Development Of Neuromuscular Fatigue Research Articles

Does Grappling Combat Sports Experience Influence Exercise Tolerance of Handgrip Muscles in the Severe-Intensity Domain?

Successful performance in grappling combat sports (GCS) can be influenced by the fighter's capacity to sustain high-intensity contractions of the handgrip muscles during combat. This study investigated the influence of GCS experience on the critical torque (CT), impulse above CT (W'), tolerance, and neuromuscular fatigue development during severe-intensity handgrip exercise by comparing fighters and untrained individuals. Eleven GCS fighters and twelve untrained individuals participated in three experimental sessions for handgrip muscles: (1) familiarization with the experimental procedures and strength assessment; (2) an all-out test to determine CT and W'; and (3) intermittent exercise performed in the severe-intensity domain (CT + 15%) until task failure. No significant differences were found in CT and neuromuscular fatigue between groups (p > 0.05). However, GCS fighters showed greater W' (GCS fighters 2238.8 ± 581.2 N·m·s vs. untrained 1670.4 ± 680.6 N·m·s, p < 0.05) and exercise tolerance (GCS fighters 8.38 ± 2.93 min vs. untrained 5.36 ± 1.42 min, p < 0.05) than untrained individuals. These results suggest that long-term GCS sports training can promote increased tolerance to severe-intensity handgrip exercise and improved W' without changes in CT or the magnitude of neuromuscular fatigue.

Perceptions of fatigue and neuromuscular measures of performance fatigability during prolonged low-intensity elbow flexions.

What is the central question of this study? What is the predictive relationship between self-reported scales to quantify perceptions of fatigue during exercise and gold standard measures used to quantify the development of neuromuscular fatigue? What is the main finding and its importance? No scale was determined to be substantively more effective than another. However, the number of ongoing contractions performed was shown to be a better predictor of fatigue in the motor system than any of the subjective scales. The purpose of this study was to determine the relationship between transcranial magnetic stimulation (TMS) measures of performance fatigability and commonly used scales that quantify perceptions of fatigue during exercise. Twenty healthy participants (age 23±3years, 10 female) performed 10 submaximal isometric elbow flexions at 20% maximal voluntary contraction (MVC) for 2min, separated by 45s of rest. Biceps brachii muscle electromyography and elbow flexion torque responses to single-pulse TMS were obtained at the end of each contraction to assess central factors of performance fatigability. A rating of perceived exertion (RPE) scale, Omnibus Resistance scale, Likert scale, Rating of Fatigue scale and a visual analogue scale (VAS) were used to assess perceptions of fatigue at the end of each contraction. The RPE (root mean square error (RMSE)=0.144) and Rating of Fatigue (RMSE=0.145) scales were the best predictors of decline in MVC torque, whereas the Likert (RMSE=0.266) and RPE (RMSE=0.268) scales were the best predictors of electromyographic amplitude. Although the Likert (RMSE=7.6) and Rating of Fatigue (RMSE=7.6) scales were the best predictors of voluntary muscle activation of any scale, the number of contractions performed during the protocol was a better predictor (RMSE=7.3). The ability of the scales to predict TMS measures of performance fatigability were in general similar. Interestingly, the number of contractions performed was a better predictor of TMS measures than the scales themselves.

Short-term cold-water immersion does not alter neuromuscular fatigue development during high-intensity intermittent exercise.

Pre-exercise cold-water immersion affects physical performance under ambient environment, however the mechanisms leading to this decrease remains to be elucidated. The purpose was to determine whether short-term lower-body immersion in cold water could induce acute changes in the development of neuromuscular fatigue after high-intensity exercise. Ten participants performed on two separate visits a fatigue task (60 intermittent isometric maximal voluntary contractions maintained over 3s and spaced by 2s of recovery) once after lower-body cold-water immersion (Pre-Cooling, 6min at 8.9°C ± 1.6°C) and another time without prior immersion (Control). Before and after the fatigue task, neuromuscular function was assessed during voluntary or evoked contractions (electrical stimulation performed on the femoral nerve) on contracted and relaxed on knee extensor muscles. No differences in neuromuscular fatigue were measured between Pre-Cooling and Control conditions, despite maximal voluntary contraction reductions (-49 and -48%, respectively, both p < 0.05), peripheral contractile capacities (both -28%, p < 0.05). Additionally, rate of perceived exhaustion increases over time for both conditions (both p < 0.05) with differences in the time course. Lower body immersion in extreme cold water for a short period of time was not a sufficient stimulus to induce a significant disruption of human body homeostasis: neuromuscular function was not significantly altered during a maximum intensity fatigue task.

