Research

Knee strength testing stayed reliable a week apart

By

In short

Knee strength testing in 15 active adults produced ICCs of 0.92–0.99 and CVs of 2.7–4.2% across sessions a week apart. These describe a device protocol, not individual change thresholds or the error in a barbell 1RM.

Repeating a standardized knee strength test one week later produced highly reliable measurements. The study, published October 1, 2026, compared peak torque measured with the Biodex System 4. It asked whether a measurement could be repeated consistently. It did not test whether a training program increased strength over that week.

Who repeated which strength test?

Fifteen healthy, physically active adults aged 21–34 took part: seven women and eight men. Researchers assessed concentric knee extension and flexion of the dominant leg at two angular velocities in two sessions spaced one week apart. Torque describes the turning effect of force at a joint; it is not a load lifted on a barbell. The device controls angular velocity, so changing from the slower to the faster condition changes the task being assessed.

ComparisonStudy condition or result
Device and taskBiodex System 4; dominant-leg knee extension and flexion
Angular velocities90°/s and 180°/s
ICC and 95% confidence intervals0.92–0.99; 0.78–1.00
Coefficient of variation (CV)2.7–4.2%

Does reliability make every small increase real?

Peak torque did not differ significantly between sessions. High ICCs and the reported CV range support consistency under these test conditions. They do not establish a universal rule that an improvement above 4.2% must be real for every individual. A coefficient of variation is not the same statistic as a smallest detectable change. Likewise, a non-significant session difference does not mean every participant recorded identical values. The ICC estimates also have uncertainty, reflected in confidence intervals spanning 0.78–1.00 across conditions.

What makes a training record comparable?

  1. Compare records from the same exercise, equipment and range of motion.
  2. Keep conditions such as testing speed and position attached to the result rather than pooling different tasks.
  3. Check a small one-session increase against another record collected under the same conditions.

These are editorial suggestions for interpreting a log, not a training prescription tested in the study. In fairlift, record the load and repetitions actually performed. The Muscle Index calculator requires Big Three 1RMs, so knee torque should never be converted into a pretend kilogram maximum for entry. For evidence about barbell records, read the separate powerlifting 1RM measurement study. Reliability belongs to the test and its conditions; a stable laboratory knee test cannot supply the measurement error for your squat, bench press or deadlift.

This was a device study in 15 healthy young adults. Its reliability estimates and CVs cannot simply be transferred to painful knees, postoperative recovery, other age groups or barbell 1RM testing.

Frequently asked questions

Was knee strength testing repeatable after one week?

Both isokinetic speeds showed high reliability, with ICCs of 0.92–0.99. The result applies to 15 healthy, active adults under this standardized device protocol.

Does an increase greater than 4.2% prove improvement?

A CV is not an individual smallest detectable change. This study's CV range alone cannot determine whether a particular person's change is real.

Can knee torque be used to calculate Muscle Index?

Muscle Index needs squat, bench press and deadlift 1RMs. Isokinetic knee torque is not a substitute input for a barbell maximum.

Source: International Journal of Sports Physical Therapy · PubMed (published )

Calculate your strength score →

Enter your Big 3 lifts and bodyweight for a relative strength score corrected for age and height. Free, no account needed.

Keep reading