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Index
CONTENTS FIGURES TABLES CONTRIBUTORS PREFACE PART I THE CONCEPTUAL FRAMEWORK OF MUSCLE FATIGUE
CHAPTER 1 DEFINITIONS OF MUSCLE FATIGUE
INTRODUCTION DEFINITIONS OF FATIGUE IDENTIFICATION AND MEASUREMENT OF FATIGUE MECHANISMS OF FATIGUE CONCLUSION FIVE KEY PAPERS THAT SHAPED THE TOPIC AREA GLOSSARY OF TERMS NOTES REFERENCES
CHAPTER 2 MEASUREMENT METHODS OF MUSCLE FATIGUE
OBJECTIVES INTRODUCTION MEASUREMENT METHODS OF MUSCLE FATIGUE
Part I: tools and procedures for force/power measurement Part II: techniques and procedures to evaluate neuromuscular mechanisms of fatigue
Force recordings EMG recordings Electric or magnetic stimulation?
Part III: techniques and procedures to evaluate metabolic mechanisms of fatigue
Informational content of a 31P MR spectrum Technical considerations Reproducibility of measurements Between-subject variability Within-subject variability Standardisation procedures Future investigations
CONCLUSION FIVE KEY PAPERS THAT SHAPED THE TOPIC AREA GLOSSARY OF TERMS ACKNOWLEDGEMENTS REFERENCES
CHAPTER 3 CELLULAR MECHANISMS OF SKELETAL MUSCLE FATIGUE
OBJECTIVES INTRODUCTION METHODS USED TO STUDY FATIGUE AT THE CELLULAR LEVEL CHANGES IN METABOLISM DURING FATIGUE CHANGES IN FORCE PRODUCTION DURING FATIGUE CHANGES IN [Ca2+]i DURING FATIGUE
Failure of action potential propagation Metabolic effects on the SR Ca2+ release channels Ca2+-Pi precipitation in the SR Failure of SR Ca2+ release due to glycogen depletion Reduction of SR Ca2+ release after fatiguing stimulation
CHANGES IN MYOFIBRILLAR FUNCTION DURING FATIGUE
Acidosis and myofibrillar function Pi and myofibrillar function ROS/RNS and myofibrillar function
CHANGES IN SHORTENING VELOCITY AND POWER OUTPUT DURING FATIGUE CHANGES IN RELAXATION DURING FATIGUE CAUSES OF EXERCISE LIMITATION CONCLUSION FIVE KEY PAPERS THAT SHAPED THE TOPIC AREA GLOSSARY OF TERMS REFERENCES
PART II FATIGUE AND EXTRANEOUS FACTORS
CHAPTER 4 MUSCLE FATIGUE IN CHILDREN
OBJECTIVES INTRODUCTION FATIGUE DURING PROLONGED EXERCISE
Age-related differences Explanatory factors
Higher stride frequency Higher ventilatory cost Higher coactivation “Non optimal” body mass Locomotion style Other factors
Summary
FATIGUE DURING HIGH-INTENSITY EXERCISE
Age-related differences Explanatory factors
Smaller body dimensions Lower neuromuscular activation Higher percentage of type I fibres Oxidative and glycolytic profiles Depletion and recovery rates of PCr
Summary
CASE STUDY EXAMPLE: PROBLEM AND RESOLUTION CONCLUSION FIVE KEY PAPERS THAT SHAPED THE TOPIC AREA GLOSSARY OF TERMS REFERENCES
CHAPTER 5 MUSCLE FATIGUE IN ELDERLY PEOPLE
OBJECTIVES INTRODUCTION MUSCLE FATIGUE IN OLDER ADULTS
Effect of contraction mode in studies of fatigue Effect of muscle strength and contraction intensity in studies of endurance Does muscle fatigue vary by muscle group?
