Development Of Muscle Fatigue Research Articles

Supraspinal, spinal, and motor unit adjustments to fatiguing isometric contractions of the knee extensors at low and high submaximal intensities in males.

Contraction intensity is a key factor determining the development of muscle fatigue, and it has been shown to induce distinct changes along the motor pathway. The role of cortical and spinal inputs that regulate motor unit (MU) behavior during fatiguing contractions is poorly understood. We studied the cortical, spinal, and neuromuscular response to sustained fatiguing isometric tasks performed at 20% and 70% of the maximum isometric voluntary contraction (MVC), together with MU behavior of knee extensors in healthy active males. Neuromuscular function was assessed before and after performance of both tasks. Cortical and spinal responses during exercise were measured via stimulation of the motor cortex and spinal cord. High-density electromyography was used to record individual MUs from the vastus lateralis (VL). Exercise at 70%MVC induced greater decline in MVC (P = 0.023) and potentiated twitch force compared with 20%MVC (P < 0.001), with no difference in voluntary activation (P = 0.514). Throughout exercise, corticospinal responses were greater during the 20%MVC task (P < 0.001), and spinal responses increased over time in both tasks (P ≤ 0.042). MU discharge rate increased similarly after both tasks (P ≤ 0.043), whereas recruitment and derecruitment thresholds were unaffected (P ≥ 0.295). These results suggest that increased excitability of cortical and spinal inputs might be responsible for the increase in MU discharge rate. The increase in evoked responses together with the higher MU discharge rate might be required to compensate for peripheral adjustments to sustain fatiguing contractions at different intensities.NEW & NOTEWORTHY Changes in central nervous system and muscle function occur in response to fatiguing exercise and are specific to exercise intensity. This study measured corticospinal, neuromuscular, and motor unit behavior to fatiguing isometric tasks performed at different intensities. Both tasks increased corticospinal excitability and motor unit discharge rate. Our findings suggest that these acute adjustments are required to compensate for the exercise-induced decrements in neuromuscular function caused by fatiguing tasks.

Sa1943 MECHANOKINETICS OF MUSCLE FATIGUE DEVELOPMENT IN SOLEUS MUSCLES OF OBESE RATS

Sa1943 MECHANOKINETICS OF MUSCLE FATIGUE DEVELOPMENT IN SOLEUS MUSCLES OF OBESE RATS

Greater intramuscular metabolic perturbations contribute to faster muscle fatigue development in males than females during intermittent isometric exercise

INTRODUCTION: Previous studies reported faster performance fatigability in males than females during isometric exercise, ultimately prolonging time to task failure in the latter at the same relative intensity. Several authors suggested anatomical and physiological factors as primary determinants, but it remains unknown whether exercise-related accumulation of metabolites within skeletal muscle differentially affects fatigue development in female and males. PURPOSE: This study aimed to investigate intramuscular metabolic perturbations during fatiguing intermittent isometric knee-extensor exercise in males and females. Herein, we tested the hypothesis that greater metabolic perturbation during intermittent isometric exercise results in greater fatigue development in males compared to females. Methods: Fifteen males (M)(26±2y) and fifteen eumenorrheic females (F)(24±3y) visited the laboratory twice. During visit 1, isometric knee-extensors critical torque (CT) was estimated by a 5-min all-out test. In visit 2, participants performed intermittent isometric knee-extensor exercises to task failure at 110% of CT. To determine knee-extensors magnitude and etiology of fatigue maximal voluntary isometric contraction (MVIC), voluntary activation (VA) and potentiated twitches (St) amplitudes were evaluated before (PRE), at 9min (MID), and at task failure (POST). At the same time points, intramuscular pH and concentrations of ATP, PCr, Cr and La were determined in vastus lateralis muscle biopsies. Results: Time to task failure was shorter in M than F (1017±498 vs 1511±506s; P&lt;.01). At PRE, MVIC torque was higher in M than F (259±70 vs 152±24Nm; P&lt;.001). Relative decline in MVIC torque from PRE to MID was greater in M than F (-43±9 vs -34±8% from PRE; P&lt;.05) but reached similar decline at POST (-55±7 vs -53±6% from PRE). VA decreased throughout the test similarly in both sexes (P&lt;.001). St loss from PRE was higher in M than F (-45±13 vs -37±15%; P&lt;.05) at MID whereas no sex differences were observed at POST. Muscle pH decreased at a similar rate in M and F during the test (P&lt;.03). Muscle [ATP] did not change from PRE to MID or POST. Muscle [Cr] increased at a similar rate in M and F during the test (P&lt;.01). Muscle [PCr] was lower in M than F at any time point (P&lt;.03). At MID, [La] increased to a greater extent in M than F (P&lt;.01) with no between-sex differences at POST. CONCLUSION: Males showed greater fatigue development than females associated with greater metabolic perturbation during intermittent isometric exercise performed at same relative intensity. Higher PCr depletion and higher La accumulation suggest females were less fatigable than males due to higher glycolytic rate and less intramuscular inorganic phosphate concentration. The present work was funded by a Travelling Fellowship grant JEBTF2210859 to MC from The Company Of Biologists Limited. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