Prior Involvement of Central Motor Drive Does Not Impact Performance and Neuromuscular Fatigue in a Subsequent Endurance Task.

This study evaluated whether central motor drive during fatiguing exercise plays a role in determining performance and the development of neuromuscular fatigue during a subsequent endurance task. On separate days, 10 males completed three constant-load (80% peak power output), single-leg knee-extension trials to task failure in a randomized fashion. One trial was performed without preexisting quadriceps fatigue (CON), and two trials were performed with preexisting quadriceps fatigue induced either by voluntary (VOL; involving central motor drive) or electrically evoked (EVO; without central motor drive) quadriceps contractions (~20% maximal voluntary contraction (MVC)). Neuromuscular fatigue was assessed via pre-post changes in MVC, voluntary activation (VA), and quadriceps potentiated twitch force ( Qtw,pot ). Cardiorespiratory responses and rating of perceived exertion were also collected throughout the sessions. The two prefatiguing protocols were matched for peripheral fatigue and stopped when Qtw,pot declined by ~35%. Time to exhaustion was shorter in EVO (4.3 ± 1.3 min) and VOL (4.7 ± 1.5 min) compared with CON (10.8 ± 3.6 min, P < 0.01) with no difference between EVO and VOL. ΔMVC (EVO: -47% ± 8%, VOL: -45% ± 8%, CON: -53% ± 8%), Δ Qtw,pot (EVO: -65% ± 7%, VOL: -59% ± 14%, CON: -64% ± 9%), and ΔVA (EVO: -9% ± 7%, VOL: -8% ± 5%, CON: -7% ± 5%) at the end of the dynamic task were not different between conditions (all P > 0.05). Compared with EVO (10.6 ± 1.7) and CON (6.8 ± 0.8), rating of perceived exertion was higher ( P = 0.05) at the beginning of VOL (12.2 ± 1.0). These results suggest that central motor drive involvement during prior exercise plays a negligible role on the subsequent endurance performance. Therefore, our findings indicate that peripheral fatigue-mediated impairments are the primary determinants of high-intensity single-leg endurance performance.

The effects of pain induced by blood flow occlusion in one leg on exercise tolerance and corticospinal excitability and inhibition of the contralateral leg in males.

Experiencing pain in one leg can alter exercise tolerance and neuromuscular fatigue (NMF) responses in the contralateral leg; however, the corticospinal modulations to nonlocal experimental pain induced by blood flow occlusion remain unknown. In three randomized visits, 13 male participants performed 25% of isometric maximal voluntary contraction (25%IMVC) to task failure with one leg preceded by (i) 6-min rest (CON), (ii) cycling at 80% of peak power output until task failure with the contralateral leg (CYCL), or (iii) CYCL followed by blood flow occlusion (OCCL) during 25%IMVC. NMF assessments (IMVC, voluntary activation [VA], and potentiated twitch [Qtw]) were performed at baseline and task failure. During the 25%IMVC, transcranial magnetic stimulations were performed to obtain motor-evoked potential (MEP), silent period (SP), and short intracortical inhibition (SICI). 25%IMVC was the shortest in OCCL (105±50s)and shorter in CYCL (154±68s)than CON (219±105s)(p<0.05). IMVC declined less after OCCL (-24±19%) and CYCL (-27±18%), then CON (-35±11%) (p<0.05). Qtw declined less in OCCL (-40±25%) compared to CYCL (-50±22%) and CON (-50±21%) (p<0.05). VA was similar amongst conditions. MEP and SP increased and SICI decreased throughout the task, while SP was longer for OCCL compared to CYC condition (p<0.05). The results suggest that pain in one leg diminishes contralateral limb exercise tolerance and NMF development and modulate corticospinal inhibition in males. Novelty: Pain in one leg diminished MVC and twitch force decline in the contralateral limb. Experimental pain induced by blood flow occlusion may modulation corticospinal inhibition of the neural circuitries innervating the contralateral exercise limb.

On the implication of dietary nitrate supplementation for the hemodynamic and fatigue response to cycling exercise.

