Effects of Collagen and Exercise on Tendon Properties and Pain: A Critically Appraised Topic.

CLINICAL SCENARIO: Achilles tendon ruptures are prevalent and devastating injuries that require the need for extensive rehabilitation. The methods for preventing these injuries vary between different exercise methods and nutritional supplementation. Although proven effective for decreasing pain and increasing tendon properties, the influence of these 2 methods in combination has not yet been evaluated. CLINICAL QUESTION: Does exercise combined with collagen supplementation improve Achilles tendon structural and mechanical properties and diminish subsequent patient-reported pain compared with exercise alone in adults? SUMMARY OF KEY FINDINGS: Exercise training, including eccentric training protocols and concentric resistance training protocols, combined with collagen supplementation influence Achilles tendon properties and subsequent patient-reported pain compared with exercise alone. CLINICAL BOTTOM LINE: Evidence supports that collagen along with exercise training has a significant influence on pain mitigation, augmented cross-sectional area, and tendon thickness, but may have little to no influence on tendon stiffness and microvascularity compared with exercise alone. Further research is needed to determine the effects of combined methods on various populations. STRENGTH OF RECOMMENDATION: Collectively, the body of evidence included to answer the clinical question aligns with the strength of recommendation of A.

The reactive leg drop: a simple and novel sensory-motor assessment to predict fall risk in older individuals.

There is need for a functional ability test that appropriately assesses the rapid integration of the sensory and motor systems required for older adults to recover from a slip. The purpose of this study was to assess the efficacy and reliability of a novel test, the reactive leg drop, for assessing sensory-motor function in older adults. Fourteen young (YW; mean age = 20 yr) and 11 older women (OW; mean age = 76 yr) participated in this study. For each drop, the leg was passively moved to full extension and then released. The subjects had to recognize their leg was free-falling and reactively kick up as quickly as possible during varying sensory conditions. To assess the leg drop's reliance on proprioception, other proprioceptive tests (e.g., patellar tendon reflexes and balance) were separately performed. Leg drops performed with the eyes closed ( P = 0.011) and with a blocked view of the leg ( P = 0.033) showed significant differences in drop angle between YW and OW. Significant relationships between leg drop conditions and balance were observed in OW that were not present within YW. When collapsed across groups, reflex latency was correlated with drop angle when the eyes were closed. The reactive leg drop was age sensitive, reliable, and likely reliant on proprioception, as shown by relationships to other sensory-motor assessments, such as balance and the patellar reflex. Although more research is needed, we propose that the reactive leg drop is an effective tool to assess sensory-motor integration in a manner that may mimic fall recovery. NEW & NOTEWORTHY The reactive leg drop was age sensitive and was significantly related to other sensory-motor assessments. The ability to accurately assess sensory-motor integration may aid clinicians, practitioners, and researchers in developing new interventions. The reactive leg drop presented in the current study is a potentially effective tool to assess sensory and motor integration in a manner that may mimic fall recovery.

Comparison of fatigue responses and rapid force characteristics between explosive- and traditional-resistance-trained males.

PURPOSE: To compare maximal and rapid force characteristics, as well as fatigability, between traditional (TRT) and explosive (ERT) resistance-trained men. METHODS: Fourteen TRT (mean age = 25 years) and twelve ERT (mean age = 22 years) men performed rapid maximal contractions followed by an isokinetic fatigue protocol consisting of 50 maximal knee extension (KE) and flexions (KF) at a moderate speed (180° s-¹). Baseline measures included: isokinetic peak torque (PT), isometric rate of torque development (RTD0-50), peak acceleration (ACCmax), and peak velocity (Vmax). Changes in torque with fatigue were used to calculate a fatigue index (FI%). RESULTS: The ERT group (M ± SD; 1199.05 ± 404.12) displayed a significantly higher isometric RTD0-50 (p = 0.049) during KE than the TRT group (931.73 ± 244.75). No other significant differences in the dependent variables (PT, FI%, ACCmax, Vmax; all p ≥ 0.05) were observed between groups (TRT vs. ERT) for either of the muscle groups (KE and KF). CONCLUSIONS: The results of the present study indicated that only knee extension RTD was able to discriminate between the two groups. These findings suggest that rapid force production may be more sensitive at distinguishing training-specific muscular adaptations than peak acceleration or velocity.

