A common musculoskeletal concern: A comparative analysis of therapeutic techniques for hamstring shortness


SAFRAN E., Yılmaz Ç.

Work, vol.82, no.2, pp.559-567, 2025 (SSCI, Scopus) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 82 Issue: 2
  • Publication Date: 2025
  • Doi Number: 10.1177/10519815251346473
  • Journal Name: Work
  • Journal Indexes: Social Sciences Citation Index (SSCI), Scopus, ABI/INFORM, Agricultural & Environmental Science Database, Business Source Elite, Business Source Premier, CINAHL, Educational research abstracts (ERA), Environment Index, INSPEC, MEDLINE, Psycinfo
  • Page Numbers: pp.559-567
  • Keywords: articular, hamstring muscles, manipulation, orthopedic, physical therapy modalities, range of motion, sacroiliac joint, sedentary behavior
  • Bezmialem Vakıf University Affiliated: Yes

Abstract

Background: Hamstring shortness is a common musculoskeletal issue among young adults. While several therapeutic approaches exist to address this condition, there is ongoing debate regarding the most effective treatment methods. Objective: This single-blind active controlled randomized study aimed to compare the immediate effects of muscle energy technique (MET) and percussive therapy (PT) on individuals with hamstring shortness. Methods: Thirty college students age between 18 and 25 years were randomly allocated to either the MET or PT group for the study. All participants were evaluated using two assessments: pre-intervention and immediate post-intervention. The Sit and Reach Test was the primary outcome measure, while hamstring strength, assessed with a MicroFET2®manual muscle tester, served as the secondary outcome. PT group received a 6-min massage-gun treatment, targeting each hamstring head for 2 min. MET group received anterior and posterior innominate techniques for 3 min each, totaling 6 min. Results: Both groups evidenced substantial enhancements in sit and reach scores and muscle strength following the intervention when compared to the baseline values (p < 0.05). There was no significant difference between groups in terms of hamstring flexibility and strength scores (p > 0.05). Conclusions: In conclusion, both MET and PT are effective interventions for improving hamstring flexibility and strength. MET's active mechanism may provide greater immediate benefits, while PT remains a valuable passive alternative. The choice between these techniques should be guided by individual patient needs and therapeutic objectives. Future research should focus on long-term outcomes, diverse populations, and combined strategies to enhance clinical applicability and patient outcomes.