Anatomy
| Definition and function | The hamstrings are the muscles of the posterior thigh that are primarily in charge of knee flexion and thigh extension |
| Muscles | Biceps femoris, semimembranosus, semitendinosus |
| Innervation | Tibial and common fibular (peroneal) divisions of the sciatic nerve |
| Primary functions | Flexion of leg, extension of thigh, stabilization of knee and hip joints |




Orthopedic TTest
Hamstring Strength Test
Purpose: to locate hamstring strain
Procedure:
- Patient is prone, and their knees are flexed around 70°
- Therapist stabilizes the affected pelvis and the posterior tibia on the affected side
- Assess Medial Hamstrings (semitendinosus and semimembranosus) – slightly internally rotate femur. Patient holds this position against gravity (Grade 3 strength). As patient holds the position, therapist attempts to extend the affected knee.
Positive Sign – pain deep in the hamstrings indicates strain in the semimembranosus muscle while pain that is more superficial indicates strain in the semitendinosus muscle
- Assess Lateral Hamstring (biceps femoris) – slightly externally rotate patient’s femur and holds their knee in 70° flexion against gravity (Grade 3 strength). As patient holds the position, therapist attempts to extend the affected knee.
Positive Sign – pain in the lateral hamstrings indicates biceps femoris strain