Can Squat Jump Performance Differentiate Starters vs. Nonstarters in Division I Female Soccer Players?

Magrini, MA, Colquhoun, RJ, Sellers, JH, Conchola, EC, Hester, GM, Thiele, RM, Pope, ZK, and Smith, DB. Can squat jump performance differentiate starters vs. nonstarters in division I female soccer players? J Strength Cond Res 32(8): 2348-2355, 2018-Although soccer is predominately an endurance sport, high velocity movements may be an important indicator of athletic success. The purpose of this investigation was to establish whether squat jumps (SJs) can differentiate starters from nonstarters with a female collegiate division I soccer team. Eighteen female division I soccer athletes were separated into 2 groups: 9 starters (age: 19.5 ± 1.0; mass = 64.8 ± 11.5 kg; height = 167.5 ± 7.7 cm; games started = 18.2 ± 4.7; and minutes played = 1633.8 ± 478.2 minutes) and 9 nonstarters (age: 19.4 ± 1.4 years; mass = 63.3 ± 4.2 kg; height = 164.7 ± 6.8 cm; games started 0.7 ± 1.3; and minutes played 158.2 ± 269.3 minutes). Each athlete performed 3 maximal SJs at a starting knee angle of 110° without arm swing. Each participant's SJ height, mean power (MP), peak power (PP), mean velocity (MV), and peak velocity (PV) were measured during each attempt by a linear position transducer. No statistically significant differences (p ≥ 0.05) in MP and PP between the starters and nonstarters were observed. However, starters performed significantly better than nonstarters in SJ height (p = 0.002), MV (p = 0.025), and PV (p = 0.015). In addition, SJ height was strongly correlated with MV (r = 0.628) and PV (r = 0.647). These findings suggest that SJ height, MV, and PV may be important variables for discriminating differences between starters and nonstarters in division I female soccer athletes and a strong indicator of explosive performance.

Age-Related Differences in Maximal and Rapid Torque Characteristics of the Hip Extensors and Dynamic Postural Balance in Healthy, Young and Old Females.

Palmer, TB, Thiele, RM, and Thompson, BJ. Age-related differences in maximal and rapid torque characteristics of the hip extensors and dynamic postural balance in healthy, young and old females. J Strength Cond Res 31(2): 480-488, 2017-The purpose of this study was to examine age-related differences in maximal and rapid torque characteristics of the hip extensor muscles and dynamic postural balance in healthy, young and older females. Eleven younger (age, 26 ± 8 years) and 11 older (age, 67 ± 8 years) females performed 2 isometric maximal voluntary contractions (MVCs) of the hip extensor muscles. Absolute and relative peak torque (PT) and rate of torque development (RTD) at early (0-50 ms) and late (0-200 ms) phases of muscle contraction were examined during each MVC. Dynamic postural balance was assessed using a commercially designed balance testing device, which provides a measurement of dynamic stability based on the overall stability index (OSI). Results indicated that absolute PT and early (RTD50) and late (RTD200) RTD variables were lower (p = 0.009-0.050), and postural OSI was higher (p = 0.011) in the old compared with the younger females; however, no differences were observed for relative PT or RTD variables (p = 0.113-0.895). A significant relationship was also observed in the older (r = -0.601; p = 0.050) but not the younger (r = -0.132; p = 0.698) females between RTD50 and OSI. The lower absolute PT and RTD and higher OSI values for the old females may contribute to the increased functional limitations often observed in older adults. The significant relationship observed in the older females between OSI and RTD50 perhaps suggests that these age-related declines in explosive strength may be an important characteristic relevant to dynamic balance scores, especially in older populations.