Blood flow restriction attenuates surface mechanomyography lateral and longitudinal, but not transverse oscillations during fatiguing exercise.

Objective. Surface mechanomyography (sMMG) can measure oscillations of the activated muscle fibers in three axes (i.e.X,Y, andZ-axes) and has been used to describe motor unit activation patterns (X-axis). The application of blood flow restriction (BFR) is common in exercise studies, but the cuff may restrict muscle fiber oscillations. Therefore, the purpose of this investigation was to examine the acute effects of submaximal, fatiguing exercise with and without BFR on sMMG amplitude in theX,Y, andZ-axes among female participants.Approach. Sixteen females (21 ± 1 years) performed two separate exercise bouts to volitional exhaustion that consisted of unilateral, submaximal (50% maximal voluntary isometric contraction [MVIC]) intermittent, isometric, leg extensions with and without BFR. sMMG was recorded and examined across percent time to exhaustion (%TTE) in 20% increments. Separate 2-way repeated measures ANOVA models were constructed: (condition [BFR, non-BFR]) × (time [20, 40, 60, 80, and 100% TTE]) to examine absolute (m·s-2) and normalized (% of pretest MVIC) sMMG amplitude in theX-(sMMG-X),Y-(sMMG-Y), andZ-(sMMG-Z) axes.Main results. The absolute sMMG-X amplitude responses were attenuated with the application of BFR (mean ± SD = 0.236 ± 0.138 m·s-2) relative to non-BFR (0.366 ± 0.199 m·s-2, collapsed across time) and for sMMG-Y amplitude at 60%-100% of TTE (BFR range = 0.213-0.232 m·s-2versus non-BFR = 0.313-0.445 m·s-2). Normalizing sMMG to pretest MVIC removed most, but not all the attenuation which was still evident for sMMG-Y amplitude at 100% of TTE between BFR (72.9 ± 47.2%) and non-BFR (98.9 ± 53.1%). Interestingly, sMMG-Z amplitude was not affected by the application of BFR and progressively decreased across %TTE (0.332 ± 0.167 m·s-2to 0.219 ± 0.104 m·s-2, collapsed across condition.)Significance. The application of BFR attenuated sMMG-X and sMMG-Y amplitude, although normalizing sMMG removed most of this attenuation. Unlike theXandY-axes, sMMG-Z amplitude was not affected by BFR and progressively decreased across each exercise bout potentially tracking the development of muscle fatigue.

Improving wheelchair user sitting posture to alleviate lumbar fatigue: a study utilizing sEMG and pressure sensors.

The wheelchair is a widely used rehabilitation device, which is indispensable for people with limited mobility. In the process of using a wheelchair, they often face the situation of sitting for a long time, which is easy to cause fatigue of the waist muscles of the user. Therefore, this paper hopes to provide more scientific guidance and suggestions for the daily use of wheelchairs by studying the relationship between the development of muscle fatigue and sitting posture. First, we collected surface Electromyography (sEMG) of human vertical spine muscle and analyzed it in the frequency domain. The obtained Mean Power Frequency (MPF) was used as the dependent variable. Then, the pose information of the human body, including the percentage of pressure points, span, and center of mass as independent variables, was collected by the array of thin film pressure sensors, and analyzed by a multivariate nonlinear regression model. When the centroid row coordinate of the cushion pressure point is about 16(range, 7.7-16.9), the cushion pressure area percentage is about 80%(range, 70.8%-89.7%), and the cushion pressure span range is about 27(range, 25-31), the backrest pressure point centroid row coordinate is about 15(range, 9.1-18.2), the backrest pressure area percentage is about 35%(range, 11.8%-38.7%), and the backrest pressure span range is about 16(range, 9-22). At this time, the MPF value of the subjects decreased by a small percentage, and the fatigue development of the muscles was slower. In addition, the pressure area percentage at the seat cushion is a more sensitive independent variable, too large or too small pressure area percentage will easily cause lumbar muscle fatigue. The results show that people should sit in the middle and back of the seat cushion when riding the wheelchair, so that the Angle of the hip joint can be in a natural state, and the thigh should fully contact the seat cushion to avoid the weight of the body concentrated on the buttocks; The back should be fully in contact with the back of the wheelchair to reduce the burden on the waist, and the spine posture can be adjusted appropriately according to personal habits, but it is necessary to avoid maintaining a chest sitting position for a long time, which will cause the lumbar spine to be in an unnatural physiological Angle and easily lead to fatigue of the waist muscles.

