Neuromuscular Fatigue in Individuals With Intellectual Disability: Comparison Between Sedentary Individuals and Athletes

Motor Control ◽  
2021 ◽  
Vol 25 (2) ◽  
pp. 264-282
Author(s):  
Rihab Borji ◽  
Firas Zghal ◽  
Nidhal Zarrouk ◽  
Sonia Sahli ◽  
Haithem Rebai

The authors explored neuromuscular fatigue in athletes with intellectual disability (AID) compared with sedentary individuals with intellectual disability (SID) and individuals with typical development. Force, voluntary activation level, potentiated resting twitch, and electromyography signals were assessed during isometric maximal voluntary contractions performed before and immediately after an isometric submaximal exhaustive contraction (15% isometric maximal voluntary contractions) and during recovery period. AID presented shorter time to task failure than SID (p < .05). The three groups presented similar isometric maximal voluntary contraction decline and recovery kinetic. Both groups with intellectual disability presented higher voluntary activation level and root mean square normalized to peak-to-peak M-wave amplitude declines (p < .05) compared with individuals with typical development. These declines were more pronounced in SID (p < .05) than in AID. The AID recovered their initial voluntary activation level later than controls, whereas SID did not. SID presented lower potentiated resting twitch decline compared with AID and controls with faster recovery (p < .05). AID presented attenuated central fatigue and accentuated peripheral fatigue compared with their sedentary counterparts, suggesting a neuromuscular profile close to that of individuals with typical development.

2004 ◽  
Vol 97 (5) ◽  
pp. 1923-1929 ◽  
Author(s):  
V. Martin ◽  
G. Y. Millet ◽  
A. Martin ◽  
G. Deley ◽  
G. Lattier

The aim of this study was to compare the use of transcutaneous vs. motor nerve stimulation in the evaluation of low-frequency fatigue. Nine female and eleven male subjects, all physically active, performed a 30-min downhill run on a motorized treadmill. Knee extensor muscle contractile characteristics were measured before, immediately after (Post), and 30 min after the fatiguing exercise (Post30) by using single twitches and 0.5-s tetani at 20 Hz (P20) and 80 Hz (P80). The P20-to-P80 ratio was calculated. Electrical stimulations were randomly applied either maximally to the femoral nerve or via large surface electrodes (ES) at an intensity sufficient to evoke 50% of maximal voluntary contraction (MVC) during a 80-Hz tetanus. Voluntary activation level was also determined during isometric MVC by the twitch-interpolation technique. Knee extensor MVC and voluntary activation level decreased at all points in time postexercise ( P < 0.001). P20 and P80 displayed significant time × gender × stimulation method interactions ( P < 0.05 and P < 0.001, respectively). Both stimulation methods detected significant torque reductions at Post and Post30. Overall, ES tended to detect a greater impairment at Post in male and a lesser one in female subjects at both Post and Post30. Interestingly, the P20-P80 ratio relative decrease did not differ between the two methods of stimulation. The low-to-high frequency ratio only demonstrated a significant time effect ( P < 0.001). It can be concluded that low-frequency fatigue due to eccentric exercise appears to be accurately assessable by ES.


PeerJ ◽  
2020 ◽  
Vol 8 ◽  
pp. e10388
Author(s):  
Miloš Kalc ◽  
Ramona Ritzmann ◽  
Vojko Strojnik

