The Role of Muscle Energy Technique on Hamstring Muscle Flexibility in Recreational Athletes: A Scoping Review

Authors

  • Muhammed Afsal K A MPT Student, Yenepoya School of Allied and Healthcare Professions, Department of Physiotherapy (Yenepoya Deemed to be University), Bangalore
  • Subhra Basu Associate Professor, Yenepoya School of Allied and  Healthcare Professions, Department of Physiotherapy (Yenepoya Deemed to be University), Bangalore, 
  • Maithily Murali MPT Student, Yenepoya School of Allied and Healthcare Professions, Department of Physiotherapy (Yenepoya Deemed to be University), Bangalore

DOI:

https://doi.org/10.37506/jk6cb486

Keywords:

Hamstring muscle, flexibility, muscle energy technique, Athletic Performance, Recreational Athletes, Muscle Stretching Techniques

Abstract

Background: The hamstrings, located at the back of the thigh, are crucial for hip extension and knee flexion but are prone to tightness and injury, especially in athletes and healthy individuals. Recreational athletes with hamstring tightness often experience reduced flexibility, impaired performance in activities requiring sprinting or bending, and a higher risk of muscle strains or lower-limb injuries. Muscle Energy Technique (MET), a manual therapy using controlled muscle contractions, effectively improves flexibility, reduces pain, and enhances joint mobility, making it a valuable technique in treating hamstring tightness.

Objective of The Study: This review aims to assess the effectiveness of Muscle energy technique (MET) on Hamstring flexibility in recreational athletes. It analyses the effect of MET on hamstring mobility and explores its clinical relevance in the management of hamstring tightness.

Method: A comprehensive literature review in accordance with PRISMA-ScR was conducted using electronic databases from PubMed, Google Scholar, Research Gate, SPORTDiscus, and ScienceDirect, focusing on full-text articles from 2018-2024. Twelve studies that examined the effect of MET on hamstring muscle flexibility in recreational athletes were included in the analysis.

Result: A total of 3799 studies were retrieved, and after removing duplicates and those not meeting inclusion criteria, 12 studies conducted between 2014 and 2024 were included, comprising RCTs, comparative, interventional, quasi-experimental, and experimental designs the findings suggest that Studies show that MET alone or in combination with techniques such as MFR, PFS, PIR, ART, SMI, WBV, PNF, or AKET in a neural slump position enhances flexibility and reduces muscle stiffness more effectively.

Conclusion: MET is highly effective for improving hamstring flexibility, its neuromuscular engagement and mechanisms like post-isometric relaxation and proprioceptive enhancement lead to better results. MET can be preferred by physiotherapists for managing hamstring tightness

 

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Author Biographies

  • Muhammed Afsal K A, MPT Student, Yenepoya School of Allied and Healthcare Professions, Department of Physiotherapy (Yenepoya Deemed to be University), Bangalore

    MPT Student, Yenepoya School of Allied and Healthcare Professions, Department of Physiotherapy 
    (Yenepoya Deemed to be University), Bangalore

  • Subhra Basu, Associate Professor, Yenepoya School of Allied and  Healthcare Professions, Department of Physiotherapy (Yenepoya Deemed to be University), Bangalore, 

    Associate Professor, Yenepoya School of Allied and  Healthcare Professions, Department of Physiotherapy (Yenepoya Deemed to be University), Bangalore, 

  • Maithily Murali, MPT Student, Yenepoya School of Allied and Healthcare Professions, Department of Physiotherapy (Yenepoya Deemed to be University), Bangalore

    MPT Student, Yenepoya School of Allied and Healthcare Professions, Department of Physiotherapy 
    (Yenepoya Deemed to be University), Bangalore

References

Rodgers CD, Raja A. Anatomy, bony pelvis and lower

limb, hamstring muscle.

Bhutta AH. The effectiveness of muscle energy

technique and hamstring nordic lower in hamstring

tightness amongst young athletes of pakistan”.

Liyanage E, Malwanage K, Senarath D, Wijayasinghe

H, Liyanage I, Chellapillai D, Nishshanka S. Effects of

Different Physical Therapy Interventions in Improving

Flexibility in University Students with Hamstring

Tightness - A Systematic Review and Network Meta

analysis. Int J Exerc Sci. 2024 Mar 1;17(3):359-381.

doi: 10.70252/ZOLU9336. PMID: 38665684; PMCID:

PMC11042845.

Aderonke O, Bakere U, Adegoke BOA. Influence

of age on hamstring tightness in apparently healthy

Nigerians. J Nig soc physiother 2005; 15: 35-41.

Weerasekara, Ishanka & Kumari, Iresha &

Weerarathna, L R Nilushika & Withanage, Charith &

Wanniarachchi, Chamika & Mariyanayagam, Yancy

& Vigneshwaran, Shyamala & Shivaraja, Priyanthi &

Suraweera, Hilary. (2013). The Prevalence of Hamstring

Tightness among the Male Athletes of University of

Peradeniya in 2010, Sri Lanka. International Journal of

Physical Medicine & Rehabilitation. 01. 10.4172/2329

1000108.