Passive heating-induced changes in muscle contractile function are not further augmented by prolonged exposure in young males experiencing moderate thermal stress.

Background: We investigated the impact of 1) passive heating (PH) induced by single and intermittent/prolonged hot-water immersion (HWI) and 2) the duration of PH, on muscle contractile function under the unfatigued state, and during the development of muscle fatigue. Methods: Twelve young males volunteered for this study consisting of two phases: single phase (SP) followed by intermittent/prolonged phase (IPP), with both phases including two conditions (i.e., four trials in total) performed randomly: control passive sitting (CON) and HWI (44-45°C; water up to the waist level). SP-HWI included one continuous 45-min bath (from 15 to 60min). IPP-HWI included an initial 45-min bath (from 15 to 60min) followed by eight additional 15-min baths interspaced with 15-min breaks at room temperature between 75 and 300min. Intramuscular (Tmu; measured in the vastus lateralis muscle) and rectal (Trec) temperatures were determined. Neuromuscular testing (performed in the knee extensors and flexors) was performed at baseline and 60min later during SP, and at baseline, 60, 90, 150 and 300min after baseline during IPP. A fatiguing protocol (100 electrical stimulations of the knee extensors) was performed after the last neuromuscular testing of each trial. Results: HWI increased Tmu and Trec to 38°C-38.5°C (p < 0.05) during both SP and IPP. Under the unfatigued state, HWI did not affect electrically induced torques at 20Hz (P20) and 100Hz (P100). However, it induced a shift towards a faster contractile profile during both SP and IPP, as evidenced by a decreased P20/P100 ratio (p < 0.05) and an improved muscle relaxation (i.e., reduced half-relaxation time and increased rate of torque relaxation; p < 0.05). Despite a reduced voluntary activation (i.e., -2.63% ± 4.19% after SP-HWI and -5.73% ± 4.31% after IPP-HWI; condition effect: p < 0.001), HWI did not impair maximal isokinetic and isometric contraction torques. During the fatiguing protocol, fatigue index and the changes in muscle contractile properties were larger after HWI than CON conditions (p < 0.05). Finally, none of these parameters were significantly affected by the heating duration. Conclusion: PH induces changes in muscle contractile function which are not augmented by prolonged exposure when thermal stress is moderate.

Can intermittent changes in trunk extensor muscle length delay muscle fatigue development?

Muscle length changes may evoke alternating activity and consequently reduce local fatigue and pain during prolonged static bending. The aim of this study was to assess whether a postural intervention involving intermittent trunk extensor muscle length changes (INTERMITTENT) can delay muscle fatigue during prolonged static bending when compared to a near-isometric condition (ISOMETRIC) or when participants were allowed to voluntarily vary muscle length (VOLUNTARY). These three conditions were completed by 11 healthy fit male participants, in three separate sessions of standing with 30 ± 3 degrees trunk inclination until exhaustion. Conventional and high-density electromyography (convEMG and HDsEMG, respectively) were measured on the left and right side of the spine, respectively. The endurance time for INTERMITTENT was 33.6% greater than ISOMETRIC (95% CI: [3.8, 63.5]; p = 0.027) and 29.4% greater than VOLUNTARY (95% CI: [7.0, 51.7]; p = 0.010), but not different between ISOMETRIC and VOLUNTARY. The convEMG and HDsEMG amplitude coefficient of variation was significantly greater for INTERMITTENT versus ISOMETRIC. The rate of change in convEMG and HDsEMG spectral content did not reveal significant differences between conditions as found in endurance time. Additional regression analyses between endurance time and rate of change in convEMG (p > 0.05) and HDsEMG (R2 = 0.39–0.65, p = 0.005–0.039) spectral content indicated that HDsEMG better reflects fatigue development in low-level contractions. In conclusion, imposed intermittent trunk extensor muscle length changes delayed muscle fatigue development when compared to a near-isometric condition or when participants were allowed to voluntarily vary muscle length, possibly due to evoking alternating activity between/within trunk extensor muscles.