This study investigated the impact of dietary nitrate supplementation on peripheral hemodynamics, the development of neuromuscular fatigue, and time to task failure during cycling exercise. Eleven recreationally active male participants (27 ± 5 yr, V̇o2max: 42 ± 2 mL/kg/min) performed two experimental trials following 3 days of either dietary nitrate-rich beetroot juice (4.1 mmol NO3-/day; DNS) or placebo (PLA) supplementation in a blinded, counterbalanced order. Exercise consisted of constant-load cycling at 50, 75, and 100 W (4 min each) and, at ∼80% of peak power output (218 ± 12 W), to task-failure. All participants returned to repeat the shorter of the two trials performed to task failure, but with the opposite supplementation regime (iso-time comparison; ISO). Mean arterial pressure (MAP), leg blood flow (QL; Doppler ultrasound), leg vascular conductance (LVC), and pulmonary gas exchange were continuously assessed during exercise. Locomotor muscle fatigue was determined by the change in pre to postexercise quadriceps twitch-torque (ΔQtw) and voluntary activation (ΔVA; electrical femoral nerve stimulation). Following DNS, plasma [nitrite] (∼670 vs. ∼180 nmol) and [nitrate] (∼775 vs. ∼11 μmol) were significantly elevated compared with PLA. Unlike PLA, DNS lowered both QL and MAP by ∼8% (P < 0.05), but did not alter LVC (P = 0.31). V̇O2 across work rates, as well as cycling time to task-failure (∼7 min) and locomotor muscle fatigue following the ISO-time comparison were not different between the two conditions (ΔQtw ∼42%, ΔVA ∼4%). Thus, despite significant hemodynamic changes, DNS did not alter the development of locomotor muscle fatigue and, ultimately, cycling time to task failure.NEW & NOTEWORTHY This study sought to characterize the impact of dietary nitrate supplementation on the hemodynamic response, locomotor muscle fatigue, and time to task failure during cycling exercise. Although nitrate supplementation lowered mean arterial pressure and exercising leg blood flow, leg vascular conductance and oxygen utilization were unaffected. Despite significant hemodynamic changes, there was no effect of dietary nitrate on neuromuscular fatigue development and, ultimately, cycling time to task failure.

Distinct pacing profiles result in similar perceptual responses and neuromuscular fatigue development: Why different “roads” finish at the same line?

ABSTRACT The current study analysed the effect of distinct pacing profiles (i.e. U, J, and inverted J) in the perceptual responses and neuromuscular fatigue (NMF) development following a 4-km cycling time trial (TT). Twenty-one cyclists with similar training status were allocated into three different groups based on their pacing profile spontaneously adopted during TT. Rating of perceived exertion (RPE), oxygen uptake (⩒O2) and heart rate (HR) were continuously recorded. NMF was assessed by using isometric maximal voluntary contractions (IMVC), while the central [i.e. voluntary activation (VA)] and peripheral fatigue of knee extensors [i.e. peak torque of potentiated twitches (TwPt)] were evaluated using electrically evoked contractions performed pre and 2 min after the TT. TT performance was not different amongst pacing profiles (U = 377 ± 20 s; J = 392 ± 23 s; J-i = 381 ± 20 s) (all P > 0.05). RPE, ⩒O2 and HR increased similarly throughout the TT regardless the pacing strategy (all P > 0.05). Similarly, IMVC (U = −9.9 ± 8.8; J = −9.6 ± 4.5%; J-i = −13.8 ± 11.3%), VA (U = −2.3 ± 1.7%; J = −5.4 ± 2.2%; J-i = −6.4 ± 4.5%) and TwPt (U = −32.5 ± 12.0%; J = −29.5 ± 8.0%; J-i = −33.6 ± 13.6%) were similar amongst pacing profiles (all P > 0.05). Therefore, endurance athletes with similar training status showed the same perceived responses and NMF development regardless the pacing profile spontaneously adopted. It was suggested that these responses occurred in order to preserve a similar rate of change in systemic responses (i.e. RPE, ⩒O2 and HR) and NMF development, ultimately resulting in same TT performance. Highlights Different pacing profiles resulted in the same performance in a 4-km cycling time trial. The similar performance might be due to achievement of the same sensory tolerance limit. There was no difference for perceptual, metabolic and neuromuscular fatigue responses.

Slight power output manipulations around the maximal lactate steady state have a similar impact on fatigue in females and males.

