JORR

The Journal of Orthopedics Research and Rehabilitation welcomes scholarly papers inorthopaedic surgery, physical therapy and rehabilitation, neurosurgery, neurology and clinic anesthesiology and reanimation. This journal is indexed by indices that are considered international scientific journal indices (DRJI, ESJI, OAJI, etc.). According to the current Associate Professorship criteria, it is within the scope of International Article 1-d. Each article published in this journal corresponds to 5 points.

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Original Article
Hamstring muscle activation during the flywheel exercises
Aims: Aim of this study was to determine hamstring activation during flywheel (FW) exercises, identify differences between muscles and classify the exercises.
Methods: Exercises were done by professional footballers and electromyography data from hamstring muscles were recorded and normalized according to maximum voluntary isometric contractions (MVIC). Differences between muscles and with-in exercises were compared with repeated measures ANOVA and categorized according to their intensity.
Results: The Exercise variable had significant differences (F(3.1,81.5)=96.5, p<0.05) but the muscles variable F(1,26)=2.24, p>0.05) and Exercise*Muscle interaction effect (F(3.1,81.5)=0.97, p>0.05) were not a significantly different. During Romanian Dead Lift, Single Leg Dead Lift, Leg Curl and Single Leg Hamstring Bridge determined over 80% activation according to MVIC for biceps femoris (BF) and medial hamstring (MH) with not significantly different between each other and they were categorized as high-intensity FW exercises (p>.05). During Bilateral Squat for both musclewere determined below 50% according to MVIC and it was categorized as low-intensity FW exercise. During Single Leg Squat and LUNGE in the MH were below 50% according to MVIC, these exercises were categorized as low-intensity FW exercises and in the BF in the range of 50-80% according to MVIC so they were categorized as medium-intensity FW exercises.
Conclusion: With this study, both parts of the hamstring contract similarly during the selected FW exercises. Low or moderate intensity FW exercises can be used in the early stages of rehabilitation or preventive hamstring exercise programs, while high intensity ones can be used in later processes.