Trunk extensor muscle endurance and its relationship to action potential conduction velocity and spectral parameters estimated using high-density electromyography

Trunk extensor muscle fatigue typically manifests as a decline in spectral content of surface electromyography. However, previous research on the relationship of this decline with trunk extensor muscle endurance have shown inconsistent results. The decline of spectral content mainly reflects the decrease in average motor unit action potential conduction velocity (CV). We evaluated whether the rate of change in CV, as well as two approaches employing the change in spectral content, are related to trunk extensor muscle endurance. Fourteen healthy male participants without a low-back pain history performed a non-strictly controlled static forward trunk bending trial until exhaustion while standing. For 13 participants, physiologically plausible CV estimates were obtained from high-density surface electromyography bilaterally from T6 to L5. Laterally between L1 and L2, the linear rate of CV change was strongly correlated to endurance time (R2 = 0.79), whereas analyses involving the linear rate of change in spectral measures showed a lower (R2 = 0.38) or no correlation. For medial electrode locations, estimating CV and its relationship with endurance time was less successful, while the linear rate of change in spectral measures correlated moderately to endurance time (R2 = 0.44; R2 = 0.56). This study provides guidance on monitoring trunk extensor muscle fatigue development using electromyography.

Study of the impact of using the industrial exoskeleton to support the upper limbs on the condition of the arms and shoulder girdle muscles

Introduction. The level of occupational morbidity associated with the effects of physical overload and overstrain of individual organs and systems indicates the need for timely and effective prevention, one of the means of which is the introduction of a promising type of PPE — industrial exoskeletons. Since there are no clear requirements and criteria of their safety and efficiency, all the researches in this field are of experimental character, which dictates the necessity of testing each particular type of exoskeleton in relation to the performance of certain labor operations.&#x0D; The study aims assess the influence of using industrial exoskeleton for support of upper limbs on the arm and shoulder girdle muscles fatigue.&#x0D; Materials and methods. The researchers used the presented industrial exoskeleton designed to reduce the load on the upper limbs when performing work above the level of the user's head. Eleven healthy volunteers participated in the study. In laboratory conditions, the authors simulated labor activity similar to work on an automobile conveyor with a gravity class 3.2.&#x0D; During the work, both without the use of an industrial exoskeleton and with its use, scientists measured the bioelectric activity of the muscles of the upper extremities and shoulder girdle on both sides using surface EMG. In addition, before and after the work, the authors performed myotonometry and dynamometry in order to register the biomechanical properties of the studied muscles, as well as strength and endurance of the hands.&#x0D; Results. As a result of recording the EMG-signal, scientists found that the activity of the anterior deltoid muscle on the right and the biceps muscle of the shoulder on the right when using an industrial exoskeleton in work is reduced by more than 50%. The indicators of endurance and strength recorded during dynamometry decreased after performing work both with and without an exoskeleton, from 1% to 36%, but their dynamics did not fully correspond to classical ideas about the development of muscle fatigue. The analysis of myotonometry data did not show statistically significant changes in the parameters of the studied muscles.&#x0D; Limitations. The limitations of this study are: a small sample size (eleven volunteers), the lack of calculation of the sample size, the use of a small set of used biomedical methods for assessing the human condition.&#x0D; Conclusion. The use of the studied industrial exoskeleton when performing simulated labor operations reduces the bioelectric activity of the main muscles involved in the work, which proves its effectiveness. The developed technique of surface EMG can be used in the future when carrying out such work. Dynamometry and myotonometry did not show sufficient sensitivity in the study, which necessitates the development of special techniques for solving similar problems.&#x0D; Ethics. The Local Ethics Committee of Izmerov Research Institute of Occupational Health have approved the Protocol of the study (the protocol No.3 dated 04/20/2022).

Inspiratory muscle fatigue at the swimming tumble turns: its occurrence and effects on kinematic parameters of the turns.

