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Marshall PWM et al. – Decreased extensibility of the hamstrings was associated with increased passive stiffness during the common range of motion (20 to 50°). Impaired stretch tolerance is associated with actual mechanical restriction, not behavioral measures indicating increased pain or fear–avoidant behavior. With no relationship to actual disability and contradictory findings in the literature for the relationship of the hamstrings to the mechanics of the low back, it is unclear whether decreased hamstring extensibility should be targeted in rehabilitation programs for axial lower back pain.
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