Muscle Imbalance & Strength Testing – Why Objective Testing Matters

Muscle Imbalance & Strength Testing in Leeds and Bradford: Why Objective Testing Matters

Muscle strength testing can identify weaknesses and differences between muscle groups that may not be obvious during everyday movement or a standard physical examination.

At Light Joints Physiotherapy, we use handheld dynamometry to measure muscle strength and help guide rehabilitation, training and return-to-sport decisions.

Whether you’re recovering from injury, experiencing recurring pain or trying to improve your performance, objective testing can show where you are now and help track your progress.

Strength testing is available as part of our £65 physiotherapy appointments at our clinics in Colton, Rothwell and Greengates.

Book a physiotherapy assessment in Leeds or Bradford.

What Is a Muscle Imbalance?

A muscle imbalance is a difference in strength or function between muscles or muscle groups.

Common examples include:

  • One leg being stronger than the other

  • Differences between the quadriceps and hamstrings

  • Reduced strength following an injury

  • Weakness affecting movement or exercise performance

Some strength differences are normal. Most people have a dominant side, and perfectly equal strength is not necessary for everyone.

However, a significant weakness may be relevant when it affects your symptoms, rehabilitation or ability to perform specific activities.


What Causes Muscle Imbalances?

Muscle weakness or asymmetry can develop for several reasons, including:

  • Previous injury: Strength may remain reduced after pain has improved.

  • Surgery or immobilisation: Reduced activity can lead to muscle weakness.

  • Training habits: Repeated movements and uneven training loads may contribute to differences.

  • Pain: Discomfort can temporarily reduce how much force a muscle produces.

  • Reduced activity: Muscles can lose strength when they are not used regularly.

An imbalance does not always cause pain or injury. Its importance depends on the individual and the demands of their activities.


How Do You Know If You Have a Muscle Imbalance?

Possible signs include:

  • One leg feeling weaker during squats or lunges

  • Difficulty pushing or lifting equally on both sides

  • Reduced confidence after an injury

  • Difficulty progressing strength exercises

  • Recurring symptoms during running or sport

  • One side tiring sooner than the other

These symptoms do not necessarily mean you have a muscle imbalance.

Objective strength testing can help establish whether a measurable weakness is present.

 

How Do We Measure Muscle Strength?

At Light Joints Physiotherapy, we use a handheld dynamometer to measure the force produced by specific muscles.

This digital device allows us to record strength measurements rather than relying only on how strong a muscle feels during examination.

What Happens During Strength Testing?

Your physiotherapist will:

  1. Discuss your symptoms, injury history and goals.

  2. Assess the relevant joints, muscles and movements.

  3. Position the handheld dynamometer to measure selected muscle groups.

  4. Compare results with the opposite side or previous measurements where appropriate.

  5. Explain the findings and how they affect your rehabilitation or training plan.

Testing is adapted to your condition and physical ability.

Why Is Handheld Dynamometry Useful?

Objective testing can help us:

  • Identify measurable muscle weakness

  • Compare strength between sides

  • Establish a baseline after injury

  • Track progress during rehabilitation

  • Adjust strengthening exercises

  • Support return-to-sport decisions

Handheld dynamometry can provide reliable measurements when appropriate testing procedures are used.

However, results depend on factors such as positioning, technique, pain and testing consistency. Strength testing is therefore interpreted alongside your wider clinical assessment.

Is a 10% Strength Imbalance a Problem?

Not necessarily.

A difference of 10% between sides is sometimes used as a reference point in rehabilitation and sports testing, but it is not a universal threshold for injury risk.

For example, a runner recovering from knee surgery may have different strength requirements from someone attending physiotherapy for shoulder pain.

Your physiotherapist will consider:

  • The muscle group being tested

  • Your injury history

  • Your sport or activity

  • Pain during testing

  • Your movement and functional performance

  • Changes in strength over time

The goal is not always perfect symmetry. It is to develop sufficient strength and function for your individual needs.