Neuromuscular fatigue (NMF) and exercise performance are affected by exercise intensity and sex differences. However, whether slight changes in power output (PO) below and above the maximal lactate steady state (MLSS) impact NMF and subsequent performance (time to task failure, TTF) is unknown. This study compared NMF and TTF in females and males in response to exercise performed at MLSS, 10 W below (MLSS-10) and above (MLSS+10). Twenty participants (9 females) performed three 30-min constant-PO exercise bouts followed (1-min delay) by a TTF at 80% of the peak-PO. NMF was characterized by isometric maximal voluntary contractions (IMVC) and femoral nerve electrical stimulation of knee extensors [e.g., peak torque of potentiated high-frequency (Db100) and single twitch (TwPt)] before and immediately after the constant-PO and TTF bouts. IMVC declined less after MLSS-10 (-18 ± 10%) compared to MLSS (-26 ± 14%) and MLSS+10 (-31 ± 11%; all P < 0.05), and the Db100 decline was greater after MLSS+10 (-24 ± 14%) compared to the other intensities (MLSS-10: -15 ± 9%; MLSS: -18 ± 11%; all P < 0.05). Females showed smaller reductions, relative to baseline, in IMVC and TwPt compared to males after constant-PO bouts (all P < 0.05), this difference being not dependent on intensity. TTF was negatively impacted by increasing the PO in the constant-PO (P < 0.001), with no differences in end-exercise NMF (P > 0.05). Slight manipulations in PO around MLSS elicited great changes in the reduction of maximal voluntary force and impairments in contractile function. Although NMF was lower in females compared to males, the changes in PO around the MLSS impacted both sexes similarly.NEW & NOTEWORTHY It is unknown whether minimum changes in power output (PO) below and above the maximal lactate steady state (MLSS) affect neuromuscular fatigue (NMF) development in females and males. The present data showed that a decrease or increase of 10 W in PO in relation to MLSS elicited lower and greater impairments in contractile function, respectively. Even though females had less of an overall decline in NMF than males, similar exercise intensity-dependent response occurred independently of sex.

Effects of induced local ischemia during a 4-km cycling time trial on neuromuscular fatigue development

The present study analyzed the effects of local ischemia during endurance exercise on neuromuscular fatigue (NMF). Nine cyclists performed, in a counterbalanced order, two separate 4-km cycling time trials (TT) with (ISCH) or without (CONTR) induced local ischemia. NMF was characterized by using isometric maximal voluntary contractions (IMVC), whereas central [voluntary activation (VA)] and peripheral fatigue [peak torque of potentiated twitch (TwPt)] of knee extensors were evaluated using electrically evoked contractions performed before (PRE) and 1 min after (POST) the TT. Electromyographic activity (EMG), power output (PO), oxygen uptake (V̇o2), and rating of perceived exertion (RPE) were also recorded. The decrease in IMVC (-15 ± 9% vs. -10 ± 8%, P = 0.66), VA (-4 ± 3% vs. -3 ± 3%, P = 0.46), and TwPt (-16 ± 7% vs. -19 ± 14%, P = 0.67) was similar in ISCH and CONTR. Endurance performance was drastically reduced in ISCH condition (512 ± 29 s) compared with CONTR (386 ± 17 s) (P < 0.001), which was accompanied by lower EMG, PO, and V̇o2 responses (all P < 0.05). RPE was greater in ISCH compared with CONTR (P < 0.05), but the rate of change was similar throughout the TT (8.19 ± 2.59 vs. 7.81 ± 2.01 RPE.% of total time-1, P > 0.05). These results indicate that similar end-exercise NMF levels were accompanied by impaired endurance performance in ISCH compared with CONTR. These novel findings suggest that the local reduced oxygen availability affected the afferent feedback signals to the central nervous system, ultimately increasing perceived effort and reducing muscle activity and exercise intensity to avoid surpassing a sensory tolerance limit before the finish line.