Potentiation: Effect of Ballistic and Heavy Exercise on Vertical Jump Performance.

Hester, GM, Pope, ZK, Sellers, JH, Thiele, RM, and DeFreitas, JM. Potentiation: Effect of ballistic and heavy exercise on vertical jump performance. J Strength Cond Res 31(3): 660-666, 2017-The purpose of this study was to compare the acute effects of heavy and ballistic conditioning protocols on vertical jump performance in resistance-trained men. Fourteen resistance-trained men (mean ± SD: age = 22 ± 2.1 years, body mass = 86.29 ± 9.95 kg, and height = 175.39 ± 9.34 cm) with an average relative full squat of 2.02 ± 0.28 times their body mass participated in this study. In randomized, counterbalanced order, subjects performed two countermovement vertical jumps before and 1, 3, 5, and 10 minutes after either performing 10 rapid jump squats or 5 heavy back squats. The back squat protocol consisted of 5 repetitions at 80% one repetition maximum (1RM), whereas the jump squat protocol consisted of 10 repetitions at 20% 1RM. Peak jump height (in centimeters) using a jump mat, along with power output (in Watts) and velocity (in meters per second) through a linear transducer, was recorded for each time interval. There was no significant condition × time interaction for any of the dependent variables (p = 0.066-0.127). In addition, there was no main effect for condition for any of the dependent variables (p = 0.457-0.899). Neither the ballistic nor heavy protocol used in this study enhanced vertical jump performance at any recovery interval. The use of these protocols in resistance-trained men to produce postactivation potentiation is not recommended.

Effects of neuromuscular fatigue on electromechanical delay of the leg extensors and flexors in young men and women.

INTRODUCTION: We examined the effects of neuromuscular fatigue on volitional electromechanical delay (EMD) of leg extensors and flexors between genders. METHODS: Twenty-one men and 20 women performed 2 maximal voluntary contractions (MVCs), followed by intermittent isometric contractions of leg extensors and flexors using a 0.6 duty cycle (6-s contraction, 4-s relaxation) at 50% of MVC until volitional fatigue was achieved. MVCs were again performed at 0, 7, 15, and 30 min post-fatigue. RESULTS: EMD was greater compared with baseline at all post-fatigue time phases for the leg flexors (P = 0.001-0.007), while EMD was greater at Post0, Post15 and Post30 (P = 0.001-0.023) for the leg extensors. EMD was also greater for leg extensors compared with leg flexors only at Post0. CONCLUSION: No differential gender-related fatigue effects on EMD were shown. There were different fatigue-induced responses between leg extensors and flexors, with leg extensors exhibiting higher EMD immediately post-fatigue.

The identification of fall history using maximal and rapid isometric torque characteristics of the hip extensors in healthy, recreationally active elderly females: a preliminary investigation.

BACKGROUND AND AIMS: Maximal and rapid torque characteristics of the hip extensor muscles play an important role in fall prevention and other balance-related performances; however, few studies have investigated the ability of these variables at identifying fall-history status in healthy, recreationally active elderly adults. This study aimed to examine the effectiveness of maximal and rapid isometric torque characteristics of the hip extensor muscles to differentiate between healthy, recreationally active elderly females with (fallers) and without (non-fallers) a history a falls. METHODS: Six elderly female fallers (mean ± SD: age = 73 ± 7 year; mass = 68 ± 16 kg; height = 160 ± 5 cm) and nine elderly female non-fallers (age = 71 ± 7 year; mass = 66 ± 16 kg; height = 157 ± 6 cm) performed two isometric maximal voluntary contractions (MVCs) of the hip extensor muscles. Peak torque (PT) and absolute and relative rate of torque development (RTD) at the early (0-50 ms) and late (100-200 ms) phases of muscle contraction were examined during each MVC. RESULTS: Absolute and relative RTD at 0-50 ms were greater (P = 0.039 and 0.011, respectively) in the non-fallers compared to the fallers. However, no group-related differences (P = 0.160-0.573) were observed for PT nor absolute and relative RTD at 100-200 ms. CONCLUSIONS: Early rapid strength production of the hip extensor muscles may be a sensitive and effective measure for discriminating between elderly females of different fall histories. These findings may provide important insight regarding implications for the assessment of fall risk and in the development of proper training programs aimed at minimizing the occurrence of falls and other balance-related injuries in the elderly.

