Neural and metabolic mechanisms of excessive muscle fatigue in maintenance hemodialysis patients

2005 ◽  
Vol 289 (3) ◽  
pp. R805-R813 ◽  
Author(s):  
Kirsten L. Johansen ◽  
Julie Doyle ◽  
Giorgos K. Sakkas ◽  
Jane A. Kent-Braun
Keyword(s):  
Muscle Fatigue ◽  
Muscle Activation ◽  
Voluntary Contraction ◽  
Voluntary Activation ◽  
Maintenance Hemodialysis ◽  
Dialysis Patients ◽  
Metabolic Disturbances ◽  
Oxidative Potential ◽  
Central Activation ◽  
Peripheral Activation

Dialysis patients have severe exercise limitations related to metabolic disturbances, but muscle fatigue has not been well studied in this population. We investigated the magnitude and mechanisms of fatigue of the ankle dorsiflexor muscles in patients on maintenance hemodialysis. Thirty-three dialysis patients and twelve healthy control subjects performed incremental isometric dorsiflexion exercise, beginning at 10% of their maximal voluntary contraction (MVC) and increasing by 10% every 2 min. Muscle fatigue (fall of MVC), completeness of voluntary activation, and metabolic responses to exercise were measured. Before exercise, dialysis subjects exhibited reduced strength and impaired peripheral activation (lower compound muscle activation potential amplitude) but no metabolic perturbation. During exercise, dialysis subjects demonstrated threefold greater fatigue than controls with evidence of central activation failure but no change in peripheral activation. All metabolic parameters were significantly more perturbed at end exercise in dialysis subjects than in controls, including lower phosphocreatine (PCr) and pH, and higher Pi, Pi/PCr, and H2PO4−. Oxidative potential was markedly lower in patients than in controls [62.5 (SD 27.2) vs. 134.6 (SD 31.7), P < 0.0001]. Muscle fatigue was negatively correlated with oxidative potential among dialysis subjects ( r = −0.52, P = 0.04) but not controls. Changes in central activation ratio were also correlated with muscle fatigue in the dialysis subjects ( r = 0.59, P = 0.001) but not the controls. This study provides new information regarding the excessive muscular fatigue of dialysis patients and demonstrates that the mechanisms of this fatigue include both intramuscular energy metabolism and central activation failure.

Fatigued patients with multiple sclerosis have impaired central muscle activation

2009 ◽  
Vol 15 (7) ◽  
pp. 818-827 ◽  
Author(s):  
AK Andreasen ◽  
J Jakobsen ◽  
T Petersen ◽  
H Andersen
Keyword(s):  
Multiple Sclerosis ◽  
Maximal Voluntary Contraction ◽  
Muscle Activation ◽  
Quadriceps Muscle ◽  
Voluntary Contraction ◽  
Central Activation ◽  
Motor Activation ◽  
Fatigue Severity ◽  
The Right ◽  
Peripheral Activation

Background The pathogenesis of fatigue in multiple sclerosis (MS) is poorly understood. Objective To elucidate the role of central motor activation we hypothesized that patients with primary fatigue have impaired central motor function and increased fatigability as compared to secondary fatigued and non-fatigued patients. Methods Sixty patients with relapsing remitting MS and an Expanded Disability Status Scale score ≤ 3.5 were recruited and grouped as fatigued (Fatigue Severity Scale (FSS) ≥ 5.0) or non-fatigued (FSS ≤ 4.0). Nineteen patients were primary fatigued, 20 secondary fatigued and 21 non-fatigued. Maximal voluntary contraction, central activation and peripheral activation were determined by percutaneous twitch interpolation of the right quadriceps muscle. Results Maximal voluntary contraction was similar between groups but did relate to scores of fatigue. Peripheral activation was similar in all groups. Central activation was impaired in both groups of fatigued patients compared to non-fatigued patients being 0.96(0.05) in primary fatigued and 0.96(0.04) in secondary fatigued versus 0.99(0.1) in non-fatigued patients. The impairment of central motor activation was related to degree of fatigue in all patients. During fatiguing exercise there was a similar loss of strength, without any time differences between the three groups. Conclusion We conclude that impaired central motor activation is involved in MS-fatigue.

