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The effect of sustained low-intensity contractions on supraspinal fatigue in human elbow flexor muscles

Reference Søgaard K, Gandevia SC, Todd G, et al. The effect of sustained low-intensity contractions on supraspinal fatigue in human elbow flexor muscles. J Physiol 2006;573(2):511-23.
Udgivet: 2006
Type: Videnskabelig artikel
Resumé: Subjects quickly fatigue when they perform maximal voluntary contractions (MVCs). Much of the loss of force is from processes within muscle (peripheral fatigue) but some occurs because voluntary activation of the muscle declines (central fatigue). The role of central fatigue during submaximal contractions is not clear. This study investigated whether central fatigue developed during prolonged low-force voluntary contractions. Subjects (n = 9) held isometric elbow flexions of 15% MVC for 43 min. Voluntary activation was measured during brief MVCs every 3 min. During each MVC, transcranial magnetic stimulation (TMS) was followed by stimulation of either brachial plexus or the motor nerve of biceps brachii. After nerve stimulation, a resting twitch was also evoked before subjects resumed the 15% MVC. Perceived effort, elbow flexion torque and surface EMG from biceps, brachioradialis and triceps were recorded. TMS was also given during the sustained 15% MVC. During the sustained contraction, perceived effort rose from 2 to 8 (out of 10) while ongoing biceps EMG increased from 6.9 ± 2.1% to 20.0 ± 7.8% of initial maximum. Torque in the brief MVCs and the resting twitch fell to 58.6 ± 14.5 and 58.2 ± 13.2% of control values, respectively. EMG in the MVCs also fell to 62.2 ± 15.3% of initial maximum, and twitches evoked by nerve stimulation and TMS grew progressively. Voluntary activation calculated from these twitches fell from 98% to 71.9 ± 38.9 and 76.9 ± 18.3%, respectively. The silent period following TMS lengthened both in the brief MVCs (by 40 ms) and in the sustained target contraction (by 18 ms). After the end of the sustained contraction, the silent period recovered immediately, voluntary activation and voluntary EMG recovered over several minutes while MVC torque only returned to 85% baseline. The resting twitch showed no recovery. Thus, as well as fatigue in the muscle, the prolonged low-force contraction produced progressive central fatigue, and some of this i
Link: http://dx.doi.org/10.1113/jphysiol.2005.103598
Bestilling: Denne udgivelse kan ikke bestilles fra NFA's Forlag
Oprettet: 01.06.2006
 
Opdateret  01.06.2006
Kontakt: NFA's webredaktion
 
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