Test-Retest Reliability of Isokinetic Knee Extension and Flexion

Abstract 

Sole G, Hamrén J, Milosavljevic S, Nicholson H, Sullivan SJ. Test-retest reliability of isokinetic knee extension and flexion.

Objective

To assess reliability of isokinetic peak torque and work for knee flexion and extension.

Design

Single-group test-retest.

Setting

University laboratory.

Participants

Eleven men and 7 women (mean age, 21y).

Interventions

Not applicable.

Main Outcome Measure

Peak torque and work for concentric and eccentric knee extension and flexion were recorded at 60°/s for 3 trials on 2 occasions. Intraclass correlation coefficient model 3,1 (ICC_3,1), standard error (SE) of measurements, and smallest real differences were calculated for the maximum and for the mean peak torque and work of the 3 repetitions.

Results

Relative reliability was “very high” for peak torque and work (ICC range, >.90). The SE measurements ranged between 5% and 10% of the initial values for both peak torque and work. The smallest change that indicates a real improvement for a single subject (smallest real differences) ranged from 12% to 25% for peak torque and work variables and from 25% to 30% for the peak torque ratios.

Conclusions

Isokinetic concentric and eccentric knee extensor and flexor strength variables are reliable when measured by the same examiner in asymptomatic subjects.

Key Words: Exercise therapy, Knee injuries, Rehabilitation, Reproducibility of results, Thigh, Treatment outcome