Why Is Strength Testing Important After an Injury?

Pain can improve before strength has fully recovered.

Following injuries such as ankle sprains, knee injuries or muscle strains, you may feel ready to return to exercise while still having measurable weakness.

Strength testing can help identify these deficits and guide a progressive rehabilitation plan.

It may also help answer questions such as:

  • Has my injured leg regained strength?

  • Am I making progress with rehabilitation?

  • Which muscles need more work?

  • Am I ready to increase my training?

Strength measurements are useful, but they are only one part of return-to-sport assessment. Movement quality, sport-specific tasks, symptoms and confidence also matter.


Muscle Strength Testing for Runners and Gym Users


Runners

Strength testing may help identify weaknesses affecting your ability to tolerate running loads, particularly after injury or during rehabilitation.

Your physiotherapist may assess muscles such as the quadriceps, hamstrings, calves and hip muscles, depending on your symptoms.

A strength difference does not automatically mean your running technique is inefficient or that you will develop an injury.


Gym, HYROX and CrossFit Athletes

Objective strength measurements may be useful if you:

  • Notice one side feels weaker

  • Struggle to progress certain exercises

  • Are returning after an injury

  • Want to monitor rehabilitation progress

  • Need guidance on increasing training loads

Testing can help identify which muscle groups may benefit from targeted strengthening.


What Happens If Testing Finds a Weakness?

Your physiotherapist will use the findings to help create or adjust your treatment plan.

This may include:

  • Targeted strengthening exercises

  • Single-leg or single-arm exercises

  • Progressive increases in training load

  • Changes to exercise technique

  • A gradual return to running or sport

  • Repeat testing to monitor improvement

The benefit of objective testing is that progress can be measured over time, rather than judged only by how you feel.


Is Muscle Strength Testing Included in Physiotherapy?

At Light Joints Physiotherapy, handheld dynamometry is used where clinically appropriate as part of a physiotherapy assessment or rehabilitation appointment.

Our standard physiotherapy appointment costs £65.

Not every patient needs dynamometry. Your physiotherapist will select the assessments most relevant to your symptoms and goals.

View our physiotherapy services and appointment information.


Where Can I Book Muscle Strength Testing in Leeds or Bradford?

Objective muscle strength testing is available where appropriate during physiotherapy appointments at our three clinics.

Colton, Leeds
Suite 1, inside Jetts Fitness
5b Stile Hill Way, Colton, Leeds LS15 9JB
Colton clinic

Rothwell, Leeds
Suite 1, inside Jetts Fitness
75 Commercial Street, Rothwell, Leeds LS26 0QD
Rothwell clinic

Greengates, Bradford
Suite 1, inside Jetts Fitness
800 Harrogate Road, Apperley Bridge, Bradford BD10 0QS
Contact and locations

 

Frequently Asked Questions About Muscle Strength Testing

What is objective muscle strength testing?

Objective strength testing measures the force produced by a muscle using equipment such as a handheld dynamometer. It provides numerical results that can help guide rehabilitation and track progress.

How do I know if I have a muscle imbalance?

You may notice one side feels weaker during exercise or everyday activities. However, strength testing is needed to establish whether a measurable difference exists.

Is a 10% muscle imbalance normal?

A 10% difference is not automatically abnormal or dangerous. Its significance depends on the muscle group, your injury history and the demands of your activities.

Can muscle imbalances cause pain or injury?

Some strength deficits may contribute to difficulties with movement or activity, but an imbalance does not necessarily cause pain or predict injury. Other factors, including training load and previous injury, are also important.

Is handheld dynamometry accurate?

Handheld dynamometry can provide reliable strength measurements when testing is performed consistently using appropriate techniques.

Can strength testing help me return to running or sport?

Yes. It can help measure recovery and guide rehabilitation, although return-to-sport decisions should also consider movement, symptoms, functional performance and confidence.

