Intersession Variability of Knee Extension Kinetics Using a Strain Gauge Device With Differing Clinically Practical Physical Constraints.

Abstract

Intrasession reliabilities of isometric knee extension kinetics via portable strain gauge have been reported across several knee joint angles and constraints. However, intersession variabilities, which are more valuable, have yet to be determined. Therefore, we aimed to quantify the intersession variability of knee extension kinetics over 3 testing sessions using an affordable and portable strain gauge. Participants performed maximum voluntary isometric contractions of the knee extensors over 3 sessions. Eleven (6 men and 5 women; 31 [6.4]y) volunteers performed maximum voluntary isometric contractions in constrained (isokinetic setup with thigh and chest straps) and unconstrained (treatment plinth) conditions. Peak force (PF), peak rate of force development, rate of force development (RFD), and impulse (IMP) from 20% to 80% of PF were assessed. Means, SDs, percentage changes, minimal detectable changes, coefficients of variation (CV), and intraclass correlation coefficients (ICC) were calculated and reported. PF had the lowest intersession variability regardless of condition (CV = 5.5%-13.8%, ICC = .67-.93). However, variability of peak rate of force development (CV [range] = 12.2%-24.7%, ICC = .50-.78), RFD (CV = 10.0%-26.8%, ICC = .48-.84), and IMP (CV = 15.2%-35.4%, ICC = .44-.88) was moderate at best. The constrained condition (CV [SD] = 14.1% [4.8%], ICC = .74 [.08]) had lower variability compared with the plinth (CV = 19.8% [7.9%], ICC = .68 [.15]). Variability improved from sessions 1 to 2 (CV = 20.4% [7.7%], ICC = .64 [.14]) and to sessions 2 to 3 (CV = 15.3% [6.4%], ICC = .76 [.10]). PF can be assessed regardless of setup. However, RFD and IMP changes across sessions should be approached with caution. Backrests and thigh straps improve RFD and IMP variability, and at least 1 familiarization session should be provided before relying on knee-extensor kinetics while utilizing a portable strain gauge.