Objective: Improvements of quadriceps motor deficits represent a major therapeutical target in knee osteoarthritis (OA). In the present study, we investigated changes in quadriceps function at different stages of osteoarthritic cartilage damage.A4ethod.s: Measurements of quadriceps voluntary activation (VA) and maximum voluntary contraction (MVC) were performed by a twitch interpolation technique and the total muscular capacity (TMC) was calculated as the ratio of MVC and VA. We assessed 68 patients (56.7 2 9.5 years) with stage I1 and 154 patients (65.6 k 6.0 years) with stage IV chondropathy. As controls, we used 85 age related healthy subjects (58.1 f 8.7 years).Results: While TMC was significantly lower in stage IV (90.6 f 43.7 N rn) than in stage I1 chondropathy (109.6 k 51 .O) there were no differences in the MVCs between both groups. Quadriceps VA was even higher in stage IV (77.2k 13.2%) than in stage I1 chondropathy (70.8 t 16.0'%). In the controls, MVC, VA and T M C were significantly higher than in both OA groups.
Conclusion:We assume that a decrease of T M C might occur within the course of OA and, in consequence, VA increases to maintain quadriceps MVC.