Evaluating the optimal height for hamstring activity in the maximum-speed single-leg bridge test

Abstract

Hamstring strain injuries often occur during high-speed movements; yet, no functional test reliably induces rapid hamstring contractions. This study aimed to determine the optimal platform height in the maximum-speed single-leg bridge test to maximize hamstring activation. This cross-sectional study included 26 healthy male recreational athletes. Participants performed the maximum-speed single-leg bridge test using 20, 40, and 60 cm platforms at a maximal speed. The conventional single-leg bridge test was performed using a 60 cm platform at any speed. Measurements included buttock-raising speed; muscle activity of the semitendinosus, biceps femoris, and gluteus maximus using surface electromyography; and heel-bearing force. The maximum-speed single-leg bridge test showed significantly faster buttock-raising speeds (0.7–1.0 m/s) than the single-leg bridge test (0.5 m/s; p<0.01). Semitendinosus and biceps femoris muscle activities were significantly higher during the maximum-speed single-leg bridge test using 60 and 40 cm platforms (>90% maximal voluntary isometric contraction) than during the single-leg bridge test and the maximum-speed single-leg bridge test using a 20 cm platform (p<0.01). Gluteus maximus muscle activity during the maximum-speed single-leg bridge test was approximately double than that during the single-leg bridge test (p<0.01). The heel-bearing force was significantly higher during the maximum-speed single-leg bridge test than during the single-leg bridge test, and the maximum-speed single-leg bridge test using the 40 cm platform showed the highest force (p<0.01). The maximum-speed single-leg bridge test using 40 and 60 platforms required higher hamstring activity, with faster buttock-raising speeds and greater heel-bearing force than the single-leg bridge test and the maximum-speed single-leg bridge test using the 20 platform.

Keywords

electromyography - hamstring strain injury - prevention - rehabilitation - return to sports

