Hamstring Activity Before and After Break-Point Angle Calculated By Smartphone Application During the Nordic Hamstring Exercise

# INTRODUCTION Previous studies have reported a gradual decrease in biceps femoris (BF) electromyography (EMG) activity after the break-point angle (BPA) during the Nordic hamstring exercise (NHE). However, no investigation has been conducted on BF EMG activity before and after BPA as calculated us...

Full description

Saved in:
Bibliographic Details
Main Authors: Toshiaki Soga, Shota Yamaguchi, Takayuki Inami, Hiromi Saito, Nadaka Hakariya, Naoto Nakaichi, Sho Shinohara, Koki Sasabe, Hayato Nakamura, Teerapat Laddawong, Kei Akiyama, Norikazu Hirose
Format: Article
Language:English
Published: North American Sports Medicine Institute 2023-12-01
Series:International Journal of Sports Physical Therapy
Online Access:https://doi.org/10.26603/001c.89271
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1825139404134416384
author Toshiaki Soga
Shota Yamaguchi
Takayuki Inami
Hiromi Saito
Nadaka Hakariya
Naoto Nakaichi
Sho Shinohara
Koki Sasabe
Hayato Nakamura
Teerapat Laddawong
Kei Akiyama
Norikazu Hirose
author_facet Toshiaki Soga
Shota Yamaguchi
Takayuki Inami
Hiromi Saito
Nadaka Hakariya
Naoto Nakaichi
Sho Shinohara
Koki Sasabe
Hayato Nakamura
Teerapat Laddawong
Kei Akiyama
Norikazu Hirose
author_sort Toshiaki Soga
collection DOAJ
description # INTRODUCTION Previous studies have reported a gradual decrease in biceps femoris (BF) electromyography (EMG) activity after the break-point angle (BPA) during the Nordic hamstring exercise (NHE). However, no investigation has been conducted on BF EMG activity before and after BPA as calculated using a smartphone application (Nordic Angle app). # HYPOTHESIS/PURPOSE The aim of this study was to investigate the BF EMG activity before and after BPA, as calculated using the Nordic Angle app. The hypotheses were that BF EMG activity would peak near the BPA and gradually diminish afterward. # METHODS After a warm-up, participants performed three repetitions of prone leg curls to discern maximum voluntary isometric contraction (MVIC) of the hamstrings. The peak value of the BF EMG activity during the prone leg curl was used to convert BF EMG activity during NHE to %MVIC. BPA during NHE was calculated using the Nordic Angle app by analyzing a movie recorded with an iPhone camera. Additionally, the knee flexion angle during NHE was determined using two-dimensional motion analysis software based on video data. To compare EMG activity before and after BPA calculated by the Nordic Angle app, the knee flexion angle was divided into seven phases: 10-15° before BPA, 5-10° before BPA, BPA ± 5°, 5-10° after BPA, 10-15° after BPA, 15-20° after BPA, and 20-25° after BPA. # RESULTS There was no significant difference between the BPA of the Nordic angle and the knee flexion angle at peak BF EMG activity (d = 0.13, p = 0.678). The BF EMG activity at 20-25° after BPA was significantly lower than the BF EMG activity at BPA ± 5° (d = 0.87, p = 0.011). # CONCLUSIONS To prevent the recurrence of hamstring injuries, it is important to incorporate knee flexion exercises that enhance BF EMG activity at 15-35° of knee flexion (0° indicates a fully extended knee). Thus, it is recommended to keep the BPA of the Nordic Angle within 35° to effectively prevent recurrent hamstring injuries during NHE. # Level of evidence 3b
format Article
id doaj-art-b2881b1519a6429ca1db90e940f88e4c
institution Kabale University
issn 2159-2896
language English
publishDate 2023-12-01
publisher North American Sports Medicine Institute
record_format Article
series International Journal of Sports Physical Therapy
spelling doaj-art-b2881b1519a6429ca1db90e940f88e4c2025-02-11T20:30:13ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962023-12-01186Hamstring Activity Before and After Break-Point Angle Calculated By Smartphone Application During the Nordic Hamstring ExerciseToshiaki SogaShota YamaguchiTakayuki InamiHiromi SaitoNadaka HakariyaNaoto NakaichiSho ShinoharaKoki SasabeHayato NakamuraTeerapat LaddawongKei AkiyamaNorikazu Hirose# INTRODUCTION Previous studies have reported a gradual decrease in biceps femoris (BF) electromyography (EMG) activity after the break-point angle (BPA) during the Nordic hamstring exercise (NHE). However, no investigation has been conducted on BF EMG activity before and after BPA as calculated using a smartphone application (Nordic Angle app). # HYPOTHESIS/PURPOSE The aim