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. 2022 Jan 19;12(3):343–358. doi: 10.1016/j.jshs.2022.01.002

Table 2.

Results of the included studies on the association between the H:Q ratio and hamstring or ACL injury.

Study Type of ratio
Conventional Functional Mixed Other
Hamstring injury
60°/s
Bennell et al. (1998)37 NS for H:Q < 0.60 NS for H:Q < 0.60
Cameron et al. (2003)39 S for H:Q < 0.60, SP = 50%
S for H:Q > 0.66 SP = 100%
Croisier et al. (2008)13 Players with H:Q > 0.55–0.57 and/or 15% bilateral strength differences had 4.66 greater relative risk for injury
Croisier et al. (2008)13 NS NS
Dauty el al. (2016)3 NS for H:Q < 0.47 NS for H:Q < 0.80 S for H:Q < 0.80, SE = 2.5%, SP 99%
Dauty et al. (2018)33 NS for H:Q < 0.47 or < 0.60 ΝS
Dauty et al. (2020)34 NS for H:Q < 0.80 or < 1.00
Lee et al. (2018)35 S for H:Q < 0.505, OR = 3.14 (95% CI:1.37–7.22) NS NS
Orchard et al. (1997)38 S for H:Q < 0.61, positive predictive value = 77.4%
Sugiura et al. (2008)40 N/R S N/R
Yeung et al. (2009)41 ΝS ΝS
Zvijac et al. (2013)42 NS for H:Q < 0.60
van Dyk et al. (2016)30 NS
van Dyk et al. (2017)29 NS
Others28,31,36,43 ΝS
120°/s
Dauty et al. (2016)3 NS for H:Q < 0.47 NS for H:Q < 0.80
180°/s
Bennell et al. (1998)37 NS for H:Q < 0.60 NS for H:Q < 0.60
Dauty et al. (2016)3 S for H:Q < 0.47, SE = 7% SP = 97%
Yeung et al. (2009)41 S for H:Q < 0.60, (Hazard ratio = 17.4, 95%CI: 1.3–231.4) NS
Fousekis et al. (2011)32 NS for H:Q < 1.00
Others31,38,43 NS
240°/s
Lee et al. (2018)35 S for H:Q < 0. 505, OR = 0.93 (95%CI: 0.89–0.98)
Dauty et al. (2016)3 NS H:Q < 0.47
Yeung et al (2009)41 NS NS
Others31,36 NS
300°/s
van Dyk et al. (2016)30 NS
van Dyk et al. (2017)29 NS
Others31,38 NS
ACL injury
60°/s
Uhorchak et al. (2003)48 NS NS
Others45, 46, 47 NS
300°/s
Myer et al. (2009)44 NS

Abbreviations: 95%CI = 95% confidence interval; ACL = anterior cruciate ligament; H:Q = hamstring-to-quadriceps; NS = non-significant; N/R = not reported; OR = odds ratio; S = significant; SE = sensitivity; SP = specificity.