Table 4

Results of best evidence synthesis

Strength variablenUnivariateMultivariateAssociation with risk
(↑\↓\=)
Best evidence synthesis
Low risk of biasHigh risk of biasLow risk of biasHigh risk of biasAssociationLevel of evidence
A. Hamstring
 Concentric 60°/s1533(81415193233(16171830)(141531)(161830)↑(17)
=(81415161819303233)
No Strong
 Concentric 180°/s265(153233)(161718)(1532)(161830) =(151617183233)No Strong
 Concentric 240°/s506(1932)(1932) =(1932)No Strong
 Concentric 300°/s905(8141533)(1718)(1415)(18) =(81415171833)No Strong
 Eccentric 30°/s462(19)(19) =(19)No Limited
 Eccentric 60°/s890(143233)(1618)(14)(18)↑(14)
=(16183233)
No Strong
 Eccentric 120°/s462(19)(19) =(19)No Limited
 Eccentric 180°/s276(3233)(1618)(18) =(1618, 32, 33)No Strong
 Eccentric 240°/s44(32) = (32)No Limited
 Eccentric 300°/s130(33)(18)(18) =(1833)No Moderate
B. Quadriceps
 Concentric 60°/s2697(81415193233)(1617183031)(141519)(30) (14, 30)
=(8151617, 18193233)
No Strong
 Concentric 180°/s349(153233)(161718)(15)(18) =(151617183233)No Strong
 Concentric 240°/s506(1932)(19) = (1932)No Strong
 Concentric 300°/s2069(814, 1533)(1718)(14)(18) =(81415171833)No Strong
 Eccentric 60°/s232(33)(1618)(18)=(161833)No Moderate
 Eccentric 180°/s232(33)(1618)(18) =(161833)No Moderate
 Eccentric 300°/s130(33)(18)(18) =(1833)No Moderate
C. Hamstrings:quadriceps ratio
 Conventional 60°/s1974(8151932)(1617203031)(8151932)(172931) (1730)
=(8151619203132)
No Strong
 Conventional 180°/s240(1532)(161731)(1532)(31)↑(32)
=(15161731)
No Moderate
 Conventional 240°/s506(1932)(1932) =(1932)No Strong
 Conventional 300°/s1325(815)(17)(815) =(81517)No Strong
 Functional 60°/s176(3233)(16)(32)↑(33)
=(1632)
Unknown Conflicting
 Functional 180°/s246(32)(1618)(32)(18)↑(16)
=(1832)
Unknown Conflicting
 Functional 240°/s44(32)(32) =(32)No Limited
D. Hamstring:opposite hamstring ratio
 Concentric 60°/s377(32)(161720)(32)(17) ↑( 17)
=(162032)
No Moderate
 Concentric 180°/s183(32)(1617)(32) =(161732)No Moderate
 Concentric 240°/s44(32)(32) =(32)No Limited
 Concentric 300°/s37(17) =(17)No Limited
 Eccentric 30°/s194(20) =(20)No Limited
 Eccentric 60°/s102(16) =(16)No Limited
 Eccentric 180°/s102(16) =(16)No Limited
E. Other mixed ratios
 Croisier ‘strength imbalance’462(19)(20)(19)↑(19)
=(20)
Unknown Conflicting
 QuConc 60°/s:HSConc60°/s 614(14)(14) =(14)No Limited
 QuConc 300°/s:HSConc300°/s 614(14)(14) =(14)No Limited
 QuConc 300°/s:HSEcc60°/s 614(14)(14) =(14)No Limited
F. Hip extensors
 Concentric 60°/s30(33)↑(33)Yes Limited
 Concentric 180°/s30(33) =(33)No Limited
 Concentric 300°/s30(33) =(33)No Limited
  • ↑, Association with future hamstring muscle strain; ↓, association with lower risk of future hamstring muscle strain; =, no significant association with future hamstring muscle strain.

  • HS, hamstrings; Qu, quadriceps.