Acute Postexercise Time Course Responses of Hypertrophic vs. Power-Endurance Squat Exercise Protocols on Maximal and Rapid Torque of the Knee Extensors.

The aim of this study was to examine the effects of a medium-intensity high-volume vs. explosive squat protocol on the postexercise time course responses of maximal and rapid strength of the knee extensors. Seventeen resistance-trained men (mean ± SD: age = 22.0 ± 2.6 years) performed maximal voluntary contractions (MVCs) of the knee extensors before and after performing a squat workout using either a low-intensity fast velocity (LIFV) (5 × 16 at 40% 1 repetition maximum) or a traditional high-intensity slow velocity (TISV) (5 × 8 at 80% 1RM) exercise protocol. For each MVC, peak torque (PT), peak rate of torque development (RTDpeak), absolute (RTDabs), and relative RTD (RTDnorm) at early (0-50 milliseconds) and late (100-200 milliseconds) phases of muscle contraction were examined at pre- (Pre) and post-exercise at 0, 7, 15, and 30 (Post0...30) minutes. There were no intensity × time interactions for any variables (p = 0.098-0.832). Peak torque was greater at Pre than Post0 and Post7 (p = 0.001-0.016) but was not greater than Post15 and Post30 (p = 0.010-0.189). RTDpeak and early absolute RTD (RTD50abs) were greater at Pre than all postexercise time phases (p = 0.001-0.050); however, later absolute RTD (RTD100-200abs) was only greater at Pre than Post0 and Post30 (p = 0.013-0.048). Early relative RTD (RTD50norm) was only higher at Pre compared with Post0 (p = 0.023), whereas no differences were observed for later relative RTD (RTD100-200norm) (p = 0.920-0.990). Low-intensity fast velocity and TISV squat protocols both yielded acute decreases in maximal and rapid strength capacities following free-weight squats, with rapid strength showing slower recovery characteristics than maximal strength.

Power output during a high-volume power-oriented back squat protocol.

Low-repetition resistance training protocols are currently recommended for power-oriented workouts. However, there is little evidence on whether additional repetitions would be detrimental to power production. The purpose of this study was to examine power output during a high-volume power-oriented back squat protocol. Nineteen resistance-trained men (mean ± SD: age = 22.68 ± 2.98 years, squat 1 repetition maximum [1RM] = 149.60 ± 23.35 kg) performed a back squat protocol consisting of 5 sets of 16 repetitions at 40% of their RM, and peak power (PP) was measured during each repetition. Subjects performed the concentric phase as explosively as possible while maintaining flat feet. A 2-minute rest interval was allowed between the sets. Expectedly, power output significantly decreased within each set (p < 0.001). However, there was no difference in the highest repetition PP (PPmax) between sets (p = 0.493). Therefore, the additional repetitions performed within each set did not affect the power production of subsequent sets. The 2-minute rest periods were sufficient to allow consistent power outputs across 5 sets of an explosive back squat protocol. A protocol of this nature may be favorable when training for a sport or competition that requires repeated explosive performances of the lower body, specifically when high-intensity performance for longer durations (i.e., 60 seconds) is warranted.

The influence of athletic status on the passive properties of the muscle-tendon unit and traditional performance measures in division I female soccer players and nonathlete controls.