Background Whole body vibrations have been used as an exercise modality or as a tool to study neuromuscular integration. There is increasing evidence that longer WBV exposures (up to 10 minutes) induce an acute impairment in neuromuscular function. However, the magnitude and origin of WBV induced fatigue is poorly understood. Purpose The study aimed to investigate the magnitude and origin of neuromuscular fatigue induced by half-squat long-exposure whole-body vibration intervention (WBV) with sets of different duration and compare it to non-vibration (SHAM) conditions. Methods Ten young, recreationally trained adults participated in six fatiguing trials, each consisting of maintaining a squatting position for several sets of the duration of 30, 60 or 180 seconds. The static squatting was superimposed with vibrations (WBV30, WBV60, WBV180) or without vibrations (SHAM30, SHAM60, SHAM180) for a total exercise exposure of 9-minutes in each trial. Maximum voluntary contraction (MVC), level of voluntary activation (%VA), low- (T20) and high-frequency (T100) doublets, low-to-high-frequency fatigue ratio (T20/100) and single twitch peak torque (TWPT) were assessed before, immediately after, then 15 and 30 minutes after each fatiguing protocol. Result Inferential statistics using RM ANOVA and post hoc tests revealed statistically significant declines from baseline values in MVC, T20, T100, T20/100 and TWPT in all trials, but not in %VA. No significant differences were found between WBV and SHAM conditions. Conclusion Our findings suggest that the origin of fatigue induced by WBV is not significantly different compared to control conditions without vibrations. The lack of significant differences in %VA and the significant decline in other assessed parameters suggest that fatiguing protocols used in this study induced peripheral fatigue of a similar magnitude in all trials.


2021 ◽  
Author(s):  
Donguk Jo ◽  
Miriam Goubran ◽  
Martin Bilodeau

The main aim of this study was to determine sex differences in central and peripheral fatigue produced by a sustained isometric exercise of ankle plantar flexors in healthy young adults. Ten males and fourteen females performed a sustained isometric ankle exercise until task failure. Maximal voluntary isometric contraction torque (plantarflexion), voluntary activation level (using the twitch interpolation technique), and twitch contractile properties (twitch peak torque, twitch half relaxation time, and low frequency fatigue index) were measured before, immediately after, and throughout a recovery period (1, 2, 5, and 10 min) following the exercise protocol in order to characterize neuromuscular fatigue. Fatigue had a significant effect (p £ 0.05) on all dependent variables. Other than for the maximal voluntary contraction torque, where males showed a greater fatigue-related decrease than females, males and females showed generally similar changes with fatigue. Altogether, our findings indicate no major differences in central or peripheral fatigue mechanisms between males and females to explain a somewhat greater fatigability in males.


2020 ◽  
Vol 45 (7) ◽  
pp. 698-706 ◽  
Author(s):  
Dustin J. Oranchuk ◽  
Jérôme Koral ◽  
Gustavo R. da Mota ◽  
James G. Wrightson ◽  
Rogério Soares ◽  
...  

Sustained isometric maximal voluntary contractions (IMVCs) have blood flow occlusive effects on the microvasculature. However, it is unknown if this effect would be magnified with additional blood flow restriction via a cuff and what the influence on fatigue development would be. Twelve healthy male participants performed a 1-min IMVC of the knee extensors with and without additional blood flow occlusion induced by pneumatic cuff in counterbalanced order on separate days. Vastus lateralis muscle deoxygenation was estimated via near-infrared spectroscopy–derived tissue oxygen saturation (SmO2) throughout the fatiguing contraction. Central and peripheral measures of neuromuscular fatigue (NMF) were assessed via surface electromyography (EMG) and force responses to voluntary contractions and peripheral nerve/transcranial magnetic stimulations before, immediately after, and throughout an 8-min recovery period. SmO2, force, and EMG amplitude decreased during the 1-min IMVC, but there were no between-condition differences. Similarly, no significant (p > 0.05) between-condition differences were detected for any dependent variable immediately after the fatiguing contraction. Transcranial magnetic stimulation (TMS)-derived voluntary activation was lower (p < 0.05) in the no-cuff condition during the recovery period. Sustained IMVC results in a similar degree of muscle deoxygenation and NMF as IMVCs with additional occlusion, providing further evidence that a sustained IMVC induces full ischemia. Novelty NMF etiology, muscle oxygenation, and corticospinal factors during an IMVC are similar with or without an occlusion cuff. Contrary to all other measures, TMS-evaluated voluntary activation returned to baseline faster following the occluded condition.


