Paper
Eccentric Training and Biceps Femoris Architecture and Strength: A Systematic Review With Meta-Analysis.
Published Mar 27, 2020 · Rémy Gérard, Léo Gojon, P. Declève
Journal of athletic training
28
Citations
4
Influential Citations
Abstract
OBJECTIVE To determine the effects of an eccentric hamstrings strength-training program, performed for at least 4 weeks by healthy adults, on muscle architecture and eccentric strength. DATA SOURCES A systematic search was performed through October 2018 in the following electronic databases: PubMed, PEDro, CINAHL and SPORTDiscus. A combination of the following search terms was used: eccentric strength training, eccentric loading, nordic hamstring, hamstring strength, fascicle length, pennation angle, muscle thickness, muscle architecture, biceps femoris long head, biceps femoris, and hamstring muscles. STUDY SELECTION Included articles were randomized controlled trials that allowed comparisons between isolated eccentric strength training for the biceps femoris muscle and other programs. DATA EXTRACTION Data from the included studies were extracted by 2 independent reviewers. These data included the study design, participant characteristics, inclusion and exclusion criteria of clinical studies, exercise and intervention characteristics, outcome measures, and the main results of the study. When meta-analysis was possible, we performed quantitative analysis. Ten randomized controlled trials were included. DATA SYNTHESIS Limited to moderate evidence indicated that eccentric strength training was associated with an increase in fascicle length (mean difference [MD] = 1.97; 95% confidence interval [CI] = 1.48, 2.46), an increase in muscle thickness (MD = 0.10; 95% CI = 0.06, 0.13), and a decrease in pennation angle (MD = 2.36; 95% CI = 3.11, 1.61). Conflicted to moderate evidence indicated that eccentric hamstrings strength was increased after eccentric strength training compared with concentric strength training (standardized mean difference [SMD] = 1.06; 95% CI = 0.26, 1.86), usual level of activity (SMD = 2.72; 95% CI = 1.68, 3.77), and static stretching (SMD = 0.39; 95% CI = -0.97, 1.75). CONCLUSIONS In healthy adults, an eccentric strength-training program produced architectural adaptations of the long head of the biceps femoris muscle and increased eccentric hamstrings strength.
Eccentric strength-training programs in healthy adults can improve muscle architecture and increase eccentric hamstring strength.
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