The purpose of this study was to determine if passive muscle-tendon properties of the posterior muscles of the hip and thigh and lower-body muscle power could discriminate between athletic status in division I female soccer athletes and nonathlete controls. Ten athletes (mean ± SE, age = 18.70 ± 0.34 years; mass = 64.61 ± 2.16 kg; height = 165.99 ± 1.46 cm; thigh muscle cross-sectional area = 94.08 ± 2.58 cm) and 11 nonathletes (mean ± SE, age = 19.64 ± 0.51 years; mass = 62.81 ± 2.60 kg; height = 162.44 ± 2.20 cm; thigh muscle cross-sectional area = 86.33 ± 2.81 cm) performed 2 instrumented straight-leg raise (iSLR) assessments using an isokinetic dynamometer programmed in passive mode to move the foot toward the head at 5°·s. During each iSLR, passive stiffness was calculated from the slopes of the initial (phase 1) and final (phase 2) portions of the angle-torque curve, and maximum range of motion (ROM) was determined as the point of discomfort but not pain, as indicated by the participant. Lower-body power characteristics were assessed through a countermovement vertical jump (CMJ) test. The results indicated that phase 1 and 2 slopes, CMJ height, and peak power (Pmax) were significantly higher (p = 0.004-0.036) for the athletes compared with the nonathletes; however, maximum ROM was not different (p = 0.601) between groups. Significant relationships were also observed between phase 1 and 2 slopes, and CMJ height and Pmax (r = 0.483-0.827; p ≤ 0.001-0.027). These findings suggest that in addition to traditional power characteristics, passive stiffness may also be a sensitive and effective measure for discriminating athletes from nonathletes. Coaches and practitioners may use these findings when designing training programs aimed at increasing musculotendinous stiffness of the posterior hip and thigh muscles and to help identify athletes with high overall athletic potential.

Effects of Power-Endurance and Controlled Heavy Squat Protocols on Vertical Jump Performance in Females.

The purpose of this investigation was to examine the immediate and acute vertical jump performance responses throughout and following two different free-weight back squat exercise protocols. Fifteen resistance-trained women (mean ± SD: age = 21.8 ± 0.9 years; height = 164.6 ± 8.4 cm; mass = 68.5 ± 9.2 kg) performed vertical jumps before (Pre), immediately after each set (S1-S5), and up to 20 minutes post squat exercise (Post0-Post20) of either a power-endurance (PE; 5×16 at 40% 1-RM) or controlled heavy (CHP; 5×8 at 80%) protocol. Participants' jump height (JH), mean (MP), peak power (PP), mean (MV) and peak velocity (PV) were measured using a linear position transducer. 2-way repeated measures ANOVAs were run for all dependent variables. In the case of the violation of sphericity Greenhouse-Geisser results were reported. No significant intensity × time interactions were observed for any of the variables (p = 0.30-0.87). Main effects for time were observed (p ≤ 0.001, ηp2 = 0.52) for MP and MV, which were significantly lower than Pre at S2 through S5-Post0 (p = 0.001-0.02) time points. Additionally, main effects for time were observed (p ≤ 0.001, ηp2 = 0.43) for PP and PV, which were significantly lower than Pre at all time points (p = 0.001-0.03) with the exception of Post10 (p = 0.17-0.21). Lastly, JH was significantly lower than Pre for all time points (p ≤ 0.001-0.02) except for Post5 (p = 0.13) and Post10 (p = 0.25). This study suggests overall training volume and not training-load could have attributed to the similar fatigue and recovery-related responses that were observed. The present findings suggest that vertical jump performance may be negatively affected following moderate to heavy exercise for up to 20 minutes.

Passive Stiffness and Maximal and Explosive Strength Responses After an Acute Bout of Constant-Tension Stretching.

