the length of the lower leg. The four sub-groups comprised of: 1) NHE-77%, 2) NHE-94%, 3) NHEB-77%, and 4) NHEB-94%. The hamstring EMG activity was measured at the biceps femoris long head (BFlh) and at the semitendinosus (ST) and related compensatory muscles. The RMS data were normalized as a percentage of the maximum isometric values (normalized EMG [nEMG]). Significant main effects findings were followed up with Tukey's post-hoc test using SPSS software and statistical significance was set at the p < 0.05 level. Results: The BFlh EMG activity values for NHE-77% were significantly higher than those for NHE-94% (p= 0.036) and NHEB-77% (p < 0.001), respectively, while ST during NHE-77% was significantly higher only in NHEB-77% (p < 0.001). In addition, NHEB-94% was significantly greater than NHEB-77% for both BFlh (p < 0.001) and ST (p < 0.001). Conclusion: These results indicate that hamstring electromyographic activity is decreased when the hamstring muscle is lengthened during the Nordic hamstring exercise. Level of Evidence: 3.

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CONTEXT: This study aimed to examine the differences in electromyographic (EMG) activity of the biceps femoris long head (BFlh) and semitendinosus (ST) muscles, break-point angle (BPA), and the angle at peak BFlh EMG activity between bilateral and unilateral Nordic hamstring exercise (NHE) on a sloped platform. DESIGN: This study was designed as a case-control study. METHODS: Fourteen men participated in the study. The participants initially performed maximum voluntary isometric contraction (MVIC) on the prone leg curl to normalize the peak hamstring EMG amplitude as the %MVIC. Then, participants were randomized to perform the following 3 variations of NHE: bilateral (N40) or unilateral (N40U) NHE with a platform angle of 40°, and unilateral NHE with a platform angle of 50° (N50U). The EMG activities of the BFlh and ST and the knee flexion angle during the NHE variations were recorded to calculate the EMG activity of the BFlh and ST in terms of the %MVIC, the angle at peak BFlh EMG, and BPA. RESULTS: The BFlh %MVIC was significantly higher in N40U (P < .05) and N50U (P < .05) than in N40. A significant difference in BFlh %MVIC and ST %MVIC was observed between N40U (P < .05) and N50U (P < .05). The mean values of BPA and the angle at peak BFlh EMG were <30° for all NHE variations. CONCLUSIONS: In the late swing phase of high-speed running, BFlh showed higher EMG activity; thus, unilateral NHE may be a specific hamstring exercise for hamstring injury prevention.

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In this study, we investigated differences in electromyographic activity in the biceps femoris long head (BFl), semitendinosus, and semimembranosus muscles during 45° hip extension with different knee angles during eccentric, concentric, and isometric hip 0°, and isometric hip 45° conditions with non-external resistance and 5-kg load. Twenty-two male volunteers performed 45° hip extension with knee flexion angles of 0°, 45° and 90° with non-external resistance and 5-kg load eccentric, concentric, isometric hip 0°, and isometric hip 45° conditions. The electromyographic data obtained during each condition were normalized with the values collected during maximal voluntary isometric contraction of each muscle. A multivariate analysis of variance with repeated measures using syntax was used to compare the normalized electromyography of each muscle across different knee joint angles in each weight condition. Electromyographic activities of the BFl, semitendinosus, and semimembranosus at 45° and 90° knee flexion angles were significantly greater than at 0° in the eccentric, concentric, isometric hip 0°, and in isometric hip 45° conditions with both non-external resistance and 5-kg load (p<0.05), except for that of the BFl and semitendinosus in isometric hip 45° with 5-kg load. The electromyographic activity of the BFl was significantly higher than that of the semimembranosus at 90° knee flexion in all conditions (p < 0.05), except during eccentric with non-external resistance. There was no significant difference in electromyographic activity in the hamstring muscles among different knee angles and muscular contraction conditions. This study showed that 45° hip extension with 45° and 90° knee flexion might be better in terms of the recruiting hamstring activity compared to 0° knee flexion, regardless of the training intensity. We recommend 45° hip extension exercises with knee flexion angles of 45° and 90° to activate the BFl, in preventing hamstring strain.

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