Initial phase of maximal voluntary and electrically stimulated knee extension torque development at different knee angles

2004 ◽  
Vol 97 (5) ◽  
pp. 1693-1701 ◽  
Author(s):  
C. J. de Ruiter ◽  
R. D. Kooistra ◽  
M. I. Paalman ◽  
A. de Haan
Keyword(s):  
Muscle Activation ◽  
Knee Extensor ◽  
Surface Emg ◽  
Knee Extension ◽  
Voluntary Contraction ◽  
Voluntary Activation ◽  
Knee Angle ◽  
Time Integral ◽  
Voluntary Contractions ◽  
Torque Development

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.

scholarly journals Maximum Voluntary Activation in Nonfatigued and Fatigued Muscle of Young and Elderly Individuals

2001 ◽  
Vol 81 (5) ◽  
pp. 1102-1109 ◽  
Author(s):  
Scott K Stackhouse ◽  
Jennifer E Stevens ◽  
Samuel CK Lee ◽  
Karen M Pearce ◽  
Lynn Snyder-Mackler ◽  
...  
Keyword(s):  
Maximum Voluntary Contraction ◽  
Quadriceps Femoris ◽  
Voluntary Contraction ◽  
Voluntary Activation ◽  
Elderly Subjects ◽  
Central Activation ◽  
Quadriceps Femoris Muscle ◽  
Age Related ◽  
Young Subjects ◽  
Femoris Muscle

Abstract Background and Purpose. Researchers studying central activation of muscles in elderly subjects (≥65 years of age) have investigated activation in only the nonfatigued state. This study examined the ability of young and elderly people to activate their quadriceps femoris muscles voluntarily under both fatigued and nonfatigued conditions to determine the effect of central activation failure on age-related loss of force. Subjects and Methods. Twenty young subjects (11 men, 9 women; mean age=22.67 years, SD=4.14, range=18–32 years) and 17 elderly subjects (8 men, 9 women; mean age=71.5 years, SD=5.85, range=65–84 years) participated in this study. Subjects were seated on a dynamometer and stabilized. Central activation was quantified, based on the change in force produced by a 100-Hz, 12-pulse electrical train that was delivered during a 3- to 5-second isometric maximum voluntary contraction (MVC) of the quadriceps femoris muscle. Next, subjects performed 25 MVCs (a 5-second contraction with 2 seconds of rest) to fatigue the muscle. During the last MVC, central activation was measured again. Results. In the nonfatigued state, elderly subjects had lower central activation than younger subjects. In the fatigued state, this difference became larger. Discussion and Conclusion. Central activation of the quadriceps femoris muscle in elderly subjects was reduced in both the fatigued and nonfatigued states when compared with young subjects. Some part of age-related weakness, therefore, may be attributed to failure of central activation in both the fatigued and nonfatigued states.

scholarly journals Motor planning perturbation: muscle activation and reaction time

2018 ◽  
Vol 120 (4) ◽  
pp. 2059-2065
Author(s):  
Stefan Delmas ◽  
Agostina Casamento-Moran ◽  
Seoung Hoon Park ◽  
Basma Yacoubi ◽  
Evangelos A. Christou
Keyword(s):  
Reaction Time ◽  
Muscle Activity ◽  
Muscle Activation ◽  
Maximum Voluntary Contraction ◽  
Motor Planning ◽  
Reaction Time Task ◽  
Voluntary Contraction ◽  
Voluntary Activation ◽  
Time Interval ◽  
Voluntary Activity