CONTEXT: Constant-tension (CT) stretching has been used to reduce hamstrings passive stiffness; however, the time course of hamstrings stiffness responses during a short bout of this type of stretching and the effects on maximal and explosive strength remain unclear. OBJECTIVE: To examine the time course of hamstrings passive-stiffness responses during a short, practical bout of manual straight-legged-raise (SLR) CT passive stretches and their effects on maximal and explosive strength in healthy young women. DESIGN: Descriptive laboratory study. SETTING: Research laboratory. PATIENTS OR OTHER PARTICIPANTS: Eleven healthy women (age = 24 ± 4 years, height = 167 ± 4 cm, mass = 65 ± 8 kg) participated. INTERVENTION(S): Participants underwent four 15-second SLR CT passive stretches of the hamstrings. MAIN OUTCOME MEASUREMENT(S): Hamstrings passive stiffness was calculated from the slopes of the initial (phase 1) and final (phase 2) portions of the angle-torque curves generated before and after the stretching intervention and at the beginning of each 15-second stretch. Hamstrings peak torque and rate of torque development were derived from maximal voluntary isometric contractions performed before and after the stretching intervention. RESULTS: The slope coefficients (collapsed across phase) for the third and fourth stretches and the poststretching assessment were lower than the prestretching assessment (P range = .004-.04), but they were not different from each other (P > .99). In addition, no differences in peak torque (t10 = -0.375, P = .72) or rate of torque development (t10 = -0.423, P = .68) were observed between prestretching and poststretching. CONCLUSIONS: A short bout of SLR CT passive stretching may effectively reduce hamstrings stiffness without negatively influencing maximal and explosive strength.

A Preliminary Study of the Utilization of Maximal and Rapid Strength Characteristics to Identify Chair-Rise Performance Abilities in Very Old Adults.

BACKGROUND: Maximal and rapid strength characteristics of the knee extensor and flexor muscles play an important role in fall prevention and walking-related performances; however, few studies have investigated the ability of these variables to identify chair-rise performances in very old adults. PURPOSE: To examine the effectiveness of maximal and rapid isometric strength characteristics of the knee extensors and flexors to differentiate between very old adults who are able (higher functioning) versus unable (lower functioning) to independently rise from a chair. METHODS: Nine higher functioning (age, 87 ± 6 years) and 6 lower functioning (age, 89 ± 6 years) very old adults performed 2 isometric maximal voluntary contractions of the knee extensors and flexors. Peak moment and absolute and relative rate of moment development (RMD) at the early (0-50 ms) and late (0-200 ms) phases of muscle contraction were examined during each maximal voluntary contraction. RESULTS: Absolute and relative RMD values at 0 to 50 ms were greater (P = .02 and .03, respectively) in the higher functioning than in the lower functioning individuals for both the knee extensors and flexors. However, no group-related differences (P = .39-.58) were observed in either muscle group for peak moment or absolute and relative RMD at 0 to 200 ms. CONCLUSIONS: Early rapid moment production of the knee extensors and flexors may be an effective measure for discriminating between very old adults of different chair-rise performance abilities. Physical therapists and other practitioners may use these findings to help with the identification and early detection of older adults who are at a high risk for functional decline.

Reliability of panoramic ultrasound imaging in simultaneously examining muscle size and quality of the hamstring muscles in young, healthy males and females.

The purpose of this study was to examine the reliability of ultrasound (US) measures of cross-sectional area (CSA), muscle thickness (MT) and echo intensity (EI) of the hamstrings, with comparisons between males and females. In 20 healthy participants (10 males, 10 females), CSA, MT and EI were measured from panoramic US scans of the hamstrings on 2 separate days. The intra-class correlation coefficients and standard errors of measurement as a percentage of the mean for CSA, MT and EI ranged from 0.715 to 0.984 and from 3.145 to 12.541% in the males and from 0.724 to 0.977 and from 4.571 to 17.890% in the females, respectively. The males had greater CSAs and MTs and lower EIs than the females (p = 0.002-0.049), and significant relationships were observed between CSA and MT (r = 0.714-0.938, p ≤ 0.001-0.023). From an overall reliability standpoint, these findings suggest that panoramic US may be a reliable technique for examining muscle size and quality of the hamstrings in both males and females.

The influence of athletic status on maximal and rapid isometric torque characteristics and postural balance performance in Division I female soccer athletes and non-athlete controls.

