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The biceps femoris is the lateral hamstring, comprised of a long head and short head.

Biceps Femoris

The biceps femoris is the two-headed, lateral hamstring muscle within the posterior compartment of the thigh. It is the prime mover of knee flexion and also contributes to hip extension.

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Course Summary: Biceps Femoris

What is the Biceps Femoris Muscle?

Muscles of the Hamstrings:

Introduction to Hamstring (and Adductor) Muscle Anatomy:

Biceps Femoris Techniques and Exercises:

Biceps Femoris Symptoms:

  • Feelings of biceps femoris muscle pain, tightness, and weakness are not uncommon. Generally, these feelings are the result of hip, sacroiliac joint, or lower extremity issues that should be addressed with an integrated program. For example, often, the feeling of "biceps femoris tightness" is correlated with sacroiliac joint dysfunction , and is best addressed with sacroiliac joint mobilization and gluteus maximus strengthening techniques (e.g., glute bridge progressions ) (Sample Program Below).

Structure:

This course describes the anatomy and integrated function of the biceps femoris muscle group (a.k.a. the hamstrings, lateral hamstrings, leg biceps, posterior thigh muscles, etc.). This muscle includes two heads, the long head crosses the hip and knee, and the short head crosses only the knee. Both heads are located within the posterior fascial compartment of the thigh, between the lateral and medial intermuscular septa, abutting the lateral intermuscular septum. Research suggests the biceps femoris only accounts for about 3.9% of the total muscle mass of the thigh and is composed primarily of type I muscle fibers.

Function

Both heads perform similar functions at the knee joint, but only the long head crosses the hip joint. Both heads of the biceps femoris are considered the prime mover during knee flexion and tibial external rotation, and the long head of the biceps femoris is a synergist during hip extension and hip external rotation. This course also describes the role of the biceps femoris on knee joint, hip joint, and sacroiliac joint (SIJ) arthrokinematics, fascial integration (sacrotuberous ligament), subsystem integration, and postural dysfunction. For example, the long head of the biceps femoris is part of the deep longitudinal subsystem (DLS) , which may increase tension in the sacrotuberous ligament, increasing the stiffness of the SIJ (restricting nutation). If the biceps femoris and DLS are over-active, this could excessively increase SIJ stiffness, contributing to an asymmetrical weight shift during an overhead squat assessment , and postural dysfunction (e.g. movement impairment) of the lumbopelvic hip complex and/or lower extremity .

Practical Application:

Sports medicine professionals (personal trainers, fitness instructors, physical therapists, massage therapists, chiropractors, occupational therapists, athletic trainers, etc.) must be aware of the integrated function of the biceps femoris for the detailed analysis of human movement, and the development of sophisticated exercise programs and therapeutic (rehabilitation) interventions. For example, altered activity and length of the biceps femoris may contribute to hip pain, hamstring injury, hamstring muscle strain, hip joint impingement, low back pain, knee valgus, knee varus, and knee pain. Altered biceps femoris activity may also result in a relative reduction in gluteus maximus and gluteus medius activity, resulting in a significant decrease in lower body speed, agility, and strength, and a reduction in the effectiveness of resistance training routines intended to improve lower body strength and hypertrophy (bodybuilding). Deeper knowledge of biceps femoris anatomy is essential for optimal assessment, intervention selection, and building a repertoire of biceps femoris-specific techniques.

Pre-approved credits for:

  • Human Movement Specialist (HMS) Certification

Pre-approved for Continuing Education Credits for:


This Course Includes:

This course also provides detailed descriptions of etymology, attachments, innervations, joint actions, location, palpation, integrated actions, arthrokinematics, fascial integration, subsystem integration, postural dysfunction, assessment, clinical implications, and interventions.

  • AI Tutor
  • Webinar
  • Study Guide
  • Text and Illustrations
  • Audio Voice-over
  • Research Review
  • Technique Videos
  • Case Study and Sample Routine
  • Practice Exam
  • Pre-approved Final Exam

Case Study: Sacroiliac Joint Dysfunction

Assessment

Client/Patient History: Low Back and Sacroiliac Joint Pain

Sample Self-administered Intervention

Sample Manual Therapy Intervention

The biceps femoris originates from the sacrotuberous ligament and courses along the back of the femur in the posterior compartment.
Caption: The biceps femoris originates from the sacrotuberous ligament and courses along the back of the femur in the posterior compartment.

