Muscle strength
Scaled 10RM strength was assessed using a MED leg press (Technogym, Bracknell, UK) following a warm-up of 10 min light cycling. Beginning at 80% estimated 10RM the maximum load that could be lifted ten times through complete, the full ROM performed using the correct form was recorded as the concentric 10RM. All 10RM values were achieved within five attempts at 5-kg increments in external load at each attempt and a 3-min rest between attempts to allow full muscle recovery. The 10RM load for each patient was established at a level where they were capable of completing the 10th repetition but unable to perform an 11th repetition. Leg press exercise techniques followed the recommendation of the National Strength and Conditioning Association (