of this study was to investigate the BF EMG activity before and after BPA, as calculated using the Nordic Angle app. The hypotheses were that BF EMG activity would peak near the BPA and gradually diminish afterward. # METHODS After a warm-up, participants performed three repetitions of prone leg curls to discern maximum voluntary isometric contraction (MVIC) of the hamstrings. The peak value of the BF EMG activity during the prone leg curl was used to convert BF EMG activity during NHE to %MVIC. BPA during NHE was calculated using the Nordic Angle app by analyzing a movie recorded with an iPhone camera. Additionally, the knee flexion angle during NHE was determined using two-dimensional motion analysis software based on video data. To compare EMG activity before and after BPA calculated by the Nordic Angle app, the knee flexion angle was divided into seven phases: 10-15° before BPA, 5-10° before BPA, BPA ± 5°, 5-10° after BPA, 10-15° after BPA, 15-20° after BPA, and 20-25° after BPA. # RESULTS There was no significant difference between the BPA of the Nordic angle and the knee flexion angle at peak BF EMG activity (d = 0.13, p = 0.678). The BF EMG activity at 20-25° after BPA was significantly lower than the BF EMG activity at BPA ± 5° (d = 0.87, p = 0.011). # CONCLUSIONS To prevent the recurrence of hamstring injuries, it is important to incorporate knee flexion exercises that enhance BF EMG activity at 15-35° of knee flexion (0° indicates a fully extended knee). Thus, it is recommended to keep the BPA of the Nordic Angle within 35° to effectively prevent recurrent hamstring injuries during NHE. # Level of evidence 3bhttps://doi.org/10.26603/001c.89271
spellingShingle Toshiaki Soga
Shota Yamaguchi
Takayuki Inami
Hiromi Saito
Nadaka Hakariya
Naoto Nakaichi
Sho Shinohara
Koki Sasabe
Hayato Nakamura
Teerapat Laddawong
Kei Akiyama
Norikazu Hirose
Hamstring Activity Before and After Break-Point Angle Calculated By Smartphone Application During the Nordic Hamstring Exercise
International Journal of Sports Physical Therapy
title Hamstring Activity Before and After Break-Point Angle Calculated By Smartphone Application During the Nordic Hamstring Exercise
title_full Hamstring Activity Before and After Break-Point Angle Calculated By Smartphone Application During the Nordic Hamstring Exercise
title_fullStr Hamstring Activity Before and After Break-Point Angle Calculated By Smartphone Application During the Nordic Hamstring Exercise
title_full_unstemmed Hamstring Activity Before and After Break-Point Angle Calculated By Smartphone Application During the Nordic Hamstring Exercise
title_short Hamstring Activity Before and After Break-Point Angle Calculated By Smartphone Application During the Nordic Hamstring Exercise
title_sort hamstring activity before and after break point angle calculated by smartphone application during the nordic hamstring exercise
url https://doi.org/10.26603/001c.89271
work_keys_str_mv AT toshiakisoga hamstringactivitybeforeandafterbreakpointanglecalculatedbysmartphoneapplicationduringthenordichamstringexercise
AT shotayamaguchi hamstringactivitybeforeandafterbreakpointanglecalculatedbysmartphoneapplicationduringthenordichamstringexercise
AT takayukiinami hamstringactivitybeforeandafterbreakpointanglecalculatedbysmartphoneapplicationduringthenordichamstringexercise
AT hiromisaito hamstringactivitybeforeandafterbreakpointanglecalculatedbysmartphoneapplicationduringthenordichamstringexercise
AT nadakahakariya hamstringactivitybeforeandafterbreakpointanglecalculatedbysmartphoneapplicationduringthenordichamstringexercise
AT naotonakaichi hamstringactivitybeforeandafterbreakpointanglecalculatedbysmartphoneapplicationduringthenordichamstringexercise
AT shoshinohara hamstringactivitybeforeandafterbreakpointanglecalculatedbysmartphoneapplicationduringthenordichamstringexercise
AT kokisasabe hamstringactivitybeforeandafterbreakpointanglecalculatedbysmartphoneapplicationduringthenordichamstringexercise
AT hayatonakamura hamstringactivitybeforeandafterbreakpointanglecalculatedbysmartphoneapplicationduringthenordichamstringexercise
AT teerapatladdawong hamstringactivitybeforeandafterbreakpointanglecalculatedbysmartphoneapplicationduringthenordichamstringexercise
AT keiakiyama hamstringactivitybeforeandafterbreakpointanglecalculatedbysmartphoneapplicationduringthenordichamstringexercise
AT norikazuhirose hamstringactivitybeforeandafterbreakpointanglecalculatedbysmartphoneapplicationduringthenordichamstringexercise