Correlation of hamstring muscle flexibility with dynamic balance and agility in physiotherapy students in Navi Mumbai: a correlational study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20260692Keywords:
Physiotherapy students, Dynamic balance, Agility, Hamstring flexibilityAbstract
Background: Physiotherapy students often engage in activities like exercise demonstrations, transfer techniques, and gait training that require both health-related and skill-related fitness. However, hamstring strain from extended sitting during lectures can negatively impact agility and dynamic balance, two crucial aspects of skill-related fitness required for clinical competency.
Methods: 75 physiotherapy students in Navi Mumbai, ages 18 to 28, participated in a correlational study. The modified sit and reach test was used to measure hamstring flexibility, the functional reach test was used to measure dynamic balance, and the Illinois agility test was used to measure agility. The significance level for Pearson’s correlation test was set at p<0.05.
Results: The average agility, dynamic balance, and hamstring flexibility scores were 19.90±2.85 seconds, 15.58±2.79 inches, and 23.96±4.38 cm, respectively. Agility displayed a mild, non-significant positive connection (r=0.12, p=0.306), whereas dynamic balance and hamstring flexibility revealed a small but significant positive correlation (r=0.235, p=0.042).
Conclusions: The study concluded that in physiotherapy students, there is a weak positive correlation between hamstring flexibility and both dynamic balance and agility. These results underscore the importance of early assessment and focused flexibility training to enhance skill-related fitness within physiotherapy students.
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References
Al-Khlaifat L, Al-Yahya E, Qutishat D, Okasheh R, Mohammad MT, Muhaidat J. Health and skill-related physical fitness of physiotherapy students: an observational study. J Hum Sport Exercise. 2024;19(2):461-72. DOI: https://doi.org/10.55860/neesf573
Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep. 1985;100(2):126.
Bello AI, Bonney E, Opoku B. Physical fitness of Ghanaian physiotherapists and its correlation with age and exercise engagement: a pilot study. Arch Physiother. 2016;6:1-5. DOI: https://doi.org/10.1186/s40945-016-0016-2
Shukla M, Patel P. Correlation of hamstring flexibility with sitting hours and physical activity among physiotherapy students. J Pharm Res Int. 2021;33(40A):282-7. DOI: https://doi.org/10.9734/jpri/2021/v33i40A32245
Carlson C. The natural history and management of hamstring injuries. Curr Rev Musculoskel Med. 2008;1(2):120-3. DOI: https://doi.org/10.1007/s12178-007-9018-8
Cornbleet SL, Woolsey NB. Assessment of hamstring muscle length in school-aged children using the sit-and-reach test and the inclinometer measure of hip joint angle. Phys Ther. 1996;76(8):850-5. DOI: https://doi.org/10.1093/ptj/76.8.850
Naqi S, Asif M, Khan MA, Chughtai MR, Pasha S, Arshad K. Correlation between dynamic balance and flexibility among young athletes. Rawal Med J. 2020;45(3):686.
