Evaluating maximal strength, inter-limb asymmetries, and the hamstring-to-quadriceps (HQ) ratio is essential for identifying strength deficits in athletes. This cross-sectional study assessed the test–retest (inter-visit) reliability of the EasyForce dynamometer for knee extension and flexion strength in 21 young healthy participants (11 women and 10 men; age = 19.4 ± 0.7 years). The dynamometer demonstrated excellent relative reliability, with ICC values of 0.99 for knee extension and 0.95–0.98 for knee flexion. Absolute reliability was also acceptable (typical error = 5.63–16.44 N; coefficient of variation = 3.94–6.80%). Reliability for inter-limb asymmetries (ICC = 0.90) and HQ ratios (ICC = 0.91–0.92) was good to excellent. Agreement for inter-limb asymmetry direction between visits was excellent for knee extension (κ = 0.90) and substantial for knee flexion (κ = 0.71). These findings suggest that EasyForce is reliable for assessing muscle strength, inter-limb asymmetries, and HQ ratios in physically active adults. Future research should explore the broader applicability of EasyForce in muscle strength assessment, particularly for professional athletes and during rehabilitation.
Read full abstract