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The Study

Effects of knee and hip flexion angle on region-specific and longitudinal compartmental muscle stiffness of the rectus femoris using shear wave elastography in male bodybuilders

In simple terms

This study shows what happened to muscle stiffness in 9 strong guys when they pushed with their legs at different hip and knee positions. It doesn’t prove that changing the angle caused the change in stiffness — just that they saw a pattern in this one test.

40%

Analysis score

40/ 44

Maximum 44 for a cross-sectional study.

Where the score came from

Reporting35
Methodology20
Publication100
Statistical23
Study type (basis of the score)
Cross-Sectional Study
Level 4 - Case series
What’s the bottom line?

This study checks how different leg positions change how hard a key thigh muscle squeezes during a knee push. They used special ultrasound to see the squeeze in different parts of the muscle.

Where does this study sit?

Reviews of RCTs (Meta-analyses)

Max 100

Randomized Trials

Max 90

Reviews of Cohort Studies

Max 85

Cohort Studies

Max 72

Reviews of Case-Control Studies

Max 63

Case-Control Studies

Max 58

Cross-Sectional & Case Series

Max 50

Expert Opinion

Max 5
StrongerWeaker
Cross-Sectional & Case Series
Level 4
40

40 / 100

Quality score

Snapshots of a population at a single point in time, or descriptions of small groups. Can identify correlations and prevalence, but cannot determine cause and effect.

Cannot establish causation

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Key takeaways

Summary

Based on the study abstract and findings.

  1. 1Yes, this matters because it shows that changing your hip angle—like leaning back more during leg exercises—can make certain parts of your thigh muscle work harder, which could help build muscle better.
  2. 2The top part of the front thigh muscle squeezes harder when the hip is straighter.
  3. 3At a 30-degree knee bend, this muscle part is stiffer when the hip is less bent.
  4. 4The middle part of this muscle also squeezes harder than another nearby muscle when the hip is straighter.

Score breakdown, methodology, conflicts of interest, evidence analysis & raw study data

Publication

Journal

European Journal of Applied Physiology

Year

2025

Authors

Hiroku Mitsuya, K. Nakazato, T. Okada

1 citations
Analysis v5

Related Content

Claims (8)

Assertion

When performing leg extensions with the hip fully extended, the rectus femoris muscle grows larger than the vastus lateralis muscle because the rectus femoris spans two joints and is stretched more during this movement.

Mechanistic
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Assertion

When male bodybuilders flex their knees at a 30-degree angle, the upper part of a specific thigh muscle gets stiffer if their hips are straighter, suggesting how stretched the hip is can change how the muscle works.

Mechanistic
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Assertion

When male bodybuilders flex their knees and push without moving their legs, the front thigh muscle feels stiffer than a neighboring muscle — and this difference depends on how much the hip is bent.

Mechanistic
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Assertion

When bodybuilders push hard with their legs, the stiffness in a key thigh muscle changes depending on leg position—but the usual muscle activity sensors (EMG) don’t pick up these differences, suggesting they might miss some real muscle behavior.

Mechanistic
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Assertion

For male bodybuilders, changing the knee bend doesn't really affect a key thigh muscle's stiffness if the hip stays in the same position — but changing the hip position does seem to matter more.

Mechanistic
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Assertion

If you stretch your hips back while doing leg extensions, your quad muscle gets longer and grows more—especially in the middle and upper parts—than if you do the exercise with your hips bent.

Causal
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