Introduction: The present study had two objectives: 1) to investigate the effects of tumble turns on the development of inspiratory muscle fatigue (IMF) and compare this to whole swimming, and 2) to evaluate the effects of pre-induced IMF on the kinematic parameters of tumble turns. Fourteen young club-level swimmers (13 ± 2years of ages) completed three swim trials. Methods: The first trial was used to determine the 400-m front crawl swim time at maximal effort (400FC). The other two trials consisted of a series of 15 tumble turns at the 400FC pace. In one of the turn-only trials, IMF was pre-induced (TURNS-IMF), whereas in the other turn-only trial it was not (TURNS-C). Results: Compared with baseline values, the values for maximal inspiratory mouth pressure (PImax) at the end of the swim were significantly lower at all trials. However, the magnitude of inspiratory muscle fatigue was less after TURNS-C (PImax decreased by 12%) than after 400FC (PImax decreased by 28%). The tumble turns were slower during 400FC than during TURNS-C and TURNS-IMF. In addition, compared to TURNS-C, turns in the TURNS-IMF were performed with higher rotation times and shorter apnea and swim-out times. Discussion: The results of the present study suggest that tumble turns put a strain on the inspiratory muscles and directly contribute to the IMF observed during 400FC swimming. Furthermore, pre-induced IMF resulted in significantly shorter apneas and slower rotations during tumble turns. IMF therefore has the potential to negatively affect overall swimming performance, and strategies should be sought to reduce its effects.

Sex differences in quadriceps and inspiratory muscle fatigability following high-intensity cycling.

As females have been hypothesized to have more fatigue resistant inspiratory muscles, this study aimed to compare the development of inspiratory and leg muscle fatigue between males and females following high-intensity cycling. Cross-sectional comparison. 17 healthy young males (27 ± 6 years, V̇O2peak 55 ± 10 ml･min-1･kg-1) and females (25 ± 4 years, V̇O2peak 45 ± 7 ml･min-1･kg-1) cycled until exhaustion at 90% of the peak power output achieved during an incremental test. Changes in quadriceps and inspiratory muscle function were assessed via maximal voluntary contractions (MVC) and assessments of contractility via electrical stimulation of the femoral nerve and cervical magnetic stimulation of the phrenic nerves. Time to exhaustion was similar between sexes (p = 0.270, 95% CI -2.4 - 0.7 min). MVC of the quadriceps was lower after cycling for males (83.9 ± 11.5% vs. 94.0 ± 12.0% of baseline for females, p = 0.018). Reductions in twitch forces were not different between sexes for the quadriceps (p = 0.314, 95% CI -5.5 - 16.6 percent-points) or inspiratory muscles (p = 0.312, 95% CI -4.0 - 2.3 percent-points). Changes in inspiratory muscle twitches were unrelated to the different measures of quadriceps fatigue. Females incur similar peripheral fatigue in the quadriceps and inspiratory muscles compared with men following high-intensity cycling, despite smaller reduction in voluntary force. This small difference alone does not seem sufficient to warrant different training strategies to be recommended for women.

Low-Level Laser Therapy Facilitates Post-Contraction Recovery with Ischemic Preconditioning.

Despite early development of muscle fatigue, ischemic preconditioning is gaining popularity for strength training combined with low-load resistance exercise. This study investigated the effect of low-level laser (LLL) on post-contraction recovery with ischemic preconditioning. Forty healthy adults (22.9 ± 3.5 years) were allocated into sham (11 males, 9 females) and LLL (11 males, 9 females) groups. With ischemic preconditioning, they were trained with three bouts of intermittent wrist extension of 40% maximal voluntary contraction (MVC). During the recovery period, the LLL group received low-level laser (wavelength of 808 nm, 60 Joules) on the working muscle, whereas the sham group received no sham therapy. MVC, force fluctuations, and discharge variables of motor units (MU) for a trapezoidal contraction were compared between groups at baseline (T0), post-contraction (T1), and after-recovery (T2). At T2, the LLL group exhibited a higher normalized MVC (T2/T0) (86.22 ± 12.59%) than that of the sham group (71.70 ± 13.56%)(p = .001). The LLL group had smaller normalized force fluctuations (LLL: 94.76 ± 21.95%, Sham: 121.37 ± 29.02%, p = .002) with greater normalized EMG amplitude (LLL: 94.33 ± 14.69%, Sham: 73.57 ± 14.94%, p < .001) during trapezoidal contraction. In the LLL group, the smaller force fluctuations were associated with lower coefficients of variation of inter-spike intervals of MUs (LLL: .202 ± .053, Sham: .208 ± .048, p = .004) with higher recruitment thresholds (LLL: 11.61 ± 12.68 %MVC, Sham: 10.27 ± 12.73 %MVC, p = .003). Low-level laser expedites post-contraction recovery with ischemic preconditioning, manifesting as superior force generation capacity and force precision control for activation of MUs with a higher recruitment threshold and lower discharge variability.

