The Effect of 6 Week Hamstring Exercise Programs on Hamstring Muscle Function Performance in Female Athletes

Hamstring Injury Clinical Trial

Official title:

The Effect of 6 Week Hamstring Exercise Programs on Hamstring Muscle Function and Performance in Female Athletes

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05733273
• Other study ID #: 2022_ATT_EW_15
• Status: Completed
• Phase: N/A
• Start date: February 15, 2023
• Est. completion date: May 12, 2023

Study information

• Verified date: May 2023
• Source: Dublin City University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study aims to compare the effect of two hamstring strengthening programs on hamstring muscle strength in female university athletes. 60 participants will be recruited for this study. They will be randomly assigned to one of two 6-week hamstring strengthening programs, namely the single leg bridge exercise and the Nordic hamstring exercise protocol, and one control group. Eccentric and isometric hamstring strength, gluteal strength and will sprint speed will be measured before and after the intervention.

Description:

Participants will be recruited from the local university sports clubs. Club chairpersons will be asked to send an email to club players. Players interested in participating in the study will be asked to attend a meeting where the study will be explained to them. Those who were interested will then be assessed for inclusion and exclusion criteria. Group allocation: A four block randomization method will be used to allocate participants to the Nordic hamstring exercise protocol or the single leg bridge protocol. Interventions: The Nordic hamstring exercise program or the single leg bridge program. Testing procedure: The eccentric strength of the participants' hamstrings and hip extensors will be recorded before and after the exercise intervention. 30 metre sprint performance will be recorded before and after the intervention. A 10 point visual analogue scale will be used to record the level of muscle soreness experienced after each training session.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 47
• Est. completion date: May 12, 2023
• Est. primary completion date: May 6, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: 18 Years to 35 Years

Eligibility

Inclusion Criteria:

• female
• university athlete competing in team sports at least three times per week
• free from hamstring injury in previous 6 months

Exclusion Criteria:

• history of a hip or knee injury in the 3 months prior to the study
• a history of anterior cruciate ligament rupture
• a history of involvement in a hamstring strengthening, injury prevention programme in the 3 months prior to the study

Related Conditions & MeSH terms

• Hamstring Injury

Intervention

Other:
• Nordic hamstring exercise program
Week 1 - 1 session per week consisting of 2 sets of 5 reps of the exercise Week 2 - 2 sessions per week consisting of 2 sets of 6 reps of the exercise Week 3 -3 sessions per week consisting of 3 sets of 6 reps of the exercise Week 4 - 3 sessions per week consisting of 3 sets of 8 reps of the exercise Weeks 5 and 6 - 3 sessions per week consisting of 3 sets of the exercise. Set 1 with 12 reps, set 2 with 10 reps and set 3 with 8 reps
• Single leg bridge exercise program
Week 1 - 1 session per week consisting of 2 sets of 5 reps of the exercise Week 2 - 2 sessions per week consisting of 2 sets of 6 reps of the exercise Week 3 -3 sessions per week consisting of 3 sets of 6 reps of the exercise Week 4 - 3 sessions per week consisting of 3 sets of 8 reps of the exercise Weeks 5 and 6 - 3 sessions per week consisting of 3 sets of the exercise. Set 1 with 12 reps, set 2 with 10 reps and set 3 with 8 reps
• Hamstring razor curl
Week 1 - 1 session per week consisting of 2 sets of 5 reps of the exercise Week 2 - 2 sessions per week consisting of 2 sets of 6 reps of the exercise Week 3 -3 sessions per week consisting of 3 sets of 6 reps of the exercise Week 4 - 3 sessions per week consisting of 3 sets of 8 reps of the exercise Weeks 5 and 6 - 3 sessions per week consisting of 3 sets of the exercise. Set 1 with 12 reps, set 2 with 10 reps and set 3 with 8 reps

Locations

Country	Name	City	State
Ireland	Dublin City University	Dublin

Sponsors (1)

Lead Sponsor	Collaborator
Dublin City University

Country where clinical trial is conducted

Ireland, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	eccentric hamstring strength	This will be measured using devices that measure the eccentric strength of the hamstrings during the Nordic hamstring exercise. The devices are called the Hamstring Solo device and the Nordbord device. Participants will kneel on the padded surface of the device with their lower limbs held in position just above the ankles. The ankle supports have load sensitive cells. The participants will be asked to complete the nordic hamstring exercise. This involves them folding their arms across their chest and slowly lowering themselves towards the ground by allowing their knees to slowly straighten. The load cells will record the force (newtons) during the exercise for each leg.	Change from baseline 6 weeks
Primary	eccentric hamstring moment	This will be measured using devices that measure the eccentric strength of the hamstrings during the Nordic hamstring exercise. The devices are called the Hamstring Solo device and the Nordbord device. Participants will kneel on the padded surface of the device with their lower limbs held in position just above the ankles. The ankle supports have load sensitive cells. The participants will be asked to complete the nordic hamstring exercise. This involves them folding their arms across their chest and slowly lowering themselves towards the ground by allowing their knees to slowly straighten. The load cells will record the force (newtons) during the exercise for each leg. The distance from the load cells to the knee joint will be measured (meters) to calculate the moment in Newton meters for the exercise	Change from baseline 6 weeks
Primary	isometric hamstring strength and moment	Isometric knee flexor strength will be assessed by placing the participant in prone with the hip in 0° extension and 30° in knee flexion. The investigator will hold the dynamometer 5cm above the lateral malleolus in the posterior midline. The participant will be asked to bend their knee by attempting to pull their heel towards their bottom	Change from baseline 6 weeks
Primary	isometric hip extensor strength and moment	Hip extensor strength will be assessed by placing the participant in a prone position with their tested leg in 0° hip extension and 90° knee flexion. The handheld dynomometer will be held by the investigator against the heel of the participant. The participant will be instructed to raise their leg upwards against the resistance of the investigator. This will be repeated with the hip placed in 30 degrees flexion	Change from baseline 6 weeks
Secondary	Sprint performance	Participants will perform three maximal 30 metre sprint tests with 4 minutes of recovery in between. Time elapsed will be recorded by timing gates placed at 0m, 5m, 15m, and 30m. Participants will start from a standing split position. The first timing gate will be triggered at initial toe off of the back leg. Times will be recorded and mechanical sprint variables (maximal horizontal force production, maximal horizontal power output and maximal theoretical velocity) will be calculated using an Excel spreadsheet (Samozio et al., 2016). The participants best time of the three attempts will be recorded.	Change from baseline 6 weeks
Secondary	Muscle soreness following exercise	Participants will use a ten point numerical rating scale to record the level of muscle soreness after training sessions.; The scale will range from 0 to 10 where 0 is no pain and 10 is the most severe pain imaginable.	Following each session