REF-1634 · Maeo et al., 2021 · Medicine & Science in Sports & Exercise, · Paper · PubMed

The seated leg curl grew the hamstrings more than the lying (prone) curl: in 20 healthy adults who trained one leg each way for 12 weeks (5 × 10 at 70% 1RM, twice a week), whole-hamstrings volume rose 14% on the seated leg against 9% on the prone leg, and both trained legs were then about equally protected from the damage of a hard eccentric bout

Main caveat: 20 participants of unstated sex, age and training status; one exercise at one load.
moderate evidenceMeasured on non-athletes and recreational peopleRead from the abstract only

Maeo and colleagues asked whether training the hamstrings at a longer length, by curling with the hip flexed (seated) rather than extended (prone), grows them more, and whether either version better protects against damage from a later eccentric-only bout. The two-joint hamstrings are lengthened more when seated.

Twenty healthy adults trained one leg on a seated leg curl and the other on a prone leg curl at 70% of 1RM, 5 sets of 10, twice a week for 12 weeks, with hamstring volume measured by MRI before and after.

Whole-hamstrings volume grew 14% on the seated leg and 9% on the prone leg; each two-joint hamstring muscle grew more seated (8-24% against 4-19%), while the one single-joint muscle grew alike (10% against 9%). Afterwards, 19 of them and 12 untrained controls did eccentric-only leg curls at 90% of 1RM.

The control legs showed much larger rises in MRI T2 and losses of 1RM than either trained leg, and the seated- and prone-trained legs did not differ at any time point. The authors conclude that seated curls build hamstring size more effectively, suggesting that long muscle lengths favour hypertrophy, while both versions reduce susceptibility to damage similarly.

Participants

Part 1: 20 healthy adults; sex, age and training history not in the abstract.
Part 2: 19 of the part-1 participants, plus 12 untrained controls whose legs served as the control condition.

Protocol

Part 1: one leg seated leg curl, the other prone leg curl; 70% 1RM, 5 sets × 10 repetitions, 2 sessions a week, 12 weeks. MRI volume of each hamstring muscle and of the whole group, before and after.
Part 2: eccentric-phase-only leg curl at 90% 1RM, 3 sets × 10, for both the seated and the prone condition with each leg. MRI T2 (a marker of muscle damage and oedema) and seated and prone 1RM before and 24, 48 and 72 h after.
Not in the abstract: how legs were assigned (random per the PubMed indexing), the control group's characteristics, rest intervals, and strength change after the 12 weeks.

Key Results

Part 1: volume change after 12 weeksSeated legProne legDifference
Whole hamstrings+14%+9%greater seated
Each biarticular hamstring muscle+8% to +24%+4% to +19%greater seated
Monoarticular hamstring muscle+10%+9%not different
Part 2: after the eccentric boutControl legSeated-trained legProne-trained leg
Semitendinosus T2 at 72 h+52%+4%+6%
Seated / prone 1RM at 24 h−12% / −24%0% / −3%+2% / −5%
The control legs had greater T2 rises in every hamstring muscle and greater 1RM losses than either trained leg.
No change differed between the seated- and prone-trained legs at any time point.

Practical Application

For hamstring size, pick the seated leg curl over the lying one. With the hip flexed the two-joint hamstrings work at a longer length; on the same sets, reps and relative load over 12 weeks, the seated leg grew 14% against 9% for the prone leg.
Either curl protects about equally against a later hard eccentric bout. After 12 weeks of either version, an eccentric session caused far less T2 rise and strength loss than in untrained legs, with no difference between seated and prone.
Inference, not tested here: this fits the wider finding that training at long muscle lengths tends to give more hypertrophy (REF-680); a standing curl, done with the hip extended, probably behaves more like the prone version.
Not from this paper: hamstring injury prevention (the injury trials are on the Nordic exercise, REF-766), sprint or strength outcomes, and whether endurance athletes who train the hamstrings for function rather than size gain anything from switching.

Limitations

20 participants of unstated sex, age and training status; one exercise at one load.
Within-subject design: both legs share one body, so whole-body effects cannot differ between conditions; some cross-transfer between legs is possible.
The training part reports volume only; no strength, sprint or injury outcome is in the abstract.
The part-2 control legs belong to different, untrained people, and T2 is a marker of damage rather than a functional outcome (1RM loss is the functional one).
Leg allocation is random only according to the PubMed indexing.
Written from the abstract and the PubMed record; full text not read.
How this entry was checked and changed
Why this level

each participant is their own control, which the rubric treats like a crossover (≥15 → B+, no route above B+); n = 20 for the main hypertrophy comparison; muscle volume by MRI is a body-composition outcome, so no marker step; the damage comparison leans partly on T2, a marker, and on a separate untrained control group

Content correction 2026-11-07
2026-11-07: added from the abstract and the PubMed record; level B+ (within-subject comparison, n = 20, treated like a crossover).