Endogenous and Exogenous Antioxidants in Skeletal Muscle Fatigue Development during Exercise

Muscle fatigue is defined as a decrease in maximal force or power generated in response to contractile activity, and it is a risk factor for the development of musculoskeletal injuries. One of the many stressors imposed on skeletal muscle through exercise is the increased production of reactive oxygen species (ROS) and reactive nitrogen species (RNS), which intensifies as a function of exercise intensity and duration. Exposure to ROS/RNS can affect Na+/K+-ATPase activity, intramyofibrillar calcium turnover and sensitivity, and actin-myosin kinetics to reduce muscle force production. On the other hand, low ROS/RNS concentrations can likely upregulate an array of cellular adaptative responses related to mitochondrial biogenesis, glucose transport and muscle hypertrophy. Consequently, growing evidence suggests that exogenous antioxidant supplementation might hamper exercise-engendering upregulation in the signaling pathways of mitogen-activated protein kinases (MAPKs), peroxisome-proliferator activated co-activator 1α (PGC-1α), or mammalian target of rapamycin (mTOR). Ultimately, both high (exercise-induced) and low (antioxidant intervention) ROS concentrations can trigger beneficial responses as long as they do not override the threshold range for redox balance. The mechanisms underlying the two faces of ROS/RNS in exercise, as well as the role of antioxidants in muscle fatigue, are presented in detail in this review.

A method to quantify the reduction of back and hip muscle fatigue of lift-support exoskeletons.

Cumulative back muscle fatigue plays a role in the occurrence of low-back injuries in occupations that require repetitive lifting of heavy loads and working in forward leaning postures. Lift-support exoskeletons have the potential to reduce back and hip muscle activity, thereby delaying the onset of fatigue in these muscles. Therefore, exoskeletons are being considered a potentially important tool to further reduce workload-related injuries. However, today no standards have been established on how to benchmark the support level of lift-support exoskeletons. This work proposes an experimental protocol to quantify the support level of a lift-support exoskeletons on instant changes in muscle activity and fatigue development while maintaining a static forward leaning posture. It then applies the protocol to experimentally assess the effect of the support provided by a commercially available lift-support exoskeleton, the LiftSuit 2.0 (Auxivo AG, Schwerzenbach, Switzerland), on the user. In a sample of 14 participants, the amplitude of the muscle activity of the back muscles and hip muscles () was significantly reduced. Wearing the exoskeleton significantly reduced the amount of fatigue developed during the task (). Changes in muscle fatigue can be objectively recorded and correlated with relevant changes for exoskeleton users: the time a task can be performed and perceived low-back fatigue. Thus, including such measures of fatigue in standardized benchmarking procedures will help quantify the benefits of exoskeletons for occupational use.

C60 fullerene attenuates muscle force reduction in a rat during fatigue development

C60 fullerene (C60) as a nanocarbon particle, compatible with biological structures, capable of penetrating through cell membranes and effectively scavenging free radicals, is widely used in biomedicine. A protective effect of C60 on the biomechanics of fast (m. gastrocnemius) and slow (m. soleus) muscle contraction in rats and the pro- and antioxidant balance of muscle tissue during the development of muscle fatigue was studied compared to the same effect of the known antioxidant N-acetylcysteine (NAC). C60 and NAC were administered intraperitoneally at doses of 1 and 150 mg kg−1, respectively, daily for 5 days and 1 h before the start of the experiment. The following quantitative markers of muscle fatigue were used: the force of muscle contraction, the level of accumulation of secondary products of lipid peroxidation (TBARS) and the oxygen metabolite H2O2, the activity of first-line antioxidant defense enzymes (superoxide dismutase (SOD) and catalase (CAT)), and the condition of the glutathione system (reduced glutathione (GSH) content and the activity of the glutathione peroxidase (GPx) enzyme). The analysis of the muscle contraction force dynamics in rats against the background of induced muscle fatigue showed, that the effect of C60, 1 h after drug administration, was (15–17)% more effective on fast muscles than on slow muscles. A further slight increase in the effect of C60 was revealed after 2 h of drug injection, (7–9)% in the case of m. gastrocnemius and (5–6)% in the case of m. soleus. An increase in the effect of using C60 occurred within 4 days (the difference between 4 and 5 days did not exceed (3–5)%) and exceeded the effect of NAC by (32–34)%. The analysis of biochemical parameters in rat muscle tissues showed that long-term application of C60 contributed to their decrease by (10–30)% and (5–20)% in fast and slow muscles, respectively, on the 5th day of the experiment. At the same time, the protective effect of C60 was higher compared to NAC by (28–44)%. The obtained results indicate the prospect of using C60 as a potential protective nano agent to improve the efficiency of skeletal muscle function by modifying the reactive oxygen species-dependent mechanisms that play an important role in the processes of muscle fatigue development.