Widodo AF, Tien CW, Chen CW, Lai SC. Isotonic

and isometric exercise interventions improve the

hamstring muscles’ strength and flexibility: A

narrative review. InHealthcare 2022 Apr 27 (Vol. 10,

No. 5, p. 811). MDPI

UC Davis Health. Flexibility. Sacramento (CA): UC

Davis Health; [cited 2025 Jun 2]. Available from:

https://health.ucdavis.edu/sports-medicine/

resources/flexibility

Magnusson SP, Simonsen EB, Aagaard P, Kjaer M.

Biomechanical responses to repeated stretches in

human hamstring muscle in vivo. The American

journal of sports medicine. 1996 Sep;24(5):622-8.

Magnusson SP, Simonsen EB, Aagaard P, Kjaer M.

Biomechanical responses to repeated stretches in

human hamstring muscle in vivo. The American

journal of sports medicine. 1996 Sep;24(5):622-8.

Kang YH, Ha WB, Geum JH, Woo H, Han YH, Park

SH, Lee JH. Effect of muscle energy technique on

hamstring flexibility: systematic review and meta

analysis. InHealthcare 2023 Apr 11 (Vol. 11, No. 8, p.

. MDPI.

Ahmad F, Irfan A, Samad M, Sattar M, Shehzadi

M, Atif A. The Effects of Static Stretching and

Muscle Energy Technique (MET) for Young Adults

with Hamstring Tightness. Journal of Health and

Rehabilitation Research. 2023 Dec 31;3(2):1161-6.

Dinesh D, Sudhakar S. Effects of muscle energy

technique

and

proprioceptive

neuromuscular

facilitation stretch technique on hamstring muscle

f

lexibility in recreational athletes. Journal of the

Scientific Society. 2022 May 1;49(2):148-51

Patel A, Patel N, Patel M. Immediate effects of muscle

energy technique versus myofascial release techniques

on hamstring flexibility in footballers: A comparative

study. Int J Recent Sci Res. 2023;12(7):240.

Sheth R, Rizvi SRA. The Immediate Effect of Muscle

Energy Technique Versus Active Release Technique

on Hamstring Tightness in Footballers. Int J Sci Healthc

Res. 2022;7(2):282–94. doi:10.52403/ijshr.20220440

Bhutta AH, Haneef K, Shah S, Fahad M, Khan AA,

Sana J, Yousaf S, Ghafoor F, Bhutta NI. Comparative

analysis of Muscle Energy Techniques and Hamstring

Nordic Lower training on hamstring tightness and

agility run test in young athletes. Sport Sciences for

Health. 2024 Sep;20(3):899-904.

Rights are reserved by Vijay A, Selvan N. Impact

of Muscle Energy Technique on Hamstring Muscle

Flexibility in Recreational Athletes. Acta Scientific

Orthopaedics (ISSN: 2581-8635). 2022 Jun;5(6).

Azizi M, Shadmehr A, Malmir K, Qotbi N, Pour ZK.

The Immediate Effect of Muscle Energy Technique

and Whole Body Vibration on Hamstring Muscle

Flexibility and Stiffness in Healthy Young Females.

Muscles, Ligaments & Tendons Journal (MLTJ). 2021

Jul 1;11(3).

Sundaram SS. The effect of muscle energy technique

on flexibility of hamstring muscle in futsal players.

Malaysian Journal of Movement, Health & Exercise.

Jul 1;9(2):35-44.

Sojitra N, Shukla Y. A Study to Compare Immediate

Effect of Suboccipital Muscle Inhibition Technique and

Muscle Energy Technique on Hamstring Flexibility in

Healthy Collegiate Subjects–An Interventional Study.

Indian Journal of Physiotherapy & Occupational

Therapy Print-(ISSN 0973-5666) and Electronic–(ISSN

-5674). 2020 Jul 22;14(3):136-42.

Banerjee SB, Mukhi S. Immediate effect of non

ballistic active knee extension in neural slump position

versus muscle energy technique on hamstring

flexiblity in young adults-comparitive study. Indian

Journal of Physiotherapy & Occupational Therapy

Print-(ISSN 0973-5666) and Electronic–(ISSN 0973

. 2020 Jul 22;14(3):245-52.

Sailor S, Mehta Y, Shah N, Trivedi A. A comparative

study of muscle energy technique and positional

release technique on hamstring flexibility in healthy

individuals. Journal of Integrated Health Sciences.

Jul 1;6(2):64-8

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Published

2026-01-07

How to Cite

The Role of Muscle Energy Technique on Hamstring Muscle Flexibility in Recreational Athletes: A Scoping Review. (2026). Indian Journal of Physiotherapy and Occupational Therapy - An International Journal, 20(1), 22-29. https://doi.org/10.37506/jk6cb486