2004 ◽  
Vol 97 (5) ◽  
pp. 1693-1701 ◽  
Author(s):  
C. J. de Ruiter ◽  
R. D. Kooistra ◽  
M. I. Paalman ◽  
A. de Haan

We investigated the capacity for torque development and muscle activation at the onset of fast voluntary isometric knee extensions at 30, 60, and 90° knee angle. Experiments were performed in subjects ( n = 7) who had high levels (>90%) of activation at the plateau of maximal voluntary contractions. During maximal electrical nerve stimulation (8 pulses at 300 Hz), the maximal rate of torque development (MRTD) and torque time integral over the first 40 ms (TTI40) changed in proportion with torque at the different knee angles (highest values at 60°). At each knee angle, voluntary MRTD and stimulated MRTD were similar ( P < 0.05), but time to voluntary MRTD was significantly longer. Voluntary TTI40 was independent ( P > 0.05) of knee angle and on average (all subjects and angles) only 40% of stimulated TTI40. However, among subjects, the averaged (across knee angles) values ranged from 10.3 ± 3.1 to 83.3 ± 3.2% and were positively related ( r2 = 0.75, P < 0.05) to the knee-extensor surface EMG at the start of torque development. It was concluded that, although all subjects had high levels of voluntary activation at the plateau of maximal voluntary contraction, among subjects and independent of knee angle, the capacity for fast muscle activation varied substantially. Moreover, in all subjects, torque developed considerably faster during maximal electrical stimulation than during maximal voluntary effort. At different knee angles, stimulated MRTD and TTI40 changed in proportion with stimulated torque, but voluntary MRTD and TTI40 changed less than maximal voluntary torque.


2009 ◽  
Vol 106 (3) ◽  
pp. 975-983 ◽  
Author(s):  
Mark Burnley

To determine whether the asymptote of the torque-duration relationship (critical torque) could be estimated from the torque measured at the end of a series of maximal voluntary contractions (MVCs) of the quadriceps, eight healthy men performed eight laboratory tests. Following familiarization, subjects performed two tests in which they were required to perform 60 isometric MVCs over a period of 5 min (3 s contraction, 2 s rest), and five tests involving intermittent isometric contractions at ∼35–60% MVC, each performed to task failure. Critical torque was determined using linear regression of the torque impulse and contraction time during the submaximal tests, and the end-test torque during the MVCs was calculated from the mean of the last six contractions of the test. During the MVCs voluntary torque declined from 263.9 ± 44.6 to 77.8 ± 17.8 N·m. The end-test torque was not different from the critical torque (77.9 ± 15.9 N·m; 95% paired-sample confidence interval, −6.5 to 6.2 N·m). The root mean squared error of the estimation of critical torque from the end-test torque was 7.1 N·m. Twitch interpolation showed that voluntary activation declined from 90.9 ± 6.5% to 66.9 ± 13.1% ( P < 0.001), and the potentiated doublet response declined from 97.7 ± 23.0 to 46.9 ± 6.7 N·m ( P < 0.001) during the MVCs, indicating the development of both central and peripheral fatigue. These data indicate that fatigue during 5 min of intermittent isometric MVCs of the quadriceps leads to an end-test torque that closely approximates the critical torque.


2018 ◽  
Vol 125 (4) ◽  
pp. 1246-1256 ◽  
Author(s):  
Enzo Piponnier ◽  
Vincent Martin ◽  
Bastien Bontemps ◽  
Emeric Chalchat ◽  
Valérie Julian ◽  
...  

The aim of the present study was to compare the development and etiology of neuromuscular fatigue of the knee extensor (KE) and plantar flexor (PF) muscles during repeated maximal voluntary isometric contractions (MVICs) between children and adults. Prepubertal boys ( n = 21; 9–11 yr) and men ( n = 24; 18–30 yr) performed two fatigue protocols consisting of a repetition of 5-s isometric MVIC of the KE or PF muscles interspersed with 5-s passive recovery periods until MVIC reached 60% of its initial value. The etiology of neuromuscular fatigue of the KE and PF muscles was investigated by means of noninvasive methods, such as the surface electromyography, single and doublet magnetic stimulation, twitch interpolation technique, and near-infrared spectroscopy. The number of repetitions performed was significantly lower in men (15.4 ± 3.8) than boys (38.7 ± 18.8) for the KE fatigue test. In contrast, no significant difference was found for the PF muscles between boys and men (12.1 ± 4.9 and 13.8 ± 4.9 repetitions, respectively). Boys displayed a lower reduction in potentiated twitch torque, low-frequency fatigue, and muscle oxygenation than men whatever the muscle group considered. In contrast, voluntary activation level and normalized electromyography data decreased to a greater extent in boys than men for both muscle groups. To conclude, boys experienced less peripheral and more central fatigue during repeated MVICs than men whatever the muscle group considered. However, child-adult differences in neuromuscular fatigue were muscle-dependent since boys fatigued similarly to men with the PF muscles and to a lower extent with the KE muscles. NEW & NOTEWORTHY Child-adult differences in neuromuscular fatigue during repeated maximal voluntary contractions are specific to the muscle group since children fatigue similarly to adults with the plantar flexor muscles and to a lower extent with the knee extensor muscles. Children experience less peripheral fatigue and more central fatigue than adults, regardless of the muscle group considered.


