Hamstring to quadriceps strength ratio and cross-sectional area of the quadriceps and hamstrings muscles assessed using extended field-of-view ultrasonography

This study examined whether the association between hamstring (H) and quadriceps (Q) strength with size depends on the region and the muscle used to examined cross-sectional area (CSA). Maximum isometric contraction knee extension and flexion torque was obtained from 20 young participants while Q and H CSA was recorded using extended field of view ultrasonography at four sections along the thigh. Stepwise linear regression models using the maximum CSA of individual muscles showed a significant association of quadriceps (R-2 = 0.793) and hamstring (R-2 = 0.275) CSA with MVC torque (p < 0.05). The association was lower when maximum or section-specific muscle group CSAs were used as indices of size. The H:Q CSA ratio showed a significant association (R-2 = 0.275, p < 0.05) and a moderate correlation (r = 0.48) with H:Q torque ratio. These results indicated that the association between muscle CSA and strength differs between the knee extensors and flexors. Amongst the various indices of muscle size, the combination of maximum CSA values of each muscle displayed the greatest relationship between strength and CSA. The H:Q CSA ratio can explain a significant but small part of the H:Q isometric strength ratio.