Obtaining a patient’s maximum strength may serve to establish the amount of resistance needed for an exercise prescription it may help determine the progress of a progressive, resistive exercise program or it may be used to compare the patient to established norms. Several factors are important in optimizing 1-RM performance. 3 Additionally, the fundamental method for establishing 1-RM is the same for each muscle group and thus the 1-RM test is more precise than most. 2 1-RM tests are highly reliable when specific procedures are followed, more so than any other type of strength assessment. 1 It is a safe technique, perhaps safer than a sub-maximum strength test, even though muscle soreness may occur and blood pressure may spike during a maximum exertion test. The 1-RM refers to the amount of load the patient can move one time (and one time only) through full range in a controlled manner with good form. The one-repetition maximum (1-RM) test is regarded as the “gold standard” of standardized muscle strength testing.
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