Does strength testing hurt?

Testing involves producing muscle force against a measuring device. Your physiotherapist will adapt the assessment to your symptoms and ability, and testing should not be pushed through significant pain.

How much does muscle strength testing cost?

Strength testing is used where appropriate within our standard £65 physiotherapy appointments. It is not automatically required for every patient.

Do I need a GP referral?

No. You can book a private physiotherapy assessment directly with Light Joints Physiotherapy.

Book a Physiotherapy and Muscle Strength Assessment in Leeds or Bradford

If you’re recovering from injury, noticing weakness or struggling to progress with training, a physiotherapy assessment can help identify what needs attention.

At Light Joints Physiotherapy, we combine clinical assessment with objective strength testing where appropriate to guide your rehabilitation.

Physiotherapy appointments: £65

Colton, Leeds | Rothwell, Leeds | Greengates, Bradford

No GP referral required.

View physiotherapy appointments and booking information

Call: 0113 873 0766
Email: [email protected]

This article provides general information and does not replace an individual clinical assessment.

Last reviewed: 12/10/26

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Jane Ruth profile picture
Jane Ruth
1 days ago
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I have been suffering neck and shoulder pain since March. In desperation I sought the advice of Light Joints Therapy in Bradford. Within two visits the pain has subsided and movement is so much easier. The service provided is excellent and I would have no hesitation in recommending this practice.
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svetlin yordanov
4 days ago
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Great service Thank you Great massage I highly recommend it
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Steve Brown profile picture
Steve Brown
11 days ago
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A great professional who tells you everything about your muscles, tendons etc and with a smile on her face.
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Robert Atton profile picture
Robert Atton
13 days ago
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Had a treatment plan with Cameron, super helpful, friendly and professional throughout the treatment. Having seen a specialist, Cameron knew exactly what the injury was and helped create a plan to help me back to my normal self!
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Howard Thomas profile picture
Howard Thomas
29 days ago
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Friendly, helpful service
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Satnam Kundi profile picture
Satnam Kundi
38 days ago
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Very helpful and excellent service.Pain . around hip area reduced with physio treatment and massage.
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Roxana Juverdeanu profile picture
Roxana Juverdeanu
52 days ago
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The massage really helped with my pain and Emily was super helpful and provided lots of helpful advice and went above and beyond. Totally recommend her!
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Scott Kelly profile picture
Scott Kelly
53 days ago
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Had treatment from Emily and Amie for serious back and knee pain for months while training in the gym with real day to day life impacts , didn’t know how was going to resolve. Lovely girl, easy to talk to she understood the issue immediately, extremely knowledgable, isolated the pain straight away , found the cause of the issues (there were a few!) and made immediate impact. Can’t thank her enough will continue to use, highly recommend 10/10🙌
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John Ignatowski
54 days ago
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Emily is fantastic I would definitely recommend.
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Harry Ainsworth profile picture
Harry Ainsworth
59 days ago
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I sought out physio for lower back pain which was hurting on a daily basis. I had one session with Daniel Thompson and he diagnosed my issue and gave me excercises to do to resolve the root cause. Within two weeks my back pain had fully gone and I feel back to my normal self. Would recommend to anyone it was well worth it and Daniel is friendly and very knowledgable.
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Gail Palmer-Smeaton
61 days ago
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Cameron has been a significant factor in my recovery and I cannot recommend him highly enough. He has been thoroughly professional throughout my treatment and is warm, friendly and supportive with a wealth of knowledge and understanding. Thank You Cameron.
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Kostas Karafoulidis
66 days ago
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San K
72 days ago
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Michaela Nash
82 days ago
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Aimee is great. Friendly focussed and listens. Seems to genuinely want to help. Only been once so far but hopefully my issues will be sorted soon
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Mike Orwin profile picture
Mike Orwin
89 days ago
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Brilliant physio, great for my detached bicep rehab, would recommend highly!
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