Reaction time (RT) is the time interval between the appearance of a stimulus and initiation of a motor response. Within RT, two processes occur, selection of motor goals and motor planning. An unresolved question is whether perturbation to the motor planning component of RT slows the response and alters the voluntary activation of muscle. The purpose of this study was to determine how the modulation of muscle activity during an RT response changes with motor plan perturbation. Twenty-four young adults (20.5 ±1.1 yr, 13 women) performed 15 trials of an isometric RT task with ankle dorsiflexion using a sinusoidal anticipatory strategy (10–20% maximum voluntary contraction). We compared the processing part of the RT and modulation of muscle activity from 10 to 60 Hz of the tibialis anterior (primary agonist) when the stimulus appeared at the trough or at the peak of the sinusoidal task. We found that RT ( P = 0.003) was longer when the stimulus occurred at the peak compared with the trough. During the time of the reaction, the electromyography (EMG) power from 10 to 35 Hz was less at the peak than the trough ( P = 0.019), whereas the EMG power from 35 to 60 Hz was similar between the peak and trough ( P = 0.92). These results suggest that perturbation to motor planning lengthens the processing part of RT and alters the voluntary activation of the muscle by decreasing the relative amount of power from 10 to 35 Hz. NEW & NOTEWORTHY We aimed to determine whether perturbation to motor planning would alter the speed and muscle activity of the response. We compared trials when a stimulus appeared at the peak or trough of an oscillatory reaction time task. When the stimulus occurred at the trough, participants responded faster, with greater force, and less EMG power from 10-35 Hz. We provide evidence that motor planning perturbation slows the response and alters the voluntary activity of the muscle.

Adaptations in the activation of human skeletal muscle induced by short-term isometric resistance training

2007 ◽  
Vol 103 (1) ◽  
pp. 402-411 ◽  
Author(s):  
Christopher Del Balso ◽  
E. Cafarelli
Keyword(s):  
Resistance Training ◽  
Muscle Activation ◽  
Voluntary Contraction ◽  
Spinal Reflex ◽  
Voluntary Activation ◽  
Control Group ◽  
Hoffman Reflex ◽  
V Wave ◽  
Spinal Excitability ◽  
Rate Of Activation

This study employed longitudinal measures of evoked spinal reflex responses (Hoffman reflex, V wave) to investigate changes in the activation of muscle and to determine if there are “linked” neural adaptations in the motor pathway following isometric resistance training. Twenty healthy, sedentary males were randomly assigned to either the trained ( n = 10) or control group ( n = 10). The training protocol consisted of 12 sessions of isometric resistance training of the plantar flexor muscles over a 4-wk period. All subjects were tested prior to and after the 4-wk period. To estimate changes in spinal excitability, soleus Hoffman (H) reflex and M wave recruitment curves were produced at rest and during submaximal contractions. Recruitment curves were analyzed using the slope method (Hslp/Mslp). Modulation of efferent neural drive was assessed through evoked V wave responses (V/Mmax) at 50, 75, and 100% maximal voluntary contraction (MVC). After 4 weeks, MVC torque increased 20.0 ± 13.9% (mean ± SD) in the trained group. The increase in MVC was accompanied by significant increases in the rate of torque development (42.5 ± 13.3%), the soleus surface electromyogram (60.7 ± 30.8%), voluntary activation (2.8 ± 0.1%), and the rate of activation (48.7 ± 24.3%). Hslp/Mslp was not altered by training; however, V/Mmax increased 57.3 ± 34.2% during MVC. These results suggest that increases in MVC observed in the first few days of isometric resistance training can be accounted for by an increase in the rate of activation at the onset of muscle contraction. Augmentation of muscle activation may be due to increased volitional drive from supraspinal centers.

scholarly journals Quadriceps Muscle Fatigue Reduces Extension and Flexion Power During Maximal Cycling