Course Study Guide: Biceps Femoris

Course Summary Webinar: Functional Anatomy of the Biceps Femoris

Etymology of Terms Related to Biceps Femoris

Attachments, Innervations, Size, and Fiber Type of the Biceps Femoris

Where Is The Biceps Femoris Located

Palpating the Biceps Femoris

Joint Actions of the Biceps Femoris
3 Sub Sections

Fascial Integration and the Biceps Femoris
2 Sub Sections

Electromyographic (EMG) Research: Contribution of the Biceps Femoris to Exercise and Motion

Electromyographic (EMG) Research: Change in Biceps Femoris Activity with Dysfunction and Pain

Movement Impairment and the Biceps Femoris
2 Sub Sections

Exercises and Techniques for the Biceps Femoris
6 Sub Sections

Additional Materials: Stop Stretching Your Hamstrings!

Sample Intervention

Bibliography

  1. Phillip Page, Clare Frank, Robert Lardner, Assessment and Treatment of Muscle Imbalance: The Janda Approach © 2010 Benchmark Physical Therapy, Inc., Clare C. Frank, and Robert Lardner
  2. Donald A. Neumann, “Kinesiology of the Musculoskeletal System: Foundations of Rehabilitation – 2nd Edition” © 2012 Mosby, Inc.
  3. Leon Chaitow, Muscle Energy Techniques: Third Edition, © Elsevier 2007
  4. Tom Myers, Anatomy Trains: Second Edition. © Elsevier Limited 2009
  5. Shirley A Sahrmann, Diagnoses and Treatment of Movement Impairment Syndromes, © 2002 Mosby Inc.
  6. David G. Simons, Janet Travell, Lois S. Simons, Travell & Simmons’ Myofascial Pain and Dysfunction, The Trigger Point Manual, Volume 1. Upper Half of Body: Second Edition,© 1999 Williams and Wilkens
  7. Cynthia C. Norkin, D. Joyce White, Measurement of Joint Motion: A Guide to Goniometry – Third Edition. © 2003 by F.A. Davis Company
  8. Cynthia C. Norkin, Pamela K. Levangie, Joint Structure and Function: A Comprehensive Analysis: Fifth Edition © 2011 F.A. Davis Company
  9. Florence Peterson Kendall, Elizabeth Kendall McCreary, Patricia Geise Provance, Mary McIntyre Rodgers, William Anthony Romani, Muscles: Testing and Function with Posture and Pain: Fifth Edition © 2005 Lippincott Williams & Wilkins
  10. Karel Lewit. Manipulative Therapy: Musculoskeletal Medicine © 2007 Elsevier
  11. Carolyn Richardson, Paul Hodges, Julie Hides. Therapeutic Exercise for Lumbo Pelvic Stabilization – A Motor Control Approach for the Treatment and Prevention of Low Back Pain: 2nd Edition (c) Elsevier Limited, 2004
  12. David B. Jenkins, Hollinshead’s Functional Anatomy of the Limbs and Back: Eighth Edition © 2002 Saunders
  13. Nemeth G, Ekholm J, Arborelius UP. Hip loads moments of muscular activity and lifting. Scand J Rehabil Med 16:103-111, 1984
  14. Brent Brookbush. Sacroiliac Joint Motion and Predictive Model of Dysfunction. © 2013 Brent Brookbush
  15. Stecco, A., Gilliar, W., Hill, R., Fullerton, B., Stecco, Carla. (2013). The anatomical and functional relation between gluteus maximus and fascia lata. Journal of Bodywork & Movement Therapies. 17. 512-517 – ABSTRACT
  16. Tateuchi, H., Taniguchi, M., Mori, N., Ichihashi, N. Balance of hip and trunk muscle activity is associated with increased anterior pelvic tilt during prone hip extension (2013) Journal of Electromyography and Kinesiology 22 (3). 391-397 – ARTICLE
  17. Padua, D. A., Bell, D. R., & Clark, M. A. (2012). Neuromuscular characteristics of individuals displaying excessive medial knee displacement. Journal of athletic training, 47(5), 525. - ARTICLE
  18. Bell, D. R., Oates, D. C., Clark, M. A., & Padua, D. A. (2013). Two-and 3-dimensional knee valgus are reduced after an exercise intervention in young adults with demonstrable valgus during squatting. Journal of athletic training,48(4), 442-449. ABSTRACT
  19. Sato K, Nimura A, Yamaguchi K, Akita K. (2012). Anatomical study of the proximal origin of hamstring muscles. J. Orthop. Sci. 17:614-617.
  20. Branch E, Anz AW. (2015). Distal insertions of the biceps femoris. The Orthopaedic Journal of Sports Medicine, 3(9):1-5.
  21. Johnson, M. A., Polgar, J., Weightman, D., & Appleton, D. (1973). Data on the distribution of fibre types in thirty-six human muscles: an autopsy study. Journal of the Neurological Sciences, 18(1), 111-129

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