Fatigue and Recovery of Muscles for Pulling Tasks.

Manual materials handling (MMH) contributes to musculoskeletal disorders (MSDs) in the workplace. The development and recovery of muscle fatigue are essential in work/rest arrangements for MMH tasks. A pulling experiment, including a muscle fatigue test and a muscle fatigue recovery test, was conducted. In the muscle fatigue test, the participant performed a pulling task on a treadmill with a walking velocity of 1 km/h until they could no longer do so. The load was either 30 or 45 kg. The maximum endurance time (MET) was recorded. The pull strength (PS) of the participant both before and after the pulling task was measured. The subjective ratings of muscle fatigue after the pulling task were recorded. In the muscle fatigue recovery test, the participant took a rest after performing the pulling task. The participants reported their subjective ratings of muscle fatigue on the CR-10 scale after taking a rest for a time period t, where t = 1, 2,…, 6 min. The PS of the participant was then measured again. It was found that the load significantly affected the MET for pulling tasks. The load was insignificant to the decrease of the PS, but was significant to the decrease rate (PS decrease per min) of the PS. The PS decrease rate for the 45 kg condition (30.8 ± 16.5 N/min) was significantly higher (p < 0.05) than that of the 30 kg condition (15.4 ± 5.5 N/min). The recovery time significantly affected the PS and CR-10. Two MET models were established to explore the development of muscle fatigue in pulling tasks. A PS model was constructed to describe the recovery of muscle force. A CR-10 model was proposed to show the subjective ratings of recovery. These models are beneficial for determining the work/rest allowance for pulling tasks.

Effect of Mental Task on Sex Differences in Muscle Fatigability: A Review.

Previous research demonstrated that there are observable sex differences in developing muscle fatigue when mental task during fatiguing activity is present; however, there is no available review on this matter. Therefore, this review aimed to summarize the findings of previous studies investigating the effect of mental task on muscle fatigue in men and women. To conduct the review, we utilized searches using the electronic databases Web of Science, PubMed, Scopus, and EBSCO Cinahl Ultimate. The studies included had no limited publication date and examined the effects of mental task on muscle fatigue in a healthy adult population of any age. The evaluation was performed using the following criteria: time to failure, or subjective scale in various modifications (visual analog scale—VAS, rate of perceived effort—RPE, rate of perceived fatigue—RPF, rate of perceived discomfort—RPD). A total of seven studies met the set criteria, which were subsequently analyzed. Heavy mental task (more demanding math tasks) can reduce the time to failure for both men and women, with the reduction being more pronounced for women than for men. For light mental task (simple math tasks), no reduction in time to failure was observed to a great extent. The mental task in any of the included studies did not affect the subjective perception of fatigue, effort, discomfort, or pain. Although the studies investigating the effect of mental task on sex differences in muscle fatigability are limited, based on our findings we can assume that in jobs requiring heavier mental task, women may be more prone to the faster development of muscle fatigue; thus, employers might consider paying attention to the possibility of adequate rest.

Anti-MuSK myasthenia after allogeneic hematopoietic stem cell transplantation in acute myeloid leukemia

Anti-MuSK myasthenia is a chronic autoimmune disease caused by violation of the function of the agrin-MuSK-Lrp4 complex, accompanied by the development of pathological muscle fatigue and often muscle atrophy. The disease can be a primary, as well as a complication of immunosuppressive therapy and hematopoietic stem cell transplantation. We present a case of anti-MUSK myasthenia gravis that developed after allogeneic HSCT due to acute myeloid leukemia in a 44-year-old patient (born in 1975). A distinctive feature of the case was a generalized injury, including not only extraocular, but also paravertebral muscles, dropped head syndrome in the evening. In addition, laboratory, electroneuromyographic and neuroimaging (MRI of muscles, MR-spectroscopy) data indicating the neurogenic reversible nature of changes in the involved musculature are presented.Results. This study presents MRI and EMG signs of neurogenic damage of axial musculature in a patient with weakness and swelling of the paravertebral muscles (edematous changes according to STIR, corresponding to MR signs of early functional denervation) for a period of 2–4 months, due to anti-MUSK myasthenia gravis. Clinical manifestations, as well as edematous neurogenic changes in the paravertebral muscles, regressed after pathogenetic therapy. Conclusion. The article presents up-to-date data on the clinical and instrumental characteristics of myasthenia gravis. The considered clinical example confirms the presence of neurogenic changes at an early stage of anti-MUSK myasthenia gravis and indicates the need for immediate initiation of pathogenetic therapy to avoid the development of atrophy and fatty infiltration of muscles.