MECHANISMS OF MUSCLE FATIGUE IN ELDERLY ADULTS
Bioenergetic basis of fatigue resistance in the elderly Neural factors and fatigue in the elderly
IMPORTANCE OF STUDY POPULATION ON MUSCLE FATIGUE: RETAINING THE FOCUS ON SENESCENCE
Effects of health Effects of activity level Effect of age and sex
MUSCLE FATIGUE AND PHYSICAL FUNCTION IN THE ELDERLY CONCLUSION FIVE KEY PAPERS THAT SHAPED THE TOPIC AREA GLOSSARY OF TERMS ACKNOWLEDGEMENT REFERENCES
CHAPTER 6 SEX DIFFERENCES IN MUSCLE FATIGUE
OBJECTIVES INTRODUCTION SEX AND MUSCLE FATIGUE
Strength and muscle perfusion Muscle metabolism Central drive Peripheral excitation
SEX AND AGE IN MUSCLE FATIGUE CONCLUSION FIVE KEY PAPERS THAT SHAPED THE TOPIC AREA GLOSSARY OF TERMS ACKNOWLEDGEMENTS REFERENCES
CHAPTER 7 FATIGUE AND TRAINING STATUS
OBJECTIVES INTRODUCTION TRAINING BACKGROUND AND FATIGUE
Fatigue in untrained, endurance-trained and sprint/ power-trained individuals
Single-sprint performance Repeated-sprint performance
Factors that determine fatigue profile during high-intensity exercise
Muscle fibre composition and metabolic profile Influence of initial force/power output Evaluating performance and fatigue during high-intensity exercise Aerobic fitness: maximal oxygen uptake and aerobic contribution to energy supply Aerobic fitness: oxygen uptake kinetics Aerobic fitness: effects on PCr resynthesis Muscle buffering capacity and ionic regulation Neural factors
Key points (training background and fatigue)
INCREASES IN ACTIVITY LEVEL AND FATIGUE: EFFECTS OF SYSTEMATIC TRAINING
Fibre type transformations after training
Sprint and strength training Endurance training
Muscle enzymes
Sprint training with repeated short bouts (<10s) Sprint training with repeated long bouts (30s) Sprint training versus traditional endurance training Molecular signalling for mitochondrial adaptations
Capillarisation and blood flow
Capillary supply and fatigue resistance
Regulation of ionic balance
Improvement of K+ regulation with sprint training Lactate and H+ regulation Changes in muscle buffering capacity
Key points (effects of systematic training)
REDUCTIONS IN ACTIVITY LEVEL AND FATIGUE: EFFECTS OF DETRAINING AND IMMOBILISATION
Effects of detraining
Neuromuscular adaptations and fibre type shifts Changes in muscle enzymes and capillarisation Detraining and muscle fatigue
Effects of immobilisation/disuse
Changes in muscle mass and function Changes in fatigue resistance
Key points (effects of detraining and immobilisation)
CASE STUDY EXAMPLE: PROBLEM AND RESOLUTION—REDUCTION OF FATIGUE IN SOCCER
Background Problem Resolution: repeated-sprint training
Repeated short bouts Repeated longer (30s) bouts
Caution
CONCLUSION FIVE KEY PAPERS THAT SHAPED THE TOPIC AREA GLOSSARY OF TERMS REFERENCES
CHAPTER 8 ERGOGENIC AIDS AND FATIGUE DURING MULTIPLE-SPRINT EXERCISE
OBJECTIVES INTRODUCTION MULTIPLE-SPRINT EXERCISE
Terminology Quantifying fatigue during multiple-sprint exercise Reliability of fatigue scores Interpretation of fatigue scores Summary
POTENTIAL MECHANISMS LIMITING PERFORMANCE DURING MULTIPLE-SPRINT EXERCISE
Peripheral fatigue
Energy supply
ADENOSINE TRIPHOSPHATE PHOSPHOCREATINE MUSCLE GLYCOGEN AEROBIC METABOLISM
Metabolite occumulation
AMMONIA (NH3) HYDROGEN ION (H+) ACCUMULATION POTASSIUM (K+) REACTIVE OXYGEN SPECIES
