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| Name | Class |
|---|---|
| Mersin University | OTHER |
| T.C. Dumlupınar Üniversitesi | OTHER |
| Eskisehir Technical University | OTHER |
| Istanbul Gelisim University |
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This cross-sectional observational study investigated posterior chain muscle activation patterns in football players with and without a history of hamstring strain injury. Forty-two male athletes were assessed using surface electromyography (sEMG) during Nordic Hamstring Curl, Kettlebell Swing, and Supine Sliding Leg Curl exercises. Results demonstrated persistent deficits in biceps femoris, gluteus maximus, latissimus dorsi, and iliocostalis lumborum activation in previously injured athletes compared to controls, suggesting that neuromuscular alterations extend beyond the hamstring itself and may increase reinjury risk.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Injured Group | Male football players aged 18-30 years with a history of unilateral hamstring strain injury (HSI) within the past 6 months, BMI 18.5-24.9 kg/m², able to perform study exercises (Nordic Hamstring Curl, Kettlebell Swing, Supine Sliding Leg Curl). Surface electromyography (sEMG) was used to measure activation of biceps femoris, gluteus maximus, latissimus dorsi, and iliocostalis lumborum during a single session. No interventions were applied (observational study). |
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| Healthy Control Group | Male football players aged 18-28 years, no history of hamstring strain injury in the past 6 months, BMI 18.5-24.9 kg/m², straight-leg raise on dominant limb <80°, able to perform study exercises (Nordic Hamstring Curl, Kettlebell Swing, Supine Sliding Leg Curl). Surface electromyography (sEMG) measured activation of biceps femoris, gluteus maximus, latissimus dorsi, and iliocostalis lumborum in a single session. No interventions were applied (observational study). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nordic Hamstring Curl (NHC) | Other | Knee-dominant eccentric hamstring strengthening exercise performed on a padded surface. Participants control the descent of the torso while knees remain fixed, emphasizing eccentric activation of hamstring muscles. |
| Measure | Description | Time Frame |
|---|---|---|
| Gluteus Maximus Activation (%MVIC) | Surface EMG amplitude (RMS) normalized to MVIC, averaged across three functional exercises. Mean %MVIC compared between groups. | Single laboratory visit; measurements during 3 repetitions of each exercise (Nordic Hamstring Curl, Kettlebell Swing, Supine Sliding Single-Leg Curl) |
| Biceps Femoris Long Head Activation (%MVIC) | Surface EMG amplitude (RMS) normalized to MVIC. Mean %MVIC across repetitions compared between injured and healthy athletes. | Single laboratory visit; measurements during 3 repetitions of each exercise (Nordic Hamstring Curl, Kettlebell Swing, Supine Sliding Single-Leg Curl) |
| Latissimus Dorsi Activation (%MVIC) | Surface EMG amplitude (RMS) normalized to MVIC, averaged across three functional exercises. Mean %MVIC compared between groups. | Single laboratory visit; measurements during 3 repetitions of each exercise (Nordic Hamstring Curl, Kettlebell Swing, Supine Sliding Single-Leg Curl) |
| Iliocostalis Lumborum Activation (%MVIC) | Surface EMG amplitude (RMS) normalized to MVIC. Mean %MVIC across repetitions compared between injured and healthy athletes. | Single laboratory visit; measurements during 3 repetitions of each exercise (Nordic Hamstring Curl, Kettlebell Swing, Supine Sliding Single-Leg Curl) |
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Inclusion Criteria:
Exclusion Criteria:
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Forty-two male football players aged 18-30 years participated, including 21 with a history of unilateral hamstring strain injury and 21 healthy controls. All were recreational to semi-professional athletes with BMI within the normal range and able to complete functional posterior chain exercises.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Health Sciences | Ankara | Etlik | 06100 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41318473 | Derived | Gulgosteren E, Yuksel O, Gurol B, Yildirim O, Atar O, Soylu C, Altundag E, Acar G. Persistent neuromuscular deficits in the posterior kinetic chain following hamstring strain injury: EMG insights from nordic hamstring curl, kettlebell swing, and supine sliding leg curl. BMC Sports Sci Med Rehabil. 2025 Nov 29;18(1):6. doi: 10.1186/s13102-025-01435-5. |
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De-identified individual participant data (IPD) that underlie the results reported in this article (text, tables, figures) will be made available upon reasonable request to the corresponding author, following publication. Data will be shared with qualified researchers for academic purposes, subject to ethical approval and institutional data protection policies. Supporting documents (study protocol, statistical analysis plan) may also be provided on request.
De-identified individual participant data (IPD), study protocol, and statistical analysis plan will be available beginning 6 months after publication of the main results article and will remain available for a period of 5 years thereafter.
Qualified researchers affiliated with academic or research institutions may request access to de-identified IPD, the study protocol, and the statistical analysis plan. Requests must be made in writing to the corresponding author and will be reviewed by the study team. Access will be granted for scientifically sound proposals, with data shared via secure transfer following institutional data protection policies.
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| ID | Term |
|---|---|
| D013180 | Sprains and Strains |
| D009468 | Neuromuscular Diseases |
| D001265 | Athletic Injuries |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
| D009422 | Nervous System Diseases |
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| OTHER |
| Çanakkale Onsekiz Mart University | OTHER |
| Saglik Bilimleri Universitesi | OTHER |
| Manisa Celal Bayar University | OTHER |
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| Kettlebell Swing (KS) | Other | Hip-dominant ballistic movement involving rapid hip flexion-extension using a kettlebell (16-20 kg depending on participant's ability). Each repetition includes concentric, isometric, and eccentric phases standardized by metronome pacing. |
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| Supine Sliding Single-Leg Curl (SSLC) | Other | Closed-chain exercise performed in supine position with heels placed on sliding discs. One leg is extended while the other leg performs concentric-eccentric sliding curl. |
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