Fatigue development and perceived response during self-paced endurance exercise: state-of-the-art review

Performance in self-paced endurance exercises results from continuous fatigue symptom management. While it is suggested that perceived responses and neuromuscular fatigue development may determine variations in exercise intensity, it is uncertain how these fatigue components interact throughout the task. To address the fatigue development in self-paced endurance exercises, the following topics were addressed in the present review: (1) fatigue development during constant-load vs. self-paced endurance exercises; (2) central and peripheral fatigue and perceived exertion interconnections throughout the self-paced endurance exercises; and (3) future directions and recommendations. Based on the available literature, it is suggested (1) the work rate variations during a self-paced endurance exercise result in transitions between exercise intensity domains, directly impacting the end-exercise central and peripheral fatigue level when compared to constant-load exercise mode; (2) central and peripheral fatigue, as well as perceived exertion response contribute to exercise intensity regulation at the different stages of the trial. It seems that while neuromuscular fatigue development might be relevant at beginning of the trial, the perceived exertion might interfere in the remaining parts to achieve maximal values only at the finish line; (3) future studies should focus on the mechanisms underpinning fatigue components interactions throughout the task and its influence on exercise intensity variations.

The condition of the respiratory muscles in obstructive sleep disordered breathing according to electromyographic data

Aim . To study functional state of respiratory muscles in patients with obstructive sleep-disordered breathing (oSDB) of varying severity based on changes in electrical activity when using a stepwise-increasing respiratory load. Materials and methods . According to results of cardiorespiratory monitoring, the examined patients were divided into 4 groups. Group 1 included 16 patients without oSDB, group 2 – 16 patients with mild oSDB, group 3 – 8 patients with moderate oSDB, group 4 – 8 patients with severe oSDB. The assessment of electrical activity of inspiratory muscles and expiratory muscles was carried out using electromyography (EMG) when performing tests with a stepwise-increasing inspiratory and expiratory load. Results . During inspiratory test, a decrease in EMG frequency was observed, indicating respiratory muscles fatigue development, with a simultaneous increase in EMG amplitude due to the involvement of additional motoneurons in muscle contraction. In all cases, degree of increase in EMG amplitude prevailed over degree of decrease in EMG frequency. In patients of groups 3 and 4, there were no signs of diaphragm fatigue. Results of expiratory test in group 1, degree of increase in EMG amplitude prevailed over degree of decrease in EMG frequency. In the groups of patients with oSDB, prevalence of decrease in the EMG frequency over increase in EMG amplitude was observed, which indicates development of neuromuscular fatigue of expiratory muscles. Conclusion . Changes in functional state of respiratory muscles are associated with severity of oSDB and are characterized by different dynamics of the electrical activity of inspiratory and expiratory muscles in response to a functional test.

Creatine supplementation attenuates the rate of fatigue development during intermittent isometric exercise performed above end-test torque.

What is the central question of this study? Does creatine supplementation augment the total torque impulse accumulated above end-test torque (IET) during severe-intensity knee-extensor exercise by attenuating the rate of decrease in peak potentiated twitch torque (PT)? What is the main finding and its importance? Creatine augmented the IET and attenuated the rate of decrease in both voluntary activation and PT during severe-intensity exercise. The IET was related to the rate of decrease in PT. These findings reveal an important role for the rates of neuromuscular fatigue development as key determinants of exercise tolerance within the severe domain. This study investigated the effect of creatine supplementation on exercise tolerance, total torque impulse accumulated above end-test torque (total IET) and neuromuscular fatigue development of the knee extensors during severe-intensity intermittent isometric exercise. Sixteen men were randomly allocated into Creatine (n=8, 20gday-1 for 5days) or Placebo (n=8) groups and performed knee-extensor maximal voluntary contraction (MVC) testing, all-out testing to determine end-test torque (ET) and the finite torque impulse accumulated above end-test torque (IET'), and three submaximal tests at ET+10%: (i) time to task failure without supplementation (Baseline); (ii) time to task failure after creatine or placebo supplementation; and (iii) time matched to Baseline after creatine (Creatine-Isotime) or placebo (Placebo-Isotime) supplementation. Creatine supplementation significantly increased the time to task failure (Baseline=572±144sversusCreatine=833±221s) and total IET (Baseline=5761±1710 Nms versus Creatine=7878±1903Nms), but there were no significant differences within the Placebo group. The percentage change pre- to postexercise in MVC, voluntary activation, peak potentiated twitch torque and integrated EMG during MVC were not significantly different between Baseline and Creatine but were all significantly attenuated in Creatine-Isotime compared with Baseline. There were no significant differences in these variables within the placebo group. The total IET was significantly correlated with the rates of change in potentiated twitch torque peak (r=0.83-0.87) and rate of torque development (r=-0.83 to -0.87) for the submaximal tests to task failure. These findings reveal an important role for the rates of neuromuscular fatigue development as key determinants of exercise tolerance during severe-intensity intermittent isometric exercise.