Publication History

Received: 29 October 2024

Accepted after revision: 11 February 2025

Accepted Manuscript online:
11 February 2025

Article published online:
19 March 2025

• References

• 1 Ekstrand J, Bengtsson H, Waldén M. et al. Hamstring injury rates have increased during recent seasons and now constitute 24% of all injuries in men's professional football: the UEFA Elite Club Injury Study from 2001/02 to 2021/22. Br J Sports Med 2022; 57: 292-298
• 2 Brooks JH, Fuller CW, Kemp SP, Reddin DB. Incidence, risk, and prevention of hamstring muscle injuries in professional rugby union. Am J Sports Med 2006; 34: 1297-1306
• 3 Askling C, Saartok T, Thorstensson A. Type of acute hamstring strain affects flexibility, strength, and time to return to pre-injury level. Br J Sports Med 2006; 40: 40-44
• 4 Erickson LN, Sherry MA. Rehabilitation and return to sport after hamstring strain injury. J Sport Health Sci 2017; 6: 262-270
• 5 Higashihara A, Nagano Y, Ono T, Fukubayashi T. Differences in activation properties of the hamstring muscles during overground sprinting. Gait Posture 2015; 42: 360-364
• 6 Riley PO, Dicharry J, Franz J, Della Croce U, Wilder RP, Kerrigan DC. A kinematics and kinetic comparison of overground and treadmill running. Med Sci Sports Exerc 2008; 40: 1093-1100
• 7 Gronwald T, Klein C, Hoenig T. et al. Hamstring injury patterns in professional male football (soccer): a systematic video analysis of 52 cases. Br J Sports Med 2022; 56: 165-171
• 8 Kivi DM, Maraj BK, Gervais P. A kinematic analysis of high-speed treadmill sprinting over a range of velocities. Med Sci Sports Exerc 2002; 34: 662-666
• 9 Fiorentino NM, Rehorn MR, Chumanov ES, Thelen DG, Blemker SS. Computational models predict larger muscle tissue strains at faster sprinting speeds. Med Sci Sports Exerc 2014; 46: 776-786
• 10 Tokutake G, Kuramochi R, Murata Y, Enoki S, Koto Y, Shimizu T. The Risk Factors of Hamstring Strain Injury Induced by High-Speed Running. J Sports Sci Med 2018; 17: 650-655
• 11 Van Hooren B, Bosch F. Is there really an eccentric action of the hamstrings during the swing phase of high-speed running? part I: A critical review of the literature. J Sports Sci 2017; 35: 2313-2321
• 12 Freckleton G, Cook J, Pizzari T. The predictive validity of a single leg bridge test for hamstring injuries in Australian Rules Football Players. Br J Sports Med 2014; 48: 713-717
• 13 Gasparin GB, Ribeiro-Alvares JBA, Baroni BM. Single Leg Bridge Test is Not a Valid Clinical Tool to Assess Maximum Hamstring Strength. Int J Sports Phys Ther 2022; 17: 613-621
• 14 Kellis E, Blazevich AJ. Hamstrings force-length relationships and their implications for angle-specific joint torques: a narrative review. BMC Sports Sci Med Rehabil 2022; 14: 166
• 15 Soligard T, Myklebust G, Steffen K. et al. Comprehensive warm-up programme to prevent injuries in young female footballers: cluster randomised controlled trial. Bmj 2008; 337: a2469
• 16 Jónasson G, Helgason A, Ingvarsson Þ, Kristjánsson AM, Briem K. The Effect of Tibial Rotation on the Contribution of Medial and Lateral Hamstrings During Isometric Knee Flexion. Sports Health 2016; 8: 161-166
• 17 Ferri-Caruana A, Mollà-Casanova S, Baquedano-Moreno M, Serra-Añó P. Electromyographic activity of posterior kinetic chain muscles during hamstring strengthening exercises. Phys Ther Sport 2022; 55: 205-210
• 18 Merletti R, Hermens H. Introduction to the special issue on the SENIAM European Concerted Action. J Electromyogr Kinesiol 2000; 10: 283-286
• 19 Hermens HJ, Freriks B, Disselhorst-Klug C, Rau G. Development of recommendations for SEMG sensors and sensor placement procedures. J Electromyogr Kinesiol 2000; 10: 361-374
• 20 Konrad P. The ABC of EMG -A Practical Introduction to Kinesiological Electromyography. Version 1.4 . 2006
• 21 Krommes K, Jakobsen MD, Bandholm T. et al. Cross-sectional Study of EMG and EMG Rise During Fast and Slow Hamstring Exercises. Int J Sports Phys Ther 2021; 16: 1033-1042
• 22 Bourne MN, Williams MD, Opar DA, Al Najjar A, Kerr GK, Shield AJ. Impact of exercise selection on hamstring muscle activation. Br J Sports Med 2017; 51: 1021-1028
• 23 Bourne MN, Timmins RG, Opar DA. et al. An Evidence-Based Framework for Strengthening Exercises to Prevent Hamstring Injury. Sports Med 2018; 48: 251-267
• 24 Llurda-Almuzara L, Labata-Lezaun N, López-de-Celis C. et al. Biceps Femoris Activation during Hamstring Strength Exercises: A Systematic Review. Int J Environ Res Public Health 2021; 18: 8733
• 25 Jönhagen S, Ericson MO, Németh G, Eriksson E. Amplitude and timing of electromyographic activity during sprinting. Scand J Med Sci Sports 1996; 6: 15-21
• 26 Schuermans J, Danneels L, Van Tiggelen D, Palmans T, Witvrouw E. Proximal Neuromuscular Control Protects Against Hamstring Injuries in Male Soccer Players: A Prospective Study With Electromyography Time-Series Analysis During Maximal Sprinting. Am J Sports Med 2017; 45: 1315-1325
• 27 Ohtsubo R, Saito H, Hirose N. Characterizing Muscle Activity in Soccer Players with a History of Hamstring Strain Injuries during Accelerated Sprinting. J Sports Sci Med 2024; 23: 656-662
• 28 Neumann DA. Kinesiology of the hip: a focus on muscular actions. J Orthop Sports Phys Ther 2010; 40: 82-94
• 29 Hirose N, Tsuruike M. Differences in the Electromyographic Activity of the Hamstring, Gluteus Maximus, and Erector Spinae Muscles in a Variety of Kinetic Changes. J Strength Cond Res 2018; 32: 3357-3363
• 30 Daneshjoo A, Rahnama N, Mokhtar AH, Yusof A. Bilateral and unilateral asymmetries of isokinetic strength and flexibility in male young professional soccer players. J Hum Kinet 2013; 36: 45-53
• 31 Arnold EM, Ward SR, Lieber RL, Delp SL. A model of the lower limb for analysis of human movement. Ann Biomed Eng 2010; 38: 269-279
• 32 Loturco I, Nakamura FY, Tricoli V. et al. Determining the Optimum Power Load in Jump Squat Using the Mean Propulsive Velocity. PLoS One 2015; 10: e0140102
• 33 Guerriero A, Varalda C, Piacentini MF. The Role of Velocity Based Training in the Strength Periodization for Modern Athletes. J Funct Morphol Kinesiol 2018; 3: 55
• 34 Farina D, Merletti R, Enoka RM. The extraction of neural strategies from the surface EMG. J Appl Physiol (1985) 2004; 96: 1486-1495