An Occupational Shoulder Exoskeleton Reduces Muscle Activity and Fatigue During Overhead Work.

This paper assesses the effect of a passive shoulder exoskeleton prototype, Exo4Work, on muscle activity, muscle fatigue and subjective experience during simulated occupational overhead and non-overhead work. Twenty-two healthy males performed six simulated industrial tasks with and without Exo4Work exoskeleton in a randomized counterbalanced cross-over design. During these tasks electromyography, heart rate, metabolic cost, subjective parameters and performance parameters were acquired. The effect of the exoskeleton and the body side on these parameters was investigated. Anterior deltoid activity and fatigue reduced up to 16% and 41%, respectively, during isometric overhead work, and minimized hindrance of the device during non-overhead tasks. Wearing the exoskeleton increased feelings of frustration and increased discomfort in the areas where the exoskeleton and the body interfaced. The assistive effect of the exoskeleton was less prominent during dynamic tasks. This exoskeleton may reduce muscle activity and delay development of muscle fatigue in an overhead working scenario. For dynamic applications, the exoskeleton's assistive profile, which mimics the gravitational torque of the arm, is potentially sub-optimal. This evaluation paper is the first to report reduced muscle fatigue and activity when working with an occupational shoulder exoskeleton providing one third of the gravitational torque of the arm during overhead work. These results stress the potential of occupational shoulder exoskeletons in overhead working situations and may direct towards longitudinal field experiments. Additionally, this experiment may stimulate future work to further investigate the effect of different assistive profiles.

Frequency-dependent coexistence of muscle fatigue and potentiation assessed by concentric isotonic contractions in human plantar flexors.

The purpose was to investigate whether postactivation potentiation (PAP) mitigates power (i.e., torque × angular velocity) loss during dynamic fatiguing contractions and subsequent recovery by enhancing either muscle torque or angular velocity in human plantar flexors. In 12 participants, electrically stimulated (1, 10, and 50 Hz) dynamic contractions were done during a voluntary isotonic fatiguing protocol until a 75% loss in voluntary peak power, and throughout 30 min of recovery. At the initial portion of fatigue (20% decrease), power responses of evoked low frequencies (1 and 10 Hz) were enhanced due to PAP (156% and 137%, respectively, P < 0.001), whereas voluntary maximal efforts were depressed due to fatiguing mechanisms. Following the fatiguing task, prolonged low-frequency force depression (PLFFD) was evident by reduced 10:50 Hz peak power ratios (21%-24%) from 3 min onward during the 30-min recovery (P < 0.005). Inducing PAP with maximal voluntary dynamic contractions during PLFFD enhanced the peak power responses of low frequencies (1 and 10 Hz) by 128%-160%, P < 0.01. This PAP response mitigated the effects of PLFFD as the 1:50 (P < 0.05) and 10:50 (P > 0.4) Hz peak power ratios were greater or not different from the prefatigue (baseline) values. In addition, PAP enhanced peak torque more than peak angular velocity during both baseline and fatigue measurements (P < 0.03). These results indicate that PAP can ameliorate PLFFD acutely when evaluated during concentric isotonic contractions and that peak torque is enhanced to a greater degree compared with peak angular velocity at baseline and in a fatigued state.NEW & NOTEWORTHY Postactivation potentiation (PAP) enhanced stimulated low frequencies (1 and 10 Hz) during muscle fatigue development when assessed with power (torque × angular velocity) in a voluntary isotonic fatiguing task. Following the task during 30 min of recovery, prolonged low-frequency force depression (PLFFD) was evident, and inducing PAP with brief maximal contractions during this state ameliorated the effects of PLFFD. PAP enhanced peak torque more than peak angular velocity during both baseline and fatiguing conditions.