Maytenus ilicifolia Extract Increases Oxygen Uptake without Changes in Neuromuscular Fatigue Development during a High-Intensity Interval Exercise

Objective We investigated the effects of acute ingestion of Maytenus ilicifolia extract on metabolic and cardiopulmonary responses during a high-intensity interval exercise (HIIE), and its consequence on neuromuscular fatigue. Methods Ten healthy men underwent a HIIE (4 x 4 min, 3 min recovery) one hour after ingesting 400 mg of Maytenus ilicifolia extract (MIE) or placebo. Oxygen uptake (O2), dioxide carbon production (CO2), ventilation (E) and heart rate (HR) were measured throughout the HIIE. Maximal voluntary contraction (MVC), voluntary activation (VA), and evoked 1, 10 and 100 Hz force twitch were measured before supplementation (baseline), and before (pre-HIIE) and after the HIIE (post-HIIE). Results The O2, E, E/O2 ratio and HR increased progressively throughout the HIIE under both conditions (p < 0.05). MIE increased HR, however, at bouts 1 and 2 and mean O2 during HIIE. The mean respiratory exchange ratio during recovery was also reduced with MIE (p < 0.05). MVC and evoked force at 1, 10 and 100 Hz declined similarly after HIIE, regardless of the condition (MIE: −18 ± 17%, −50 ± 15%, −61 ± 13% and −34 ± 10% vs. placebo: −19 ± 15%, −48 ± 16%, −58 ± 12 and −29 ± 11%, respectively, p < 0.05). There was no effect of exercise or MIE on VA (p > 0.05). Conclusion MIE increases heart rate in the first bouts and mean oxygen uptake during HIIE without changes in neuromuscular fatigue development.

Plantar flexor muscle-tendon unit length and stiffness do not influence neuromuscular fatigue in boys and men

The twofold purpose of this study was (1) to compare differences in development and etiology of neuromuscular fatigue at different plantar flexor (PF) muscle-tendon unit (MTU) lengths between boys and men, and (2) to examine the relationship between musculotendinous stiffness and peripheral fatigue. Nineteen pre-pubertal boys and 23 men performed three intermittent fatigue protocols at different PF MTU lengths (short: S, neutral: N and long: L), consisting of repeating maximal voluntary isometric contractions (MVIC) until the torque reached 60% of the initial value of MVIC. The etiology of the neuromuscular fatigue and the gastrocnemius medialis aponeuroses and tendon stiffness (KGM) were investigated using non-invasive methods. The number of repetitions did not differ between men and boys, regardless of the PF MTU length (S: 16.5 ± 5.4 and 17.6 ± 5.8; N: 15.8 ± 4.5 and 13.3 ± 3.6; L: 13.6 ± 4.8 and 12.6 ± 4.6, respectively). Boys displayed a lower decrement of potentiated twitch torque (Qtwpot; p < 0.001) and greater decrease of voluntary activation level than men (p < 0.001). Although boys showed lower KGM values than men at S, no significant correlation was found between KGM and Qtwpot. PF MTU length had no effect on differences in the development and etiology of neuromuscular fatigue between boys and men. Although both groups displayed similar development of fatigue, central mechanisms mainly accounted for fatigue in boys and peripheral mechanisms were mainly involved in men. Additionally, musculotendinous stiffness did not account for difference in peripheral fatigue between children and adults.

Effects of Nonstationarity on Muscle Force Signals Regularity During a Fatiguing Motor Task.

Physiological signals present fluctuations that can be assessed from their temporal structure, also termed complexity. The complexity of a physiological signal is usually quantified using entropy estimators, such as Sample Entropy. Recent studies have shown a loss of force signal complexity with the development of neuromuscular fatigue. However, these studies did not consider the stationarity of the force signals which is an important prerequisite of Sample Entropy measurements. Here, we investigated the effect of the potential nonstationarity of force signals on the kinetics of neuromuscular fatigue-induced change in force signal's complexity. Eleven men performed submaximal intermittent isometric contractions of knee extensors until exhaustion. Neuromuscular fatigue was assessed from changes in voluntary and electrically evoked contractions. Sample Entropy values were computed from submaximal force signals throughout the fatiguing task. The Dickey-Fuller test was used to statistically investigate the stationarity of force signals and the Empirical Mode Decomposition was applied to detrend these signals. Maximal voluntary force, central voluntary activation and muscle twitch decreased throughout the task (all ), indicating the development of global, central and peripheral fatigue, respectively. We found an increase in Sample Entropy with fatigue ( p = 0.024 ) when not considering the nonstationarity of force signals (i.e., 43% of nonstationary signals). After applying the Empirical Mode Decomposition, we found a decrease in Sample Entropy with fatigue ( p = 0.002 ). These findings confirm the presence of nonstationarity in force signals during submaximal isometric contractions which influences the kinetics of Sample Entropy with neuromuscular fatigue.