2022 ◽  
Vol 3 ◽  
Author(s):  
Steven J. O'Bryan ◽  
Janet L. Taylor ◽  
Jessica M. D'Amico ◽  
David M. Rouffet
Keyword(s):  
Muscle Fatigue ◽  
Muscle Activation ◽  
Power Production ◽  
Quadriceps Muscle ◽  
Individual Variability ◽  
Voluntary Activation ◽  
Peripheral Fatigue ◽  
Emg Activity ◽  
Pedal Force ◽  
Voluntary Contractions

Purpose: To investigate how quadriceps muscle fatigue affects power production over the extension and flexion phases and muscle activation during maximal cycling.Methods: Ten participants performed 10-s maximal cycling efforts without fatigue and after 120 bilateral maximal concentric contractions of the quadriceps muscles. Extension power, flexion power and electromyographic (EMG) activity were compared between maximal cycling trials. We also investigated the associations between changes in quadriceps force during isometric maximal voluntary contractions (IMVC) and power output (flexion and extension) during maximal cycling, in addition to inter-individual variability in muscle activation and pedal force profiles.Results: Quadriceps IMVC (−52 ± 21%, P = 0.002), voluntary activation (−24 ± 14%, P &lt; 0.001) and resting twitch amplitude (−45 ± 19%, P = 0.002) were reduced following the fatiguing task, whereas vastus lateralis (P = 0.58) and vastus medialis (P = 0.15) M-wave amplitudes were unchanged. The reductions in extension power (−15 ± 8%, P &lt; 0.001) and flexion power (−24 ± 18%, P &lt; 0.001) recorded during maximal cycling with fatigue of the quadriceps were dissociated from the decreases in quadriceps IMVC. Peak EMG decreased across all muscles while inter-individual variability in pedal force and EMG profiles increased during maximal cycling with quadriceps fatigue.Conclusion: Quadriceps fatigue induced by voluntary contractions led to reduced activation of all lower limb muscles, increased inter-individual variability and decreased power production during maximal cycling. Interestingly, power production was further reduced over the flexion phase (24%) than the extension phase (15%), likely due to larger levels of peripheral fatigue developed in RF muscle and/or a higher contribution of the quadriceps muscle to flexion power production compared to extension power during maximal cycling.

Comparison of neuromuscular adjustments associated with sustained isometric contractions of four different muscle groups

2013 ◽  
Vol 114 (10) ◽  
pp. 1426-1434 ◽  
Author(s):  
Daria Neyroud ◽  
Jennifer Rüttimann ◽  
Anne F. Mannion ◽  
Guillaume Y. Millet ◽  
Nicola A. Maffiuletti ◽  
...  
Keyword(s):  
Muscle Fatigue ◽  
Upper Limb ◽  
Voluntary Contraction ◽  
Voluntary Activation ◽  
Knee Extensors ◽  
Elbow Flexors ◽  
Plantar Flexors ◽  
Task Failure ◽  
Before And After ◽  
Muscle Groups

The extent and characteristics of muscle fatigue of different muscle groups when subjected to a similar fatiguing task may differ. Thirteen healthy young men performed sustained contractions at 50% maximal voluntary contraction (MVC) force until task failure, with four different muscle groups, over two sessions. Per session, one upper limb and one lower limb muscle group were tested (knee extensors and thumb adductor, or plantar and elbow flexors). Changes in voluntary activation level and contractile properties were derived from doublet responses evoked during and after MVCs before and after exercise. Time to task failure differed ( P < 0.05) between muscle groups (220 ± 64 s for plantar flexors, 114 ± 27 s for thumb adductor, 77 ± 25 s for knee extensors, and 72 ± 14 s for elbow flexors). MVC force loss immediately after voluntary task failure was similar (−30 ± 11% for plantar flexors, −37 ± 13% for thumb adductor, −34 ± 15% for knee extensors, and −40 ± 12% for elbow flexors, P > 0.05). Voluntary activation was decreased for plantar flexors only (from 95 ± 5% to 82 ± 9%, P < 0.05). Potentiated evoked doublet amplitude was more depressed for upper limb muscles (−59.3 ± 14.7% for elbow flexors and −60.1 ± 24.1% for thumb adductor, P < 0.05) than for knee extensors (−28 ± 15%, P < 0.05); no reduction was found in plantar flexors (−7 ± 12%, P > 0.05). In conclusion, despite different times to task failure when sustaining an isometric contraction at 50% MVC force for as long as possible, diverse muscle groups present similar loss of MVC force after task failure. Thus the extent of muscle fatigue is not affected by time to task failure, whereas this latter determines the etiology of fatigue.

