Reciprocal Versus Nonreciprocal Assessment of Knee Flexors and Extensors in Concentric Actions Using the CON-TREX Multijoint Isokinetic Dynamometer: A Reliability Study

Knee flexor and extensor muscular assessment via isokinetic dynamometry is common practice and established in the research literature. However, reporting assessment methodology regarding reciprocal and nonreciprocal movements is often vague or absent. Such methodological issues are crucial for accurate assessments. Therefore, knee extensor and flexor peak moment using either reciprocal movement or nonreciprocal modalities was assessed. Fifteen participants performed three blocks of five concentric muscle actions at three angular velocities [1: nonreciprocal (maximal active flexion followed by passive extension); B2: reciprocal (maximal active extension followed by maximal active flexion); B3 nonreciprocal (maximal active extension followed by passive flexion)]. ANOVA revealed statistically significant within-subject modality effects for peak knee extensor moment and flexor velocity and modality differences (p < .05). Reciprocal and nonreciprocal assessments give significantly different results, with nonreciprocal giving higher peak moments. Reporting which modality is used is crucial to allow for greater clarity for the reader and practitioner.