Impact of stimulation frequency on neuromuscular fatigue.

The aim of the present study was to examine the frequency effects (20Hz and 100Hz) on neuromuscular fatigue using stimulation parameters favoring an indirect motor unit recruitment through the afferent pathway. Nineteen subjects were divided into two groups: 20Hz (n = 10) and 100Hz (n = 9). The electrical stimulation session consisted of 25 stimulation trains (20s ON/20s OFF, pulse width: 1ms) applied over the tibial nerve and delivered at an intensity evoking 10% maximal voluntary isometric contraction (MVIC). Before and after these protocols, MVIC was assessed, while neural changes were evaluated by the level of activation (VAL) and muscle changes were evaluated by the twitch associated with the maximal M-wave (Pt). For all stimulation trains, the real and the theoretical values of the torque-time integral (TTIr and TTIth, respectively) were calculated. The TTIr/TTIth ratio of the first train was calculated to evaluate the presence of extra torque. The main results showed a similar decrease in MVIC torque after both protocols accompanied by neural and muscle changes, as evidenced by the decrease in VAL and Pt. TTIr values across the 20-Hz trains remained constant, whereas they significantly decreased during the 100-Hz stimulation trains. The relative MVIC decrease was negatively correlated with TTIr/TTIth. Results give evidence of an identical neuromuscular fatigue development between protocols, while lower stimulation frequency permitted preservation of a given torque level during the stimulation trains. The negative correlation between this fatigue development and TTIr/TTIth suggests that extra torque production induces greater voluntary torque losses.

Maturation-related changes in the development and etiology of neuromuscular fatigue.

The aim of the present study was to investigate the role of maturation on the etiology of neuromuscular fatigue induced by repeated maximal voluntary isometric contractions (MVIC). Nine prepubertal boys (9.9 ± 1.3years), eight male adolescents (13.6 ± 1.3years) and eleven men (23.4 ± 3.0years) performed a series of repeated isometric MVICs of the knee extensors until the MVIC torque reached 60% of its initial value. Magnetic stimulations were delivered to the femoral nerve every five MVICs to follow the course of voluntary activation level (VA) and the potentiated twitch torque (Qtwpot). Task failure was reached after 52.9 ± 12.7, 42.6 ± 12.5, and 26.6 ± 6.3 repetitions in boys, adolescents and men, respectively. VA remained unchanged in men whereas it decreased significantly and similarly in boys and adolescents (p < 0.001). In contrast, Qtwpot remained unchanged in boys and decreased significantly less in adolescents than adults (p < 0.05). Children and adolescents experience less peripheral and more central fatigue than adults. However, adolescents experience more peripheral fatigue than children for a comparable amount of central fatigue. This finding supports the idea that the tolerance of the central nervous system to peripheral fatigue could increase during maturation.

Step length and grade effects on energy absorption and impact attenuation in running

We sought to examine the effect of step length manipulation on energy absorption and impact attenuation during graded running. Nineteen runners (10F, 9M) ran on an instrumented treadmill at three step lengths (preferred and ±10% preferred) at each of five grades (0°, ±5°, and ±10°) while 3D motion data were captured. Speed was held constant at 3.33 m/s and step length was manipulated by syncing cadence to a metronome. Manipulating step length altered energy absorption (p ≤ 0.002) and impact attenuation (p < 0.0001) across all grades. Energy absorption at the knee joint was most responsive to step length manipulations [Δ range (±10%SL-PrefSL) = 0.076–0.126 J/kg, p < 0.0001], followed by the ankle (Δ range = 0.026–0.100 J/kg, p = 0.001) and hip (Δ range = 0.008–0.018 J/kg, p < 0.006). Shortening step length reduced knee joint energy absorption at all grades with the smallest effect observed during uphill running (Δ ≥ −0.053 J/kg), while large reductions occurred during level (Δ = −0.096 J/kg) and downhill running (Δ ≥ −0.108 J/kg). Increasing step length resulted in greater knee joint energy absorption (p ≤ 0.037) across all grades of running. Impact attenuation was greatest at long step lengths (Δ = 2.708) and lowest at short step lengths (Δ = −2.061), compared to preferred. Overall, Step length influenced the energy absorption and impact attenuation characteristics of the lower extremity during level and graded running. Adopting a shorter step length may be a useful intervention to reduce knee joint loading, particularly during downhill or level running. Elongating step length placed a greater demand on the lower extremity joints, which may expedite the development of neuromuscular fatigue.