The influence of ice slushy on voluntary contraction force following exercise-induced hyperthermia

2014 ◽  
Vol 39 (7) ◽  
pp. 781-786 ◽  
Author(s):  
Catriona A. Burdon ◽  
Christopher S. Easthope ◽  
Nathan A. Johnson ◽  
Phillip G. Chapman ◽  
Helen O’Connor
Keyword(s):  
Muscle Activation ◽  
Force Production ◽  
Central Fatigue ◽  
Voluntary Contraction ◽  
Voluntary Activation ◽  
Peripheral Fatigue ◽  
Knee Extensors ◽  
Central Component ◽  
Induced Hyperthermia ◽  
Exercise Induced

This study aimed to investigate the effect of exercise-induced hyperthermia on central fatigue and force decline in exercised and nonexercised muscles and whether ingestion of ice slushy (ICE) ameliorates fatigue. Eight participants (5 males, 3 females) completed 45 s maximal voluntary isometric contractions (MVIC) with elbow flexors and knee extensors at baseline and following an exercise-induced rectal temperature (Trec) of 39.3 ± 0.2 °C. Percutaneous electrical muscle stimulation was superimposed at 15, 30 and 44 s during MVICs to assess muscle activation. To increase Trec to 39.3 °C, participants cycled at 60% maximum power output for 42 ± 11 min in 40 °C and 50% relative humidity. Immediately prior to each MVIC, participants consumed 50 g of ICE (–1 °C) or thermoneutral drink (38 °C, CON) made from 7.4% carbohydrate beverage. Participants consumed water (19 °C) during exercise to prevent hypohydration. Voluntary muscle force production and activation in both muscle groups were unchanged at Trec 39.3 °C with ICE (knee extensors: 209 ± 152 N) versus CON (knee extensors: 255 ± 157 N, p = 0.19). At Trec 39.3 °C, quadriceps mean force (232 ± 151 N) decreased versus baseline (302 ± 180 N, p < 0.001) and mean voluntary activation was also decreased (by 15% ± 11%, p < 0.001). Elbow flexor mean force decreased from 179 ± 67 N to 148 ± 65 N when Trec was increased to 39.3 °C (p < 0.001) but mean voluntary activation was not reduced at 39.3 °C (5% ± 25%, p = 0.79). After exercise-induced hyperthermia, ICE had no effect on voluntary activation or force production; however, both were reduced from baseline in the exercised muscle group. Peripheral fatigue was greater than the central component and limited the ability of an intervention designed to alter central fatigue.

Voluntary activation failure contributes more to plantar flexor weakness than antagonist coactivation and muscle atrophy in chronic stroke survivors

2010 ◽  
Vol 109 (5) ◽  
pp. 1337-1346 ◽  
Author(s):  
Cliff S. Klein ◽  
Dina Brooks ◽  
Denyse Richardson ◽  
William E. McIlroy ◽  
Mark T. Bayley
Keyword(s):  
Muscle Atrophy ◽  
Muscle Activation ◽  
Voluntary Contraction ◽  
Chronic Stroke ◽  
Voluntary Activation ◽  
Stroke Survivors ◽  
Plantar Flexor ◽  
Plantar Flexors ◽  
Emg Amplitude ◽  
Magnetic Resonance Imaging Mri