García-Pinillos F, Ruiz-Ariza A, Moreno del Castillo R, Latorre-Román PÁ. Impact of limited hamstring flexibility on vertical jump, kicking speed, sprint, and agility in young football players. J Sports Sci. 2015;33(12):1293-7. DOI: https://doi.org/10.1080/02640414.2015.1022577
Encarnación-Martínez A, García-Gallart A, Pérez-Soriano P, Catalá-Vilaplana I, Rizo-Albero J, Sanchis-Sanchis R. Effect of hamstring tightness and fatigue on dynamic stability and agility in physically active young men. Sensors. 2023;23(3):1633. DOI: https://doi.org/10.3390/s23031633
Weerasekara I, Kumari I, Weerarathna N, Withanage C, Wanniarachchi C. The prevalence of hamstring tightness among the male athletes of university of peradeniya in 2010. J Palliat Care Med. 2013;1(108):2. DOI: https://doi.org/10.4172/2329-9096.1000108
Hoeger WW, Hopkins DR. A comparison of the sit and reach and the modified sit and reach in the measurement of flexibility in women. Res Quart Exercise Sport. 1992;63(2):191-5. DOI: https://doi.org/10.1080/02701367.1992.10607580
Omaña H, Bezaire K, Brady K, Davies J, Louwagie N, Power S, et al. Functional reach test, single-leg stance test, and Tinetti performance-oriented mobility assessment for the prediction of falls in older adults: a systematic review. Phys Ther. 2021;101(10):pzab173. DOI: https://doi.org/10.1093/ptj/pzab173
Raya MA, Gailey RS, Gaunaurd IA, Jayne DM, Campbell SM, Gagne E, Manrique PG, et al. Comparison of three agility tests with male servicemembers: Edgren side step test, t-test, and Illinois agility test. J Rehabil Res Develop. 2013;50(7). DOI: https://doi.org/10.1682/JRRD.2012.05.0096
Alahmari KA, Silvian SP, Reddy RS, Kakaraparthi VN, Ahmad I, Alam MM, et al. Normative values and reliability of functional reach test among young Saudi adults. Ann Med Health Sci Res. 2017;7(3):133-7.
Moltubakk MM, Eriksrud O, Paulsen G, Seynnes OR, Bojsen-Møller J. Hamstrings functional properties in athletes with high musculo-skeletal flexibility. Scand J Med Sci Sports. 2016;26(6):659-65. DOI: https://doi.org/10.1111/sms.12488
Wan X, Qu F, Garrett WE, Liu H, Yu B. Relationships among hamstring muscle optimal length and hamstring flexibility and strength. J Sport Health Sci. 2016;6(3):275-82. DOI: https://doi.org/10.1016/j.jshs.2016.04.009
Parmar T, Mukkamala N. Relationship between lower limb flexibility, power, agility and speed in football players: a cross-sectional study. J Clin Diagn Res. 2025;19(03):YC10-4. DOI: https://doi.org/10.7860/JCDR/2025/74543.20716
Sharma S, Pearlson K, Nagaraj S. Impact of hamstring flexibility on functional performance of collegiate football players. Int J Yogic Hum Move Sports Sci. 2022;7(1):83-6. DOI: https://doi.org/10.22271/yogic.2022.v7.i1b.1267
Hosseini E, Alimoradi M, Iranmanesh M, Saki F, Konrad A. The effects of 8 weeks of dynamic hamstring stretching or Nordic hamstring exercises on balance, range of motion, agility, and muscle performance among male soccer players with hamstring shortness: a randomized controlled trial. BMC Sports Sci Med Rehabil. 2025;17(1):187. DOI: https://doi.org/10.1186/s13102-025-01216-0
Purushothaman VK, Chow WS, Ambusam S, Chinnusamy S, Soutallu-Janakiram MK, Subbarayalu AV, et al. Impact of hamstring flexibility, quadriceps strength and dynamic balance on landing mechanics in recreational basketball players. Int J Hum Move Sports Sci. 2025;13(1):155-62. DOI: https://doi.org/10.13189/saj.2025.130117
Akhtar H, Muskan P, Amjad R, Satti AK. Correlation of hamstring tightness with balance and mobility in young adults. Pak J Med Health Sci. 2023;17(3):295-7. DOI: https://doi.org/10.53350/pjmhs2023173295
Vijayan AK, Abhilash PV, Shetty NG. Correlation between hamstring flexibility and dynamic balance in male recreational football players. Int J Multidiscipl Res. 2025;7(4):52745. DOI: https://doi.org/10.36948/ijfmr.2025.v07i04.52745
Volkman KG, Stergiou N, Stuberg W, Blanke D, Stoner J. Methods to improve the reliability of the functional reach test in children and adolescents with typical development. Pediatr Phys Ther. 2007;19(1):20-7. DOI: https://doi.org/10.1097/01.pep.0000247173.14969.5a