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

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Isokinetic testing reveals knee flexor asymmetry and hamstring strength in female handball players, indicating injury risks.

To evaluate bilateral strength asymmetry and hamstring-quadriceps balance in female handball players.
Isokinetic testing was conducted at 60°/s and 180°/s to measure knee extensor and knee flexor strength.
Twenty-three female handball players from Annamalai University participated in the evaluation.
The H:Q ratio was calculated to assess balance between hamstrings and quadriceps.
A paired t test was applied to analyze inter-limb differences.
Significant inter-limb differences in knee flexor peak torque at 60°/s were found (p<0.05).
The dominant leg showed greater hamstring strength than the non-dominant leg.
Hamstring-to-quadriceps balance was significantly stronger in the dominant leg.
Other comparisons did not reach statistical significance.

A 2025 study studied this question.

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