1. Malliaropoulos NG. Non contact hamstring injuries in sports. MusclesLigaments Tendons J. 2013;2(4):309-311.
2. Bourne MN, Duhig SJ, Timmins RG, et al. Impact of the Nordichamstring and hip extension exercises on hamstring architectureand morphology: implications for injury prevention. Br J Sports Med.2017;51(5):469-477. doi:10.1136/bjsports-2016-096130
3. Green B, Bourne MN, van Dyk N, et al. Recalibrating the risk ofhamstring strain injury (HSI): a 2020 systematic review and meta-analysis of risk factors for index and recurrent hamstring straininjury in sport. Br J Sports Med. 2020;54(18):1081-1088. doi:10.1136/bjsports-2019-100983
4. Danielsson A, Horvath A, Senorski C, et al. The mechanism ofhamstring injuries-a systematic review. BMC Musculoskelet Disord.2020;21(1):641. doi:10.1186/s12891-020-03658-8
5. H&auml;gglund M, Wald&eacute;n M, Ekstrand J. Injury recurrence is lower at thehighest professional football level than at national and amateur levels:does sports medicine and sports physiotherapy deliver? Br J Sports Med.2016;50(12):751-758. doi:10.1136/bjsports-2015-095951
6. Monajati A, Larumbe-Zabala E, Goss-Sampson M, Naclerio F. Injuryprevention programs based on flywheel vs. body weight resistancein recreational athletes. J Strength Cond Res. 2021;35(1):S188-S196.doi:10.1519/JSC.0000000000002878
7. Burton I, McCormack A. Inertial flywheel resistance training intendinopathy rehabilitation: a scoping review. Int J Sports Phys Ther.2022;17(5):775-786. doi:10.26603/001c.36437
8. Berg HE, Tesch A. A gravity-independent ergometer to be used forresistance training in space. Aviat Space Environ Med. 1994;65(8):752-756.
9. Maroto-Izquierdo S, Garc&iacute;a-L&oacute;pez D, Fernandez-Gonzalo R, MoreiraOC, Gonz&aacute;lez-Gallego J, de Paz JA. Skeletal muscle functional andstructural adaptations after eccentric overload flywheel resistancetraining: a systematic review and meta-analysis. J Sci Med Sport.2017;20(10):943-951. doi:10.1016/j.jsams.2017.03.004
10. Wonders J. Flywheel training in musculoskeletal rehabilitation: aclinical commentary. Int J Sports Phys Ther. 2019;14(6):994-1000.
11. Douglas J, Pearson S, Ross A, McGuigan M. Chronic adaptations toeccentric training: a systematic review. Sports Med. 2017;47(5):917-941.doi:10.1007/s40279-016-0628-4
12. Gual G, Fort-Vanmeerhaeghe A, Romero-Rodr&iacute;guez D, Tesch PA.Effects of In-season inertial resistance training with eccentric overloadin a sports population at risk for patellar tendinopathy. J Strength CondRes. 2016;30(7):1834-1842. doi:10.1519/JSC.0000000000001286
13. Ruffino D, Malliaras P, Marchegiani S, Campana V. Inertial flywheelvs heavy slow resistance training among athletes with patellartendinopathy: a randomised trial. Phys Ther Sport. 2021;52:30-37. doi:10.1016/j.ptsp.2021.08.002
14. de Hoyo M, Pozzo M, Sa&ntilde;udo B, et al. Effects of a 10-week in-seasoneccentric-overload training program on muscle-injury prevention andperformance in junior elite soccer players. Int J Sports Physiol Perform.2015;10(1):46-52. doi:10.1123/ijspp.2013-0547
15. Monajati A, Larumbe-Zabala E, Goss-Sampson M, Naclerio F. Theeffectiveness of injury prevention programs to modify risk factorsfor non-contact anterior cruciate ligament and hamstring injuriesin uninjured team sports athletes: a systematic review. PLoS One.2016;11(5):e0155272. doi:10.1371/journal.pone.0155272
16. 16. Askling C, Karlsson J, Thorstensson A. Hamstring injury occurrencein elite soccer players after preseason strength training with eccentricoverload. Scand J Med Sci Sports. 2003;13(4):244-250. doi:10.1034/j.1600-0838.2003.00312.x
17. 17. Hegyi A, Csala D, P&eacute;ter A, Finni T, Cronin NJ. High-densityelectromyography activity in various hamstring exercises. Scand J MedSci Sports. 2019;29(1):34-43. doi:10.1111/sms.13303
18. 18. Tsaklis P, Malliaropoulos N, Mendiguchia J, et al. Muscle and intensitybased hamstring exercise classification in elite female track and fieldathletes: implications for exercise selection during rehabilitation. OpenAccess J Sports Med. 2015;6:209-217. doi:10.2147/OAJSM.S79189
19. 19. Guruhan S, Kafa N, Ecemis ZB, Guzel NA. muscle activation differencesduring eccentric hamstring exercises. Sports Health. 2021;13(2):181-186.doi:10.1177/1941738120938649
20. Cuthbert M, Ripley N, McMahon JJ, Evans M, Haff GG, Comfort P. Theeffect of nordic hamstring exercise intervention volume on eccentricstrength and muscle architecture adaptations: a systematic review andmeta-analyses. Sports Med. 2020;50(1):83-99. doi:10.1007/s40279-019-01178-7
21. van den Tillaar R, Solheim JAB, Bencke J. Comparision of hamstringmuscle activation during high-speed runningand varioushamstringstrenghthening exercise. Int J Sports Phys Ther.2017;12(5):718-727.
22. Pedersen H, Saeterbakken AH, Vagle M, Fimland MS, Andersen V.Electromyographic comparison of flywheel inertial leg curl and nordichamstring exercise among soccer players. Int J Sports Physiol Perform.2021;16(1):97-102. doi:10.1123/ijspp.2019-0921
23. Mart&iacute;n-San Agust&iacute;n R, Castillo-Ballesta L, Llobat Sancho J, et al.Comparison of electromyographic activity during hip extensionexercises under gravitational or inertial loading conditions. SportsHealth. 2022;14(2):246-253. doi:10.1177/19417381211011407
24. Hermens HJ, Freriks B, Disselhorst-Klug C, Rau G. Development ofrecommendations for SEMG sensors and sensor placement procedures. JElectromyogr Kinesiol. 2000;10(5):361-374. doi:10.1016/s1050-6411(00)00027-4
25. Thorborg K, Petersen J, Magnusson SP, H&ouml;lmich P. Clinical assessmentof hip strength using a hand-held dynamometer is reliable. Scand J MedSci Sports. 2010;20(3):493-501. doi:10.1111/j.1600-0838.2009.00958.x
26. Macdonald B, McAleer S, Kelly S, et al. Hamstring rehabilitation in elitetrack and field athletes: applying the British Athletics Muscle InjuryClassification in clinical practice. Br J Sports Med. 2019;53(23):1464-1473. doi:10.1136/bjsports-2017-098971
27. Cheon S, Lee JH, Jun HP, et al. Acute effects of open kinetic chainexercise versus those of closed kinetic chain exercise on quadricepsmuscle thickness in healthy adults. Int J Environ Res Public Health.2020;17(13):4669. doi:10.3390/ijerph17134669
28. Hu C, Du Z, Tao M, Song Y. Effects of different hamstring eccentricexercise programs on preventing lower extremity injuries: asystematic review and meta-analysis. Int J Environ Res Public Health.2023;20(3):2057. doi:10.3390/ijerph20032057
29. Timmins RG, Filopoulos D, Nguyen V, et al. Sprinting, strength, andarchitectural adaptations following hamstring training in AustralianFootballers. Scand J Med Sci Sports. 2021;31(6):1276-1289. doi:10.1111/sms.13941
30. Mu&ntilde;oz-L&oacute;pez A, Fonseca FS, Ram&iacute;rez-Campillo R, et al. Theuse of real-time monitoring during flywheel resistance trainingprogrammes: how can we measure eccentric overload? A systematicreview and meta-analysis. Biol Sport. 2021;38(4):639-652. doi:10.5114/biolsport.2021.101602
31. O&rsquo; Brien J, Browne D, Earls D, Lodge C. The Efficacy of Flywheel InertiaTraining to Enhance Hamstring Strength. J FunctMorpholKinesiol.2022;7(1):14. Published 2022 Jan 20. doi:10.3390/jfmk7010014
32. Mendez-Villanueva A, Suarez-Arrones L, Rodas G, et al. MRI-basedregional muscle use during hamstring strengthening exercises in elitesoccer players. Plos one. 2016;11(9):e0161356. doi:10.1371/journal.pone.0161356
Volume 1, Issue 4, 2023
Page : 75-80
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