Conclusion :  Objective muscle strength assessment  can be reliably used in lower and upper extremities in post-stroke patients with chronic hemiparesis
Background : Muscle weakness is the main cause of motor impairment among stroke survivors and is associated with reduced peak muscle torque .
Objective : To systematic ally investigate and organize the evidence of the reliability of muscle strength evaluation measures in post-stroke survivors with chronic hemiparesis .
Reliability of concentric and eccentric torque during isokinetic knee extension in post-stroke hemiparesis.
BACKGROUND Emerging evidence on the velocity-dependent nature of force impairment in post-stroke hemiparesis has emphasized the complexity of strength and motor performance assessment s in this clinical population . The need to establish reliability and responsiveness of muscle performance measures across a broad range of concentric and eccentric movement speeds is therefore clear , as these metrics will provide benchmarks both for making clinical inference and evaluating meaningful clinical change following interventions . METHODS Isokinetic knee extensor strength was tested at 14 angular velocities in 17 adults with chronic post-stroke hemiparesis ( > 18 months ) , and 13 non-disabled controls . Identical tests were conducted on two occasions separated by two days . Test-retest reliability of maximal isokinetic torque was evaluated using intraclass correlation . Absolute reliability was assessed using st and ard error of measurement from which smallest real differences were derived . FINDINGS Overall , intraclass correlation coefficients were excellent for both hemiparetic ( 0.891 ) and control ( 0.937 ) groups . Intraclass correlation coefficients for each criterion speed were also high for both groups ( > 0.86 ) . Measurement error relative to the mean torque varied between 14.1 % and 26.3 % for hemiparetic subjects and 6.0 - 18.1 % for controls . The smallest real difference relative to mean torque was 39.0 - 72.7 % and 16.6 - 50.2 % for hemiparetic and control subjects , respectively . INTERPRETATION Isokinetic knee extension torque can be measured reliably in persons with chronic post-stroke hemiparesis and in non-disabled controls across a full functional range of concentric and eccentric speeds . Established measurement error and smallest real differences will aid interpretation of longitudinal observations of muscle performance in this clinical population
Conclusion :  Objective muscle strength assessment  can be reliably used in lower and upper extremities in post-stroke patients with chronic hemiparesis
Background : Muscle weakness is the main cause of motor impairment among stroke survivors and is associated with reduced peak muscle torque .
Objective : To systematic ally investigate and organize the evidence of the reliability of muscle strength evaluation measures in post-stroke survivors with chronic hemiparesis .