2010 ◽  
Vol 22 (4) ◽  
pp. 547-556 ◽  
Author(s):  
Albertas Skurvydas ◽  
Marius Brazaitis

The aim of the study was to evaluate the effect of plyometric training (PT) on central and peripheral (muscle) fatigue in prepubertal girls and boys. The boys (n = 13, age 10.3 ± 0.3 years) and girls (n = 13, age, 10.2 ± 0.3 years) performed continuous 2-min maximal voluntary contractions (MVCs) before and after 16 high-intensity PT sessions. PT comprised two training sessions per week of 30 jumps in each session with 20 s between jumps. The greatest effect of PT was on excitation–contraction coupling, (twitch force increased by 323% in boys and 21% in girls) and height of a counter–movement jump (increased by 37% in boys and 38% in girls). In contrast, the quadriceps voluntary activation index, central activation ratio, and MVC did not change significantly after PT. The thickness of the quadriceps muscle increased by 9% in boys and 14% in girls after PT. In conclusion, boys and girls demonstrated similar changes in indicators of central fatigue (50–60% decrease) and peripheral fatigue (45–55% decrease) after MVC before and after PT.


2004 ◽  
Vol 97 (2) ◽  
pp. 619-626 ◽  
Author(s):  
J. G. M. Beltman ◽  
A. J. Sargeant ◽  
W. van Mechelen ◽  
A. de Haan

Voluntary activation levels during lengthening, isometric, and shortening contractions (angular velocity 60°/s) were investigated by using electrical stimulation of the femoral nerve (triplet, 300 Hz) superimposed on maximal efforts. Recruitment of fiber populations was investigated by using the phosphocreatine-to-creatine ratio (PCr/Cr) of single characterized muscle fibers obtained from needle biopsies at rest and immediately after a series of 10 lengthening, isometric, and shortening contractions (1 s on/1 s off). Maximal voluntary torque was significantly higher during lengthening (270 ± 55 N·m) compared with shortening contractions (199 ± 47 N·m, P < 0.05) but was not different from isometric contractions (252 ± 47 N·m). Isometric torque was higher than torque during shortening ( P < 0.05). Voluntary activation level during maximal attempted lengthening contractions (79 ± 8%) was significantly lower compared with isometric (93 ± 5%) and shortening contractions (92 ± 3%, P < 0.05). Mean PCr/Cr values of all fibers from all subjects at rest were 2.5 ± 0.6, 2.0 ± 0.7, and 2.0 ± 0.7, respectively, for type I, IIa, and IIax fibers. After 10 contractions, the mean PCr/Cr values for grouped fiber populations (regardless of fiber type) were all significantly different from rest (1.3 ± 0.2, 0.7 ± 0.3, and 0.8 ± 0.6 for lengthening, isometric, and shortening contractions, respectively; P < 0.05). The cumulative distributions of individual fiber populations after either contraction mode were significantly different from rest ( P < 0.05). Curves after lengthening contractions were less shifted compared with curves from isometric and shortening contractions ( P < 0.05), with a smaller shift for the type IIax compared with type I fibers in the lengthening contractions. The results indicate a reduced voluntary drive during lengthening contractions. PCr/Cr values of single fibers indicated a hierarchical order of recruitment of all fiber populations during maximal attempted lengthening contractions.


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