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Evaluation of bilateral strength asymmetry and hamstring–quadriceps balance in competitive university handball players

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Analysis shows significant knee flexor strength imbalance in female handball players, indicating the H:Q balance may impact performance.

To evaluate bilateral strength asymmetry and hamstring-quadriceps balance in female handball players.
23 female handball players from Annamalai University were tested for knee extensor and flexor strength.
Isokinetic testing assessed strength at 60°/s and 180°/s for both legs.
The H:Q ratio was calculated to understand muscle balance.
A paired t test analyzed differences between dominant and non-dominant legs.
Significant differences found in knee flexor peak torque at 60°/s (p < 0.05).
Dominant leg showed greater hamstring strength compared to the non-dominant leg.
Clear evidence of bilateral strength asymmetry in knee flexors among players.

A 2025 study studied this question.

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