Central fatigue Summary
ERGOGENIC AIDS
Caffeine
Classification and usage Possible mechanisms Effects on multiple-sprint performance
Creatine
Classification and usage Possible mechanisms Effects on multiple-sprint performance
Carbohydrates
Classification and usage Possible mechanisms Effects on multiple-sprint performance
Alkalising agents
Classification and usage Possible mechanisms Effects on multiple-sprint performance
CONCLUSION FIVE KEY PAPERS THAT SHAPED THE TOPIC AREA GLOSSARY OF TERMS REFERENCES
PART III FATIGUE AND PATHOPHYSIOLOGY
CHAPTER 9 FATIGUE AND NEUROMUSCULAR DISEASES
OBJECTIVES INTRODUCTION SITES OF FATIGUE
Central components of fatigue Peripheral components of fatigue
MULTIPLE SCLEROSIS
Fatigue in multiple sclerosis
Peripheral components of fatigue Central components of fatigue
Exercise in MS patients
POST-POLIOMYELITIS SYNDROME
Muscle strength in PPS Fatigue in PPS
Peripheral components of fatigue Central components of fatigue
Exercise in PPS
MYASTHENIA GRAVIS
Weakness in myasthenia gravis Fatigue in myasthenia gravis
Peripheral factors in fatigue Central factors in fatigue
Exercise in MG
SPINAL CORD INJURY
Muscle strength Fatigue after spinal cord injury Exercise after SCI
CASE STUDY CONCLUSION FIVE KEY PAPERS THAT SHAPED THE TOPIC AREA GLOSSARY OF TERMS ACKNOWLEDGEMENTS REFERENCES
CHAPTER 10 MUSCLE FATIGUE IN MUSCULAR DYSTROPHIES
OBJECTIVES INTRODUCTION DYSTROPHINOPATHIES MYOTONIC DYSTROPHY FACIOSCAPULOHUMERAL DYSTROPHY LIMB GIRDLE MUSCULAR DYSTROPHIES EXPERIENCED FATIGUE
Assessment of experienced fatigue Prevalence and impact of experienced fatigue
DETERMINANTS OF FATIGUE
Pathophysiological studies of muscle fatigue Peripheral versus central fatigue Vicious circle of physical inactivity Perpetuating factors of experienced fatigue Experienced fatigue and psychiatric disorders
TREATMENT OF FATIGUE
Training studies in animals Training studies in muscular dystrophy patients Medication for muscle fatigue and experienced fatigue Cognitive behaviour therapy
CONCLUSION FIVE KEY PAPERS THAT SHAPED THE TOPIC AREA GLOSSARY OF TERMS REFERENCES
CHAPTER 11 FATIGUE AND WEAKNESS IN PATIENTS WITH INFLAMMATORY MYOPATHIES: DERMATOMYOSITIS, POLYMYOSITIS AND INCLUSION BODY MYOSITIS
OBJECTIVES INTRODUCTION CLINICAL EVALUATION MAGNETIC RESONANCE IMAGING OF MUSCLE MORPHOLOGY
MRI quantification with T1 and T2 relaxation times
METABOLIC ABNORMALITIES RELATED TO WEAKNESS AND FATIGUE ADDITIONAL FACTORS RELATED TO FATIGUE AND WEAKNESS
Lung involvement Relationships between carbohydrate and fat metabolism Hypoperfusion as a contributor to muscle deficiency
TREATMENTS FOR ALLEVIATION OF WEAKNESS AND FATIGUE
Exercise therapy to improve strength and fatigue Creatine supplementation for improved energy metabolism Creatine and magnesium supplementations
CASE HISTORIES SHOWING CLINICAL ASPECTS CONCLUSION FIVE KEY PAPERS THAT SHAPED THE TOPIC AREA GLOSSARY OF TERMS REFERENCES
CHAPTER 12 MUSCLE FATIGUE IN METABOLIC MYOPATHIES
OBJECTIVES INTRODUCTION MITOCHONDRIAL MYOPATHIES MUSCLE GLYCOLYTIC DEFECTS: MCARDLE DISEASE AND RELATED DISORDERS CASE STUDY
Clinical history Evaluation: rationale Exercise testing: results Interpretation/implications
CONCLUSION FIVE KEY PAPERS THAT SHAPED THE TOPIC AREA GLOSSARY OF TERMS REFERENCES
INDEX
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