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Writer's pictureDamien Mc Mahon

How Do Hamstrings Impact ACL Recovery?




Recovering from an Anterior Cruciate Ligament (ACL) injury is not just about rest and ice packs. It involves understanding the crucial role of the hamstrings. While often overlooked, these muscles are vital for a successful recovery. They not only assist in stabilization but also help prevent future injuries. By recognizing the importance of hamstrings, individuals can better navigate their rehabilitation journey.


The Anatomy of the Hamstrings and ACL


The hamstrings are a group of three muscles located at the back of your thigh: the biceps femoris, semitendinosus, and semimembranosus. Together, they play a key role in movements like running, jumping, and bending your knee. This muscle group works in tandem with the ACL, a critical ligament that stabilizes your knee.


The ACL prevents the thigh bone from sliding backward on the shin bone and limits excessive rotation of the knee. Injuries often occur during activities that involve sudden stops or direction changes. At this point, hamstrings become essential as they help stabilize and protect the knee joint.


The Role of Hamstrings in Knee Stability


One of the hamstrings' primary functions is stabilizing the knee, especially during dynamic activities like jumping or sprinting. After an ACL injury, strong hamstrings can help restore balance in the joint.


Focused rehabilitation exercises that strengthen the hamstrings can significantly reduce stress on the ACL. For instance, including specific strength training has shown to decrease the risk of re-injury by approximately 30% in recovering athletes. Therefore, well-conditioned hamstrings are crucial for maintaining balanced forces around the knee, aiding recovery.


How Hamstrings Aid in ACL Recovery


1. Preventing Excessive Knee Extension


Strong hamstrings help prevent excessive knee extension, which can put additional stress on the ACL. For example, during leg extension movements, the risk of re-injury increases. Exercises like hamstring curls can effectively build strength in this area. Research has shown that athletes who perform hamstring curls weekly can improve hamstring strength by up to 20% within two months.


2. Enhancing Normal Gait Patterns


After an ACL injury, individuals often alter their walking patterns due to pain or instability. Strong hamstrings offer vital support for restoring a normal gait. Engaging in activities like balance training can enhance stability, helping individuals transition smoothly back to their usual activities.


For instance, incorporating single-leg balance exercises has been shown to improve gait stability by more than 15% in many athletes post-recovery.


3. Reducing the Risk of Re-Injury


Recovering athletes face a higher chance of future knee injuries if their hamstrings are weak. Research indicates that athletes with a hamstring strength deficit are 2.5 times more likely to re-injure their ACL.


To minimize risks, a comprehensive strength training routine focusing on the hamstrings should be a priority in recovery programs. Engaging in consistent workouts helps ensure all muscle groups are strong and functional.


Key Exercises for Hamstring Strength


Adding hamstring-strengthening exercises to your ACL recovery plan is vital. Here are some effective options:


Hamstring Curls

These can be performed on machines or with resistance bands and directly target the hamstrings. Adjustments can be made to suit your strength level.


Deadlifts

This compound movement activates several muscle groups, including the hamstrings. Start with lighter weights and increase as your strength improves.


Bridges

Not only do these target the hamstrings, but they're also beneficial for the glutes and lower back. Bridges can be performed with or without weights.


Single-Leg Deadlifts

These exercises help improve balance and coordination while effectively working the hamstrings. Though challenging, they are valuable for functional strength.


Nordic Hamstring Curls

An advanced exercise that builds hamstring strength, Nordic curls require lowering your body from a kneeling position, using only your hamstrings to resist gravity.


Always consult with a physiotherapist or healthcare provider before starting any new exercise to ensure it fits into your recovery plan.




The Road to Recovery


The hamstrings play a critical role in ACL recovery. They contribute to knee stability, help restore normal gait, and reduce the risk of re-injury. By recognizing this connection, individuals can take proactive steps in their rehabilitation.


Integrating hamstring-strengthening exercises into recovery can significantly enhance overall lower body strength. This commitment can lead to better athletic performance, helping individuals bounce back from injuries and return to their favorite activities with renewed confidence.


Although the recovery journey can be challenging, understanding the vital role of the hamstrings allows individuals to navigate the process more smoothly, building a stronger, more resilient knee.


Book in with Damien or Keith to guide you through your rehabilitation, click link below to book an appointment.

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