Leveraging the latest science, for a healthier future

Imagine a world wherein you have the tools you need to objectively assess the mobility of your clients, designing a program for them that can precisely dose and deliver. Now what if we told you that the scientific literature underpinning these tools shows a future wherein we aren’t aiming to return our patients to their old “normal” but rather can enhance their mobility and put them at a smaller risk of repeated injury?

It sounds too good to be true, right? And in a world where gadgetry had left many of us skeptical, you are right to raise an eyebrow to these claims. At MET, we have spent the last few decades reviewing all academic, scientific, and peer-reviewed studies on a better system for implementation of clinical methodologies. We are driven by a desire to know what is effective, replicable, ad scientifically justified. So we too raise an eyebrow to many of the claims that we hear in our field.

In this course, we address the research that’s been done to underpin the basis for hand-held dynamometry. Based in part on the research that we published in “Hand-Held Dynamometry: Guidelines for Daily Clinical Practice“, this course will enrich you on the science and implementation of a hand-held dynamometer

in your daily practice, delivering the most effective program for your clients, not to returning them to a state of normalization but helping them to move to optimization or beyond.

Included in the price of the course, participants will receive a copy of Hand-Held Dynamometry: Guidelines for Daily Clinical Practice to strengthen their daily clinical implementation of the hand-held dynamometer.


A seminar in the latest research and clinical uses for hand-held dynamometry

The main intent of this course is for clinicians to obtain the skill set for using a handheld dynamometer as a valid and reliable assessment tool in daily clinical practice. The different instruments, assessment, and utilization modes are examined. With a mix of lecture and extensive lab practice, this course enables clinicians to immediately implement the use of clinical dynamometry.


  • Define the quantities of mass, force, internal and external torque, torque ratios
  • Identify 2 reasons for using handheld dynamometry in addition to manual muscle testing
  • Distinguish when to use a break technique vs. a make technique
  • Analyze the existing research on validity and reliability of handheld dynamometry
  • Identify how to increase reliability with the technique by standardizing the position of the patient, the provider, and the instrument.
  • Justify handheld dynamometry as a tool for clinical documentation, demonstrating progress, and patient motivation
  • Interpret the results of a handheld dynamometer test assessing strength with movement bias
  • Interpret the results of a handheld dynamometer test assessing strength with muscle/muscle group bias
  • Interpret the results of a handheld dynamometer test assessing the initial resistance for a Clinical Fatigue Test
  • Interpret the results of a handheld dynamometer test assessing strength for each of the following: upper quadrant, lower quadrant and spine


All modules are a combination of lecture and lab

Day 1

08:00 AM Registration
08:15 AM Practical Biomechanics
08:45 AM Validity and Reliability of HHD, Pre-course reading discussion
09:30 AM Measurements with Movement Bias
10:30 AM Break
10:45 AM Measurements with Movement Bias – Continued
11:15 AM Measurements with Muscle Bias
12:45 PM Lunch
01:30 PM Measurements with Muscle Bias – Continued
02:30 PM Measurements with Exercise Bias
03:45 PM Break
04:00 PM Theoretical and Practical Exam
05:30 PM Adjourn

Required Readings

Course reading materials provided by MET following registration. 

  1. Cools AM, De Wilde L, Van Tongel A, et al. Measuring shoulder external and internal rotation strength and range of motion: comprehensive intra-rater and inter-rater reliability study of several testing protocols. J Shoulder Elbow Surg. 2014 Oct; 23(10):1454-61.