Clinics (Sao Paulo). 2017 April; 72(4): 202-206.

Copyright © 2017 CLINICS

Effects of Motor Learning on Clinical Isokinetic Test Performance in Knee Osteoarthritis Patients

José Messias Rodrigues-da-Silva I II III , Márcia Uchoa de Rezende II , Tânia Carvalho Spada II III , Lucila da Silva Francisco III , Júlia Maria D'Andréa Greve II , Emmanuel Gomes Ciolac I *

São Paulo State University − UNESP, School of Sciences (Campus Bauru), Physical Education Department, Exercise and Chronic Disease Research Laboratory, Bauru, SP, BR

Instituto de Ortopedia e Traumatologia, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, Sao Paulo, SP, BR

Universidade de Guarulhos − UNG, Guarulhos, SP, BR

*Corresponding author. E-mail:

received August 17, 2016; revised November 10, 2016; accepted December 12, 2016.



To analyze the effects of motor learning on knee extension-flexion isokinetic performance in knee osteoarthritis patients.


One hundred and thirty-six middle-aged and older sedentary individuals (111 women, 64.3±9.9 years) with knee osteoarthritis (130 patients with bilateral) and who had never performed isokinetic testing underwent two bilateral knee extension-flexion (concentric-concentric) isokinetic evaluations (5 repetitions) at 60°/sec. The tests were first performed on the dominant leg with 2 min of recovery between test, and following a standardized warm-up that included 3 submaximal isokinetic repetitions. The same procedure was repeated on the non-dominant leg. The peak torque, peak torque adjusted for the body weight, total work, coefficient of variation and agonist/antagonist ratio were compared between tests.


Patients showed significant improvements in test 2 compared to test 1, including higher levels of peak torque, peak torque adjusted for body weight and total work, as well as lower coefficients of variation. The agonist/antagonist relationship did not significantly change between tests. No significant differences were found between the right and left legs for all variables.


The results suggest that performing two tests with a short recovery (2 min) between them could be used to reduce motor learning effects on clinical isokinetic testing of the knee joint in knee osteoarthritis patients.

Keywords: Aging, Isokinetic, Knee, Muscle Strength, Osteoarthritis

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