Sodium Bicarbonate Supplementation Delays Neuromuscular Fatigue Without Changes in Performance Outcomes During a Basketball Match Simulation Protocol.

Ansdell, P and Dekerle, J. Sodium bicarbonate supplementation delays neuromuscular fatigue without changes in performance outcomes during a basketball match simulation protocol. J Strength Cond Res 34(5): 1369-1375, 2020-To investigate the development of neuromuscular fatigue during a basketball game simulation and to ascertain whether sodium bicarbonate (NaHCO3) supplementation attenuates any neuromuscular fatigue that persists. Ten participants ingested 0.2 g·kg of NaHCO3 (or an equimolar placebo dosage of sodium chloride [NaCl]) 90 and 60 minutes before commencing a basketball game simulation (ALK-T vs. PLA-T). Maximal voluntary isometric contractions (MVICs) of the knee extensors and potentiated high- (100 Hz) and low- (10 Hz) frequency doublet twitches were recorded before and after each match quarter for both trials. In addition, 15-m sprint times and layup completion (%) were recorded during each quarter. Maximal voluntary isometric contraction, 100- and 10-Hz twitch forces declined progressively in both trials (p ≤ 0.05) with a less pronounced decrease in MVIC during ALK-T (p < 0.01). Both 100- and 10-Hz twitch forces were also significantly greater in ALK-T (p ≤ 0.05). Fifteen-meter sprint time increased over the course of both trials (∼2%, p < 0.01); however, no significant condition or time effect was found for layup completion (p > 0.05). A basketball simulation protocol induces a substantial amount of neuromuscular (reduction in knee extensor MVICs) and peripheral fatigue with a concomitant increase in 15-m sprint time over the protocol. NaHCO3 supplementation attenuated the rate of fatigue development by protecting contractile elements of the muscle fibers. This study provides coaches with information about the magnitude of fatigue induced by a simulated basketball game and provides evidence of the efficacy of NaHCO3 in attenuating fatigue.

Effect of Muscle-Tendon Unit Length on Child-Adult Difference in Neuromuscular Fatigue.

The purpose of this study was to compare the development and etiology of neuromuscular fatigue of the knee extensor muscles at different muscle-tendon unit (MTU) lengths during repeated maximal voluntary isometric contractions (MVIC) between boys and men. Twenty-two prepubertal boys (9-11 yr) and 22 men (18-30 yr) performed three knee extensor fatigue protocols at short (SHORT), optimal (OPT), and long (LONG) MTU lengths, consisting of repeating 5-s MVIC interspersed with 5-s passive recovery periods until torque reached 60% of the initial MVIC torque. The etiology of neuromuscular fatigue was identified using noninvasive methods such as surface electromyography, near-infrared spectroscopy, magnetic nerve stimulation and twitch interpolation technique. The number of repetitions was significantly lower in men at OPT (14.8 ± 3.2) and LONG (15.8 ± 5.8) than boys (39.7 ± 18.4 and 29.5 ± 10.2, respectively; P < 0.001), whereas no difference was found at SHORT between both age groups (boys, 33.7 ± 15.4; men, 40.9 ± 14.2). At OPT and LONG boys showed a lower reduction in the single potentiated twitch (Qtwpot) and a greater decrease in the voluntary activation level than men. At SHORT, both populations displayed a moderate Qtwpot decrement and a significant voluntary activation reduction (P < 0.001). The differences in maximal torque between boys and men were almost twice greater at OPT (223.9 N·m) than at SHORT (123.3 N·m) and LONG (136.5 N·m). The differences in neuromuscular fatigue between children and adults are dependent on MTU length. Differences in maximal torque could underpin differences in neuromuscular fatigue between children and adults at OPT and SHORT. However, at LONG these differences do not seem to be explained by differences in maximal torque. The origins of this specific effect of MTU length remain to be determined.