The contributions of nervous system muscle activation and muscle atrophy to poststroke weakness have not been evaluated together in the same subject. Maximal voluntary contraction (MVC) torque, voluntary activation (twitch interpolation), and electromyographic (EMG) amplitude were determined bilaterally in the plantar flexors of seven chronic stroke survivors (40–63 yr, 24–51 mo poststroke). Volumes of the plantar flexor muscles were determined bilaterally with magnetic resonance imaging (MRI). The mean (±SD) contralesional (paretic) MVC torque was less than one-half of the ipsilesional leg: 56.7 ± 57.4 vs. 147 ± 35.7 Nm ( P = 0.006). Contralesional voluntary activation was only 48 ± 36.9%, but was near complete in the ipsilesional leg, 97 ± 1.9% ( P = 0.01). The contralesional MVC EMG amplitude (normalized to the maximum M-wave peak-to-peak amplitude) of the gastrocnemii and soleus were 36.0 ± 28.5 and 36.0 ± 31.0% of the ipsilesional leg. Tibialis anterior (TA) EMG coactivation was not different between the contralesional (23.2 ± 24.0% of TA MVC EMG) and ipsilesional side (12.3 ± 5.7%) ( P = 0.24). However, TA EMG coactivation was excessive (71%) in one subject and accounted for ∼8% of her weakness based on the estimated antagonist torque. Relative (%ipsilesional leg) plantar flexor and gastrocnemii volumes were 88 ± 6% ( P = 0.004) and 76 ± 15% ( P = 0.01), respectively. Interlimb volume differences of the soleus, deep plantar flexors, and peronei were not significant. Preferred walking speed (0.83 ± 0.33 m/s) was related to the contralesional MVC torque ( r2 = 0.57, P = 0.05, N = 7), but the two subjects with the greatest weakness walked faster than three others. Our findings suggest that plantar flexor weakness in mobile chronic stroke survivors reflects mostly voluntary activation failure, with smaller contributions from antagonist activity and atrophy.

Neuromuscular Fatigue After a Ski Skating Marathon

2003 ◽  
Vol 28 (3) ◽  
pp. 434-445 ◽  
Author(s):  
Guillaume Y. Millet ◽  
Vincent Martin ◽  
Nicola A. Maffiuletti ◽  
Alain Martin
Keyword(s):  
Mechanical Response ◽  
Compound Muscle Action Potential ◽  
Vastus Lateralis ◽  
Femoral Nerve ◽  
Voluntary Contraction ◽  
Neuromuscular Fatigue ◽  
Voluntary Activation ◽  
Knee Extensors ◽  
Vastus Lateralis Muscle ◽  
Central Activation

The aim of this study was to characterize neuromuscular fatigue in knee extensor muscles after a marathon skiing race (mean ± SD duration = 159.7 ± 17.9 min). During the 2 days preceding the event and immediately after, maximal percutaneous electrical stimulations (single twitch, 0.5-s tetanus at 20 and 80 Hz) were applied to the femoral nerve of 11 trained skiers. Superimposed twitches were also delivered during maximal voluntary contraction (MVC) to determine maximal voluntary activation (%VA). EMG was recorded from the vastus lateralis muscle. MVC decreased with fatigue from 171.7 ± 33.7 to 157.3 ± 35.2 Nm (-8.4%; p < 0.005) while %VA did not change significantly. The RMS measured during MVC and peak-to-peak amplitude of the compound muscle action potential (PPA) from the vastus lateralis decreased with fatigue by about 30% (p < 0.01), but RMS•PPA−1was similar before and after the ski marathon. Peak tetanus tension at 20 Hz and 80 Hz (P020 and P080, respectively) did not change significantly, but P020•P080−1 increased (p < 0.05) after the ski marathon. Data from electrically evoked single twitches showed greater peak mechanical response, faster rate of force development, and shorter contraction time in the fatigued state. From these results it can be concluded that a ski skating marathon (a) alters slightly but significantly maximal voluntary strength of the knee extensors without affecting central activation, and (b) induces both potentiation and fatigue. Key words: low- and high-frequency electrical stimulation, central activation, potentiation

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