The purpose of this study was to examine the effectiveness of maximal and rapid isometric torque characteristics of the hip extensor muscles and postural balance performance to discriminate between female collegiate soccer athletes and non-athlete controls. Ten athletes (mean ± SE: age = 19·20 ± 0·36 year; mass = 62·23 ± 3·12 kg; height = 162·43 ± 1·70 cm) and 10 non-athletes (age = 20·30 ± 0·40 year; mass = 69·64 ± 3·20 kg; height = 163·22 ± 2·10 cm) performed two isometric maximal voluntary contractions (MVCs) of the hip extensor muscles. Peak torque (PT) and absolute and relative rate of torque development (RTD) at early (0-50 ms) and late (100-200 ms) phases of muscle contraction were examined during each MVC. Postural balance was assessed using a commercially designed balance testing device, which provides a measurement of static stability based on sway index (SI). Results indicated that absolute and relative RTD at 0-50 ms (RTD50 and RTD50norm) were greater (P = 0·007 and 0·026), and postural SI was lower (P = 0·022) in the athletes compared with the non-athletes. However, no differences (P = 0·375-0·709) were observed for PT nor absolute and relative RTD at 100-200 ms (RTD100-200 and RTD100-200norm). Significant relationships were also observed between RTD50 and RTD50norm and SI (r = -0·559 and -0·521; P = 0·010 and 0·019). These findings suggest that early rapid torque characteristics of the hip extensor muscles and postural balance performance may be sensitive and effective measures for discriminating between college-aged athletes and non-athletes. Coaches and practitioners may use these findings as performance evaluation tools to help in identifying athletes with both superior early rapid torque and balance performance abilities, which may possibly be an indicator of overall athletic potential.

Dorsiflexion, plantar-flexion, and neutral ankle positions during passive resistance assessments of the posterior hip and thigh muscles.

CONTEXT: Passive straight-legged-raise (SLR) assessments have been performed with the ankle fixed in dorsiflexion (DF), plantar-flexion (PF), or neutral (NTRL) position. However, it is unclear whether ankle position contributes to differences in the passive resistance measured during an SLR assessment. OBJECTIVE: To examine the influence of ankle position during an SLR on the passive torque, range of motion (ROM), and hamstrings electromyographic (EMG) responses to passive stretch of the posterior hip and thigh muscles. DESIGN: Crossover study. SETTING: Research laboratory. PATIENTS OR OTHER PARTICIPANTS: A total of 13 healthy volunteers (5 men: age = 24 ± 3 years, height = 178 ± 6 cm, mass = 85 ± 10 kg; 8 women: age = 21 ± 1 years, height = 163 ± 8 cm, mass = 60 ± 6 kg). INTERVENTION(S): Participants performed 6 randomly ordered passive SLR assessments involving 2 assessments at each condition, which included the ankle positioned in DF, PF, and NTRL. All SLRs were performed using an isokinetic dynamometer programmed in passive mode to move the limb toward the head at 5°/s. MAIN OUTCOME MEASURE(S): During each SLR, maximal ROM was determined as the point of discomfort but not pain, as indicated by the participant. Passive torque and EMG amplitude were determined at 4 common joint angles (θ) separated by 5° during the final common 15° of ROM for each participant. RESULTS: Passive torque was greater for the DF condition than the NTRL (P = .008) and PF (P = .03) conditions at θ3 and greater for the DF than NTRL condition (P = .02) at θ4. Maximal ROM was lower for the DF condition than the NTRL (P = .003) and PF (P < .001) conditions. However, we found no differences among conditions for EMG amplitude (P = .86). CONCLUSIONS: These findings suggest that performing SLRs with the ankle positioned in DF may elicit greater passive torque and lower ROM than SLRs with the ankle positioned in PF or NTRL. The greater passive torque and lower ROM induced by the DF condition possibly